Chapter 10 Flashcards
rhythms originating in the ventricles
Ventricle rhythms
originate in an irritable focus in the ventricle - travel cell by cell through the tissue
PVC
heart rate - can occur at any rate
regularity - regular but interrupted by a premature beat
T wave - opposite the QRS
causes - heart disease, hypokalemia, hypoxia, low magnesium level
effects - can lead to worsening arrhythmias such as V-tach or V-fib
Unifocal PVC
Have the same shape
Multifocal PVC
have different shape
R-on-T PVC
Land on the T wave of the preceding beat
Couplets
paired PVCs, can be unifocal or multifocal
fusion beats
combination of sinus beat and PVC
Agonal Rhythm
heart rate - less than 20
regularity - irregular
T waves - opposite the QRS
causes - dying patient
effects - shock, unconsciousness, death
treatment - CPR, epinephrine, or vasopressin, atropine
Idioventricular Rhythm
heart rate - 20-40
regularity - regular
T waves - opposite the QRS
causes - hypoxia, massive heart or organ damage
effects - decreased cardiac output
treatment - atropine, epinephrine
Accelerated Idioventricular rhythm
ventricular tachycardia
Wolff-Parkinson-White Syndrome
Torsades de pointes
Ventricular Fibrillation
Asystole