ARRHYTHMIAS

Question 1

Adult CPR

Answer 1

Phone first
ABCs
30:2 cycles
100/min
1 ½ - 2 inches
Check rhythm after 5 cycles

Question 2

Two main classes of Arrhythmias

Answer 2

Heartblock
Tachyarrhthmias (>100bpm)

Question 3

The four types of heart block

Answer 3

SAN block
AVN block
Intraventricular block
Hemiblock

Question 3

The three types of AVN block

Answer 3

1st
2nd
3rd degree block

Question 4

Two types of intraventricular block

Answer 4

Right bundle branch block (RBBB)
Left BBB

Question 5

Two main types of tachyarrhythmias

Answer 5

Narrow complex (QRS<120msec)

Broad or Wide complex (QRS.120msec)

Question 6

Types of broad complex tachyarrhythmias

Answer 6

Ventricular tachycardias
Ventricular fibrillations
Ventricular ectopics
SVT or AF with abnormal conduction

Question 7

Difference between ventricular tachycardia and ventricular fibrillation

Answer 7

Ventricular fibrillation is irregular whilst ventricular tachycardia is regular

Question 8

Types of narrow complex tachyarrhythmias

Answer 8

Regular
Atrial flutter
SVT
Sinus tachycardia

Irregular
Atrial fibrillation

Question 9

Most common supraventricular tachycardias

Answer 9

AV nodal re-entrant tachydardia (AVNRT)
AV reciprocating tachycardia (AVRT)
Atrial tachycardia

Question 10

Four main classes of antiarrhythmic drugs

Answer 10

Class 1- Sodium channel blockers
Class 2- Beta blockers
Class 3- Potassium channel blockers
Class 4- Non DHP- CCB

Question 11

Other antiarrhythmic drugs

Answer 11

DAAM
Digoxin
Atropine
Adenosine
Magnesium sulphate

Question 12

Types of Class 1 antiarrhythmics

Answer 12

Class 1A
Quinidine
Procainamide
Disopyramide

Class 1B
Lidocaine
Tocainide
Mexiletine
Phenytoin

Class 1C
Encainide
Flecainide
Propafenone
Moricizine

Question 13

Class 2 antiarrhythmics

Answer 13

Propranolol
Bisoprolol
Esmolol

Question 14

Class 3 antiarrhythmics

Answer 14

Sotalol
Amiodarone
Dronedarone
Ibutilide
Dofetilide
Azimilide
Bretylium

Question 15

Class 4 Antiarrhythmics

Answer 15

Diltiazem
Verapamil

Question 16

Three examples of premature beats

Answer 16

Premature Junctional Complex
Premature atrial complex
Premature ventricular complex

Question 17

Supraventricular Tachycardia

Answer 17

Heart rate >150bpm

Question 18

What to check for on an ECG to determine type

Answer 18

Rate
Rhythm
P waves
PR interval
P and QRS correlation
QRS rate
Pacemaker

Question 19

Raye of the sinus node

Answer 19

60-100bpm

Question 20

Rate of the AV junction

Answer 20

Fire at a rate o 40-60bpm

Question 21

Ventricular rate

Answer 21

<40bpm

Question 22

Types of arrhythmia based on QRS complex and width

Answer 22

Narrow QRS tachycardia
Wide QRS tachycardia

Narrow QRS bradycardia
Wide QRS bradycardia

Question 23

Narrow QRS tachycardias

Answer 23

Regular
Sinus tachycardia
PSVT
A- flutter
Paroxysmal atrial tachycardia

Irregular
A-fibrillation
Multifocal Atrial Tachycardia

Question 24

Types of atrial tachycardia

Answer 24

Focal atrial tachycardia
Multifocal atrial tachycardia (MAT)
Atrial flutter

Re-entrant atrial tachycardia*

Question 25

Paroxysmal atrial tachycardia

Answer 25

A type of atrial tachycardia that begins and ends abruptly

Question 25

Wide QRS complex tachycardias

Answer 25

Regular
Ventricular tachycardia
SVT aberrant
Ventricular fibrillation

Irregular
PVT
A-Fib

Question 26

Narrow QRS bradycardia

Answer 26

Sinus bradycardia
A-fib
A-flutter
AVB (1,2,3)

Question 27

Wide QRS complex bradycardias

Answer 27

Idioventricular Bradycardia
2 AVB