arrhythmias Flashcards
treatment acute SVT
vagal manoeuvres
IV adenosine
IV verapamil
treatment chronic SVT
avoid stimulants
EP study + RFA
BBs
treatment atrial ectopic beats
generally none
avoid stimulants
BB
treatment sinus tachycardia
BB
treatment sinus bradycardia
atropine
Pacing if haemodynamically compromised
treatment mobitz type 2
permanent pacemaker
treatment 3rd degree heart block
ventricular pacemaker
treatment VF
defibrillation
cardiopulmonary resuscitation
treatment stable VT
amiodarone
treatment pulseless VT
defibrillation
treatment longterm VT
ICD
VT catheter ablation
treatment acute VT
high flow O2
adenosine/BB/CCB
amiodarone/DCCV
treatment TdP
IV Magnesium chloride / Magnesium sulfate
isoprenaline
temporary/permanent pacing
treatment atrial flutter
RF ablation
warfarin
anti arrhythmic drugs
treatment AF
1st line - BB or CCB (rate limiting)
2nd line - amiodarone or digoxin
anticoagulate with heparin
warfarin if chronic
DCCV if >150bpm
RFA
what kind of arrhythmia is WPW
accessory pathway tachycardia (re-entry)
what do the following do to the slope of phase 4 and therefore HR
Hyperthermia
increase slope
increase HR
what do the following do to the slope of phase 4 and therefore HR
hypoxia
increase slope
increase HR
what do the following do to the slope of phase 4 and therefore HR
hypothermia
decrease slope
decrease HR
what do the following do to the slope of phase 4 and therefore HR
hypercapnia
increase slope
increase HR
what do the following do to the slope of phase 4 and therefore HR
hyperkalaemia
decrease slope
decrease HR
what do the following do to the slope of phase 4 and therefore HR
cardiac dilation
increase slope
increase HR
what do the following do to the slope of phase 4 and therefore HR
hypokalaemia
increase slope
increase HR
what is the vagal manoeuvre for infants
ice water to face
what is the vagal manoeuvre for children/teen
valsalva
carotid massage
what is the vagal manoeuvre for adults
NG placement
carotid massage
breath holding
what study is undertaken in chronic SVT
EP study + RFA
through what vein is the EP study catheter placed
femoral