37. Electrophysiological Simulation (Blue Charts) Flashcards

1
Q

Factors that induce PVC’s

HHD SCCAAMMM

A

hypokalemia
hypomagnesemia
digitalis toxicity

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

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2
Q

Drugs that indice long QT

MISPATCH-BAOA

A

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

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3
Q

Vfib H’s
Hypovelemia

A

Identify: Rapid HR, Narrow QRS
Treatment: Crystalloid infusion

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4
Q

Vfib H’s
Hypoxia

A

Identify: Slow HR
Treatment: Increase O2

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5
Q

Vfib H’s
Acidic [H+]

A

Identify: Low QRS Amplitude
Treatment: Hyperventilate and NaHCO3-

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6
Q

Vfib H’s
Hypoglycemia

A

Identify: Blood glucose test
Treatment: Dextrose

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7
Q

Vfib H’s
Hypokalemia

A

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

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8
Q

Vfib H’s
Hyperkalemia

A

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

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9
Q

Vfib H’s
Hypothermia

A

Identify: Cold Environment
Treatment: Rewarming

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10
Q

Vfib T’s
Tension Pneumo

A

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

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11
Q

Vfib T’s
Cardiac Tamponde

A

Identify: Rapid HR, Narrow QRS
Treatment: Pericardiocentesis

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12
Q

Vfib T’s
Toxins

A

Identify: Prolonged QT
Treatment: Depends on Toxin

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13
Q

Vfib T’s
PE Thrombosis

A

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

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14
Q

Vfib T’s
MI Thrombosis

A

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

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15
Q

1st Degree AV Block

A

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

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16
Q

2nd Degree Block Type 1

A

1st Line: Atropine
2nd line: Pacing

17
Q

2nd Degree AV Block Type 2

A

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

18
Q

3rd Degree AV Block

A

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

19
Q

RBBB

A

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

20
Q

LBBB

A

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

21
Q

SVT

A

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

22
Q

Orthodromic WPW

A

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

23
Q

Antidromic WPW

A

1st Line: Procainamide
2nd line: Cardioversion

24
Q

Afib RVR

A

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

25
Q

Aflutter

A

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

26
Q

Bigem/Trigem

A

Nonthing needed

27
Q

Nonsustained VT

A

1st Line: Amiodarone/Lido

28
Q

Monomorph VT

A

1st Line: Cardioversion

29
Q

Polymorph VT

A

1st Line: Cardioversion

30
Q

Vfib

A

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

31
Q

Sinus Brady

A

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

32
Q

Junctional Brady

A

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

33
Q

Junctional tachy

A

1st Line: Adenosine