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Test 2 > Atrial > Flashcards

Atrial Flashcards

1
Q

sinus brady is decribed as having everything normal except

A

the rate which is 40-60

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2
Q

what kind of damage can we suspect from a sinus brady

A

inferior MI

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3
Q

what is the treatment of choice for sinus brady

A

atropine is an anticholinergic

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4
Q

Sinus tachy is described as having everything normal except..

A

rate which would be 100-180

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5
Q

In order for something to be sinus tachy you must have a ___wave

A

P wave

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6
Q

sinus tachy can described as a _______response

A

compensatory

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7
Q

sinus tachy can be caused by*****

A

excitement, stress, fever, hypervolemia, hypoxia and pain

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8
Q

How would we treat sinus tachy?

A

WE NEED TO TREAT THE CAUSE NOT THE RATE

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9
Q

supraventricular contraction have what distinct characteristics?

A

no P wave no pr

very fast like 150

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10
Q

how would we treat SVT or atrial tachy?

A

treat the rate—–

if hemodynamically unstable cardiovert

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11
Q

If a patient in SVT or atrial tachy is stable how will we treat?

A

we will treat by vagal maneuver
Adenosine 6 -12- 12
Ca beta-Dig

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12
Q

What is the main characteristic in A -Flutter

A

saw tooth waves

fast rate

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13
Q

**Atrial Flutter results in

A

reduced cardiac output”reduced cardiac kick”

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14
Q

why is a fib or flutter so DANGEROUS

A

you have blood churing on the walls thus causing clots that can get stuck in lungs causing a PE or in brain causing a Embolic stroke.

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15
Q

what are ways we can treat a flutter

A

If stable we will first try to control the venticular rate with meds
Ca blocker, beta, Dig or Adenosine
we will then try to overdrive pace

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16
Q

what is the difference between embolic and hemmoragic stroke?

A

embolic you will feel no pain

hemmoragic you will feel HA and pain due to ICP

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17
Q

Mr. Hill qusetion -what are the two main things we are worried about in a flutter

A

Ventricular rapis response and A flutter

18
Q

If a patient has had symptoms of a fib for less than 48 hours we will want to

A

cardiovert and give amiodarone

19
Q

If a patient has been in a flutter for more than 48 hours we will first

A

want to treat with anticoagulants

20
Q

what is the main characteristics of First Degreen AV block

A

prolonged PR–benign

21
Q

First Degree AV Blcok can be caused by

A

Dig, Beta, Amio

hyperkalemia

22
Q

SEcond degree type 2

A

pr progressivly lengthens until qrs is dropped
this is usually benign
can be caused by inferior wall MI

23
Q

Second degree-Type 2

A

Mad woman

PR can be normal or prolonged-folowed by a dropped rate

24
Q

Second Degree -Type 2 is related to insufficiency in the

A

anterior wall

25
Q

How will we treat this?

A 
we need to speed the heart up
Dopamine
Levo
Nori
PACE THEM   PACE THEM
26
Q

THIRD DEGREE CHARACT

A

these P waves are dissociated with QRS

lethal

27
Q

Ventricular- bundle branch blocks

A

r-waave regular
heart rate-reg
p-qrs=sinus
qrs=wide there are two complexes

28
Q

Treatment for BBB

A

MONA

29
Q

Bundle branh blocks associated with

A

anterior or posterior fasicular block

30
Q

we will treat PVC’s more than 6 per minute with

A

Lidocaine

31
Q

bigemeny

A

every other beat is PVC

32
Q

Trigemeny

A

every third beat is a PVC

33
Q

MUltifocal

A

comes from different spots

34
Q

unifocal couplet

A

two PVC’s together

35
Q

unifocal triplet

A

three PVC’s together

36
Q

ventricular TAchy

A

more than three pvc’s

37
Q

Ventricular Tacy’s R wave

A

regular

38
Q

Vtachs heart rate

A

140-250

39
Q

vtachs-p qrs

A

nonw

40
Q

vtachs qrs

A

wide

Test 2 (11 decks)

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