Arrhythmias Flashcards
Bradycardia
<60 HR
w/ Cardiopulmonary Compromise
What is Cardiac Compromise
Cardiopulmonary Compromise = hypotension, AMS, DLOC, Shock
Primary Bradycardia
Result of congenital heart condition
Primary Bradycardia examples
Myocarditis
Cardiomyopathy
Surgical injury to the pacemaker
Congenital abnormality
Secondary Bradycardia
Result of noncardiac conditions
Secondary Bradycardia examples
Hypoxia Acidosis Hypotension Hypothermia Drug Effects
STUDY AV BLOCKS
STUDY AV BLOCKS
Narrow QRS
<0.09 seconds
Wide QRS
> 0.09 seconds
Narrow Complex Tachycardia
Sinus taachy
Supraventricular tachy
Atrial flutter
Wide Complex Tachycardia
Ventricular tachycardia
SVT
Etopic atrial focus
abnormal pacemaker sites within the heart
normally suppressed by SA node
occur in atria or ventricles
HR in ST
Infants <220 min
Chldren <180 min
ST Hx
Gradual Onset
Fever, pain, dehydration, hemorrhage
ST PE
Crackles, fever, hypovolmeia, anemia
HR in SVT
Infants >220
Children >180
SVT Hx
Abrupt onset
Infant: CHF
Child: Palpitations
SVT PE
CHF
Rales, hepatomegaly, edema
Ventricular Tachycardia
Wide QRS complex
2 Forms of VT
Monomorphic Polymorphic (Torsades de pointes)
Atropine dosage
0.02 mg/kg - May repeat dose ONCE
Minimum dose 0.1 mg
Max single dose 0.5 mg