Brainscape's Knowledge GenomeTM

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


See full index

Care of Adult/Older patients > Cardiac Dysrythmias > Flashcards

Cardiac Dysrythmias Flashcards

1
Q

P of PQRST complex

A

Atrial Depolarization

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

QRS of PQRST complex

A

Ventricular Depolarization

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

T of PQRST complex

A

Ventricular Repolarization

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

Normal HR range?

A

60 - 100 BPM

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

S/S Sinus Bradycardia

A
  • Decreased C/O
  • Pale, cool skin
  • hypotension
  • weakness
  • angina dizziness
  • syncope
  • confusion
  • SOB
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Treatment of Sinus Bradycardia

A
  • Atropine
  • Pacemaker
  • Adjust or hold medications
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sinus Bradycardia Can occur with?

A
  • Carotid massage
  • Valsalva maneuver
  • Administration of medications (B-blockers, ACE)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q 
A patient’s cardiac rhythm is sinus bradycardia with a heart rate of 34 beats/minute. If the bradycardia is symptomatic, the nurse would expect the patient to exhibit?
  A) Palpitations. 
  B) Hypertension.
  C) Warm, flushed skin.
  D) Shortness of breath
A

Ans: D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sinus Tachycardia can occur with:

A
  • Exercise
  • fever
  • pain
  • hypotension
  • hypovolemia
  • anemia
  • hypoxia
  • MI
  • HF
  • administration of meds (Atropine, Epinephrine, Sudafed, Theophylline)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

S/S of Sinus Tachycardia

A
  • Decreased C/O
  • dizziness
  • dyspnea
  • hypotension
  • Can present as CP, or cause an MI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Treatment of Sinus Tachycardia

A
  • Treat cause
  • vagal maneuvers
  • beta blockers
  • calcium channel blockers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • Saw toothed flutter waves
  • Atrial rate 200-350 bpm
  • Ventricular rate approx. 150 bpm but can vary with conduction ratio
A

Atrial Flutter

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

Atrial Flutter Atrial rate

A

200-350 bpm

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

Atrial Flutter Ventricular rate

A

approx. 150 bpm but can vary with conduction ratio

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

Tx of choice for Sinus Tachycardia?

A

B-Blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment of Atrial Flutter?

A
  • B Blockers
  • antidysrhythmics,
  • Catheter ablation (treatment of choice)
  • Cardioversion if hemodynamically stable
  • Long term use of Coumadin if Aflutter continues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Tx of choice for Atrial Flutter?

A

Catheter ablation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Catheter ablation

A

Catheter is inserted into the right atrium between the inferior vena cava and tricuspid valve, electrical energy is used destroy the part of the heart causing the dysrythmia?

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

Cardioversion

A

external shock is applied (similar to CPR) to jolt pt back into a NSR

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

Atrial flutter tx is catheter ablation and cardionversion fail?

A

long term coumadin

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

Atrial Fibrillation Atrial rate

A

350-600 bpm

22
Q

Controlled Atrial Fibrillation ventricular rate

A

60-100 bpm

23
Q

Uncontrolled Atrial Fibrillation ventricular rate

A

> 100 bpm

24
Q

Most common dysrhythmia?

A

Atrial Fibrillation

25
Q

Treatment of Atrial Fibrillation?

A
  • CC blockers
  • B-Blockers
  • Cardioversion (1st choice)
  • Catheter ablation or Maze procedure (2nd choice)
  • Long-term use of coumadin if Afib continues
26
Q

Tx of choice for A-Fib?

A

Cardioversion

27
Q

S/S of A-Fib

A

Decreased cardiac output

28
Q

every other beat is a PVC?

A

Ventricular bigeminy

29
Q

every third beat is a PVC?

A

Ventricular trigeminy

30
Q

2 consecutive PVC’s in a row?

A

Couplet

31
Q

S/S of PVC

A
  • Can be benign
  • Reduced cardiac output
  • CP
  • HF
  • pulse deficit
32
Q

Complication of PVC

A

Ventricular Tachycardia

33
Q

Tx of PVC

A
  • Treat cause

- β Blockers

34
Q

A run of 3 or more PVC?

A

Ventricular Tachycardia

35
Q

Ventricular Tachycardia Ventricular rate

A

150-250 bpm- regular or irregular

36
Q

S/S of V-Tach

A
  • Severe decreased C/O
  • Hypotension
  • pulmonary edema
  • decreased cerebral blood flow
  • cardio-pulmonary arrest
37
Q

Complications of V-Tach

A
  • Ventricular fibrillation

- Death

38
Q

Treatment of V-Tach

A
  • Treat cause
  • B Blockers
  • antidysrhythmics
  • defibrillation
39
Q
  • The ventricle is quivering, no contraction, no cardiac output
  • Heart rate is not measurable
  • no pulse
A

Ventricular Fibrillation

40
Q

S/S of V-Fib

A
  • Unresponsive
  • pulseless
  • apneic
41
Q

Complications of V-Fib

A

Death

42
Q

Treatment of V-Fib

A
  • Immediate CPR and ACLS, defibrillation
43
Q

A patient in the coronary care unit develops ventricular fibrillation. The first action the nurse should take is to
A) Perform defibrillation.
B) Initiate CPR
C) Prepare for synchronized cardio-version.
D) Administer IV antidysrhythmic drugs per protocol.

A

Ans: B

44
Q

Represents total absence of ventricular electrical activity

A

Asystole

45
Q

Treatment of Asystole?

A
  • CPR, ACLS, & Intubation
46
Q

Organized electrical activity seen on ECG, but NO pulse present?

A

Pulseless Electrical Activity (PEA)

47
Q

Causes of PEA?

A
  • Common after defibrillation
  • Hypoxia
  • hypovolemia
  • drug overdose
  • hyper/hypokalemia
  • metabolic acidosis
48
Q

Treatment of PEA?

A
  • CPR
  • epinephrine
  • intubate
  • Treat underlying cause
49
Q

Majority of SCDs result from

A
  • ventricular dysrhythmias
    • V-tach
    • V-fib
50
Q

most common cause of SCD?

A

V-Fib

Care of Adult/Older patients (5 decks)

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