13 dysarrythmias Flashcards

1
Q

5 first questions to ask

A
  1. wide or narrow
  2. fast or slow
  3. regular or irreg?
  4. p waves?
  5. are p waves conducted?
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2
Q

what is wide QRS

A

> 120ms

  • means BBB or ventricular dysarrythmia
  • consider VT until proven otherwise
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3
Q

what is rule of 300

A

divide 300 by number of large boxes between 2 R waves

- otherwise look at 6 second block and multiply by 10

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4
Q

what are most irregular rhythms

A

A fib

- look for P waves - none in afib

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5
Q

what makes a dysarrythmia unstable

A
  1. hypotension
  2. CHF
  3. chest pain
  4. altered LOC
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6
Q

3 degrees of urgency in treatment response

A
  1. emergent - drop everything
  2. urgent - see within several minutes
  3. deferrable
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7
Q

5 Hs and Ts of PEA

A
Hypooxemia
Hypotension
Hyper/hypokalemia
H+ ions (acidosis)
Hypothermia
Tension pneumo
Tamponade
Thrombosis lung
thrombosis heart
Toxins
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