Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ACLS Lifesaver Cource > Cardiac Arrhythmias > Flashcards

Cardiac Arrhythmias Flashcards

1
Q

What are the pulseless rhythms

A
  1. Ventricular Fibrillation (VF) VF=Defib
  2. Pulseless Electrical Activity (PEA)
  3. Pulseless Ventricular Tachycardia (VT)
  4. Asystole
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the most common rhythm that occurs immediately after cardiac arrest?

A

Ventricular Fibrillation (V-fib or VF) VF = Defib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

There are two types of VF

A
  1. Fine VF

2. Coarse VF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Coarse VF usually occurs immediately after a ____ ____

A

Cardiac Arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When does Fine VF usually occur?

A

During prolonged periods of Cardiac Arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When VT is present and has NO PULSE, how do you treat it?

A

as VF and VF = Defib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is Pulseless Electrical Activity (PEA)?

A

It occurs when the Heart is beating and has a rhythm (Any rhythm) BUT has no pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the “ H’s and T’s “ ?

A
  1. Hypoxia
  2. Hypovolemia
  3. Hydrogen ion (Acidosis)
  4. Hypo and Hyperkalemia
  5. Hypothermia
  6. Tension pneumothorax
  7. Tamponade, Cardiac
  8. Thrombosis, Pulmonay
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Asystole?

A

When there is NO detectable activity on EKG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When does Asystole commonly occur?

A
  1. immediately after cardiac arrest

2. it MAY follow VF or PEA or 3rd Degree Block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The treatment of Asystole is the same as ___.

A

PEA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

According to the American Heart Association (AHA). How much time is needed to “Call a Code”

A

15 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In general, narrow QRS complexes originate

A

The Atria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In general, wide QRS complexes originate

A

Below the Bundle of His (Ventricles)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

There are TWO ways to determine the heart rate

A
  1. ( Q x 10 = HR )
    Count the QRS complexes on a 6 sec. strip and then multiply by 10.
  2. 300-150-100 and 75-60-50
    Memorize ; Start with the FIRST heavy line that the QRS lands on (300) … to the next QRS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bradycardia occurs when the heart is beating too slowly. usually less than ___ beats per minute.

A

50 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When SYMPTOMATIC bradycardia is present. What are the 3 things you need to do?

A
  1. Provide OXYGEN
  2. Give ATROPINE 0.5 mg
  3. Call for the TRANSCUTANEOUS PACEMAKER.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What constitutes a First-Degree AV Block

A

All “P” waves conduct through the AV node, but they are DELAYED.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

First-Degree AV block = a _______ PR ______.

A

Prolonged PR Interval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Second-Degree AV Block TYPE 1 is aka

A

Morbitz 1 or Wencheback

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What constitutes a Morbitz 1 / Wencheback block?

A

Some “P” waves conduct through the AV node, but others are BLOCKED.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Morbitz 1, or Wencheback = a _______ Lengthening of the __ interval, followed by a DROPPED ___.

A

Progressive.
PR.
QRS.

23
Q

What constitutes a Second-Degree AV block TYPE 2?

A

Some “P” waves conduct through the AV node, but others are BLOCKED.

24
Q

Second-Degree AV block type 2 = a PR interval stays the ____, but there are ______ ___.

A

Same.
Dropped.
QRS.

25
Q

A Third-Degree AV Block is aka.

A

A Complete Block

26
Q

What constitutes a Complete Block?

A

NO “P” waves conduct through the AV node.

27
Q

There are 3 basic groups of Tachycardia?

A
  1. SINUS Tachycardia
  2. SUPRAVENTRICULAR Tachycardia (SVT)
    including also ATRIALVENTRICULAR Tachycardia.
  3. VENTRICULAR Tachycardia (VT).
28
Q

Fortunately, there is only one algorithm to treat all of them. What are the KEY factors associated with Tachycardia.

A
  1. Pulse vs. NO Pulse
  2. Stable vs. Unstable
  3. Regular vs. Irregular.
  4. Narrow QRS vs. Wide QRS
29
Q

What constitutes a Sinus Tachycardia?

A

That ALL components of a normal EKG are present

  1. P waves
  2. QRS complex
  3. T waves
30
Q

Generally what is the SINUS tachycardia rate?

A

100 to 150 bpm

31
Q

Sinus tachycardia generally ____ and ____ gradually.

A

Starts

Stops

32
Q

What constitutes Supraventricular Tachycardia?

A

NARROW QRS complexes.

33
Q

Generally what is the rate for SVT?

A

Greater than 150 bpm

34
Q

Treatment Question #1 for SVT?

A

Stable vs. Unstable

35
Q

If the SVT is UNSTABLE, what do you do?

A

Cardiovert

36
Q

If the SVT is STABLE, what do you do?

A

Identify question #2: REGULAR vs. IRREGULAR

37
Q

If the SVT is REGULAR or Junctional, what do you do?

A
  1. Vagal maneuvers

2. Adenosine

38
Q

What are examples of IRREGULAR Tachycardia?

A
  1. A-Fib
  2. A-Flutter
  3. Multi-focal
  4. A-Tachycardia
39
Q

How do you treat a IRREGULAR Tachycardia?

A
  1. Calcium channel blockers

2. Beta blockers

40
Q

Atrial Tachycardia is an _____ foci, that often begins ______.

A

Ectopic

suddenly

41
Q

What constitutes a Junctional Tachycardia?

A

An INVERTED “P” wave.

42
Q

What constitutes a Atrial Fibrillation?

A

The atria quiver

43
Q

In Atrial Flutter the impulse creates MULTIPLE ___ waves.

A

“P”

44
Q

Ventricular Tachycardia (VT) is basically a run of ____

A

PVC

45
Q

What is question #1 , when treating VT

A

Pulse or NO Pulse

46
Q

If there is NO Pulse, when treating for VT, What do you do?

A

De-fibrillate

47
Q

When treating VT:
What question should you be asking yourself?

  1. Is this patient _________ or ___________?
A

Stable or Unstable

48
Q

When treating VT:

If the rhythm is Unstable, then what do you do?

A

Cardiovert

49
Q

When treating VT:

If the rhythm is Stable, then what do you do?

A

Adenosine. only if its a REGULAR rhythm.

Amiodarone infusion of 150mg over 10 minutes.

50
Q

What is Polymorphic Ventricular Tachycardia?

A

The QRS complexes have different SHAPE and AMPLITUDE.

51
Q

In ACLS, how do you treat Polymorphic VT?

A

The same as VF.

VF =Difib

52
Q

What is Torsades de Pointes?

A

QRS complexes are in an ALTERNATING pattern

53
Q

What does STEMI stand for?

A

ST- Elevation MI (myocardial infarction)

54
Q

In a STEMI, what does the Letters “Q”, “ST Elevation or depression”, and “T inversion” represent in EKG rhythm?

A 
Q = Infarction
ST = An acute injury
T = Ischemia

ACLS Lifesaver Cource (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions