ACTIVITY

Question 1

Ventricular Tachycardia Nurse Intervention

Answer 1

1. Check patient responsiveness
2. If responsive check carotid pulse and breathing for 5-10 seconds
3. If pulse and breathing is present check if HR is greater than 150
4. If patient is unstable immediately implement synchronized cardioversion
5. If patient is unresponsive check carotid pulse and breathing for 5-10 seconds
6. If there is no pulse/breathing call for help and start CPR
7. Once crash cart arrives apply defibrillator

DEFIBRILLATOR STEPS
1. CPR 2 min
2. Rhythm and pulse check
3. Shock
(Repeats)

Question 2

First Degree AV Block

Answer 2

1. Check for patient responsiveness
2. If responsive check carotid pulse (if no pulse call for help and start CPR)
3. Check heart rate
4. Check if the patient is symptomatic
5. Is the patient stable?
   Yes - Monitor patient (cardiac, non-invasive BP, v/s, 12 lead ECG) and treat underlying cause
   No - Provide transcutaneous pacing, call doctor

Question 3

Sinus Tachycardia

Answer 3

1. Check patient responsiveness
2. If unresponsive check carotid pulse
3. Check HR (between 100-150) and monitor cardiac, BP, vs, 12-lead ECG
4. Treat underlying cause
5. If HR is greater than 150 and unstable immediately apply synchronized cardioversion

Question 4

A-Fib

Answer 4

1. Check responsiveness
2. If unresponsive check carotid pulse and HR
3. If HR is between 100-150 monitor patient (BP, VS, 12-lead ECG) and treat underlying cause

Question 5

Sinus Arrest

Answer 5

1. Check responsiveness
2. Check pulse and breathing for 5-10 seconds
3. If there is a pulse and breathing continue to monitor
4. If unresponsive (no pulse or breathing) call for help and start CPR

Question 6

Atial-Flutter

Answer 6

1. Check for responsiveness
2. If unresponsive check carotid pulse and breathing for 5-10 seconds
3. If unresponsive and no pulse, call for help and start CPR

Question 7

A-Systole

Answer 7

1. Check for responsiveness
2. If responsive check carotid pulse and HR (100-150)
3. If unstable immediate synchronized cardioversion
4. If unresponsive check breathing 5-10 seconds
5. If no breathing call for help and start CPR

Question 8

Sinus Bradycardia

Answer 8

1. Check responsiveness
2. Check carotid pulse and HR
3. If stable monitor patient
4. If unstable provide transcutaneous pacing