Cardio 1 Flashcards
Rhythm originates from Sinoatrial Node;
Atrial & Ventricular rates are
60-100 b/m
Multiple rapid Impulses form many Foci Depolarize in the Atria in a Totally Disorganized Manner at a Rate of 350-600 times/min
Atrial Fibrillation
Atria Quiver, Can lead to formation of Thrombi
Atrial Fibrillation
No definitive P -Wave, only fibrillatory waves before each QRS
Atrial Fibrillation
Oxygen, Anticoagulants (risk of emboli), cardiac meds to control ventricular rhythm & assist in maintenance of CO, Cardioversion, meds to control dysrhythmia.
Atrial Fibrillation
Early Ventricular Complexes result from Increased Irritability of the Ventricles
PVCs
Premature Ventricular Contractions
Can occur in repetitive patterns: bigeminy (q other Hbeat), trigeminy (q 3rd Hbeat), quadrigeminy (q 4rth Hbeat); Or Unifocal (Upward/Downward deflection), Multifocal (diff shapes, impulses in different sites)
PVCs
Premature Ventricular Contractions
Evaluate SpO2 to assess for Hypoxemia
Can cause PVCs
administer O2
Hypokalemia
Can cause PVCs
Repetitive Firing of an Irritable Ventricular Ectopic focus at a rate of 140-250 bpm
VT
Ventricular Tachycardia
May present as a Paroxysm of 3 self-limiting beats or more or may be a sustained rhythm
VT
Ventricular Tachycardia
Can lead to Cardiac Arrest
VT
Ventricular Tachycardia
- oxygen
2. antidysrhythmics
Stable / sustained VT (Pulse, no S/S of < CO)
- oxygen
- antidysrhythmics
- Synchronized Cardioversion (unstable)
- Cough Cardiopulmonary Resuscitation (CPR), cough hard q 1-3 sec
Unstable/ VT (Pulse, S/S of <CO)
Defibrillation & CPR
Pulseless w/ VT
Impulses from many irritable foci in Ventricles fire in disorganized manner; chaotic rapid rhythm in which ventricles quiver & there is no Cardiac Output
VF
Ventricular Fibrillation
Fatal if not successfully terminated within 3-5 min; absent Pulse, BP, RR, H-Sounds
VF
Ventricular Fibrillation
- CPR
- O2
- AntiDysrhythmic therapy
VF
Ventricular Fibrillation
Induce vagal stimulation of Cardiac Conduction System & are used to Terminate Supraventricular Tachydysrhythmias
Vagal Maneuvers