2 Flashcards
U wave cause
Hypo K, cardiomyopathy, dig tox
When can you not use atropine
2nd degree type 2
3rd degree HB
Random QRS drop every 4 beats
2nd degree type 2
Cause of VTACH
Hypo mag, QT prolongation, hypoxemia
Irregular irregular
A fib warfarin
Pt has MI w multiple PVCs what is priority
Treat cause, increase frequency then lido or amio
Pt has unifocal pvc
Call provider
High peak T wave
Spirnolocatone
High peak T wave, and on spironolactone
Hyperkalemia
Enalopril
ACE inhibitor, decreases BP
Prolong QT increases risk for
Lethal dysrythmmias
CAUSES OF VTACH
QT PROLONG
HYPOEXEMIA
HYPO MAG
CARDIOMYOPATHY
VALV HEART DISEASE
Tachycardia causes
Hyperthyroidism
Anxiety
Fever
Hypovolemia
Pt w narrow QRS complex, HR 180, what med?
ADENOSINE 6-12-12 (20cc flush)
RHYTHM: SVT
Push adenosine how
Fast and close to the heart
P wave in correct spot but upside down, no p wave, or p wave after QRS
JUNCTIONAL
Rhythm is disruption of underlying rhythm, no p wave, QRS is normal
JUNCTIONAL
Every 4th beat random QRS drop
Second degree type 2
Hypokalemia EKG
U wave
Ventricular ectopy
Hyperkalemia ekg
Tall peak T waves
Conduction block
V fib
Hypocal
Long ST QT
Hyper cal
Short ST QT
Hypo mag
Prolong PR QT
long T waves
PVCs/VTACH/VFIB
Hyper mag
Prolong PR QT
wide QRS
Assessment for cardiac tamponade
- low BP
- JVD
- muffled heart sounds
- SOB
- tachycardia
Cause of Brady
Dig tox, SA node disease, vaso agal, MI, meds
SVT
Narrow QRS
hidden p
HR- 150-250
PAC
SHORT PRI
Cause: caffeine, tobacco, ischemia, hypokalemia, hypomag
AFIB
NO P
NO PRI
rate 350-450
Give amio
A FLUTTER
Hr 240-340
Treat w ablation and anticoagulant
Irregularly irregular
PVC
Bigem/ trigem
WIDE AND BIZARRE QRS
unifocal- fatal dysthymias
AMIO AND LIDO
V tach
No PRI only WIDE QRS
Hyperkalemia
AMIO AND LIDO
V FIB
chaotic wavy line
DEFIB
AYSTOLE
assess patient
START CPR CANT SHOCK
1st degree AV block
Prolong P wave
No meds
2nd degree Type 1
PR gets longer and longer until finally drops QRS
dj builds up beat then drops it
Don’t treat
2nd degree AV block
RANDOM QRS DROP
Transcutaneous pace
Do NOT give atropine
3rd degree HB
No communication at all
Permanent pacemaker
Atropine
Bradycardia
Adenosine
SVT
Amio
V fib, unstable VTACH, A fib
ANTIDYSRHYMMIC
lido
PVC
VTACH W PULSE
Cardiovert
SVT after adenosine