37. Electrophysiological Simulation (Blue Charts)

Question 1

Factors that induce PVC’s

HHD SCCAAMMM

Answer 1

hypokalemia
hypomagnesemia
digitalis toxicity

sympathetics
caffeine
cocaine
alcohol
arterial hypoxemia
myocardial ischemia
myocardial infarction
myocarditis
mechanical irritation

Question 2

Drugs that indice long QT

MISPATCH-BAOA

Answer 2

Methadone
Iso/Sevo
SRI’s
Propofol
Antiemetics
Trazodone
Cocaine
HIV Retrovirals
B2 Agonists
Antiphychotics
Organophospahtes
Antiarrhythmics

Question 3

Vfib H’s
Hypovelemia

Answer 3

Identify: Rapid HR, Narrow QRS
Treatment: Crystalloid infusion

Question 4

Vfib H’s
Hypoxia

Answer 4

Identify: Slow HR
Treatment: Increase O2

Question 5

Vfib H’s
Acidic [H+]

Answer 5

Identify: Low QRS Amplitude
Treatment: Hyperventilate and NaHCO3-

Question 6

Vfib H’s
Hypoglycemia

Answer 6

Identify: Blood glucose test
Treatment: Dextrose

Question 7

Vfib H’s
Hypokalemia

Answer 7

Identify: Flat T wave and U wave
Treatment: IV Magnesium

Question 8

Vfib H’s
Hyperkalemia

Answer 8

Identify: Peaked T wave & wide QRS
Treatment: CaCl, NaHCO3-, Insulin/Glucose

Question 9

Vfib H’s
Hypothermia

Answer 9

Identify: Cold Environment
Treatment: Rewarming

Question 10

Vfib T’s
Tension Pneumo

Answer 10

Identify: Slow HR, Narrow QRS, difficult breathing
Treatment: Needle Decompression

Question 11

Vfib T’s
Cardiac Tamponde

Answer 11

Identify: Rapid HR, Narrow QRS
Treatment: Pericardiocentesis

Question 12

Vfib T’s
Toxins

Answer 12

Identify: Prolonged QT
Treatment: Depends on Toxin

Question 13

Vfib T’s
PE Thrombosis

Answer 13

Identify: Rapid HR, Narrow QRS
Treatment: Embelectomy or Fibrinolytics

Question 14

Vfib T’s
MI Thrombosis

Answer 14

Identify: ST changes (elevated or depressed)
Treatment: Depdendant on MI

Question 15

1st Degree AV Block

Answer 15

1st Line: Atropine
2nd line: Reduce AVN delay

Question 16

2nd Degree Block Type 1

Answer 16

1st Line: Atropine
2nd line: Pacing

Question 17

2nd Degree AV Block Type 2

Answer 17

1st Line: Pacing
2nd line: Isoproterenol as bridge to pacing

Question 18

3rd Degree AV Block

Answer 18

1st Line: Pacing
2nd line: Isoproterenol as bridge to pacing

Question 19

RBBB

Answer 19

1st Line: Pacing
2nd line: Correct potential ischemia

Question 20

LBBB

Answer 20

1st Line: Pacing
2nd line: Correct potential ischemia

Question 21

SVT

Answer 21

1st Line: Adenosine
2nd line: CCB, BB’s, Cardioversion

Question 22

Orthodromic WPW

Answer 22

1st Line: Adenosine
2nd line: CCB, BB’s, Cardioversion

Question 23

Antidromic WPW

Answer 23

1st Line: Procainamide
2nd line: Cardioversion

Question 24

Afib RVR

Answer 24

1st Line: Amiodarone/Cardioversion
2nd line: CCB, BB’s, Digoxin

Question 25

Aflutter

Answer 25

1st Line: Cardioversion
2nd line: Amiodarone, CCB

Question 26

Bigem/Trigem

Answer 26

Nonthing needed

Question 27

Nonsustained VT

Answer 27

1st Line: Amiodarone/Lido

Question 28

Monomorph VT

Answer 28

1st Line: Cardioversion

Question 29

Polymorph VT

Answer 29

1st Line: Cardioversion

Question 30

Vfib

Answer 30

1st Line: CPR/Defib
2nd line: Epi/Ami

Question 31

Sinus Brady

Answer 31

1st Line: Atropine
2nd line: Isoproterenol/pacing

Question 32

Junctional Brady

Answer 32

1st Line: Atropine
2nd line: Isoproterenol/pacing

Question 33

Junctional tachy

Answer 33

1st Line: Adenosine