Conduction disorders Part 3 Dysrhythmia Tx and Torsades Flashcards
What does torsades look like?
PVT associated with prolonged QT (>500 ms)–ribbon
Does V fib have a pulse?
no
What does V fib look like?
rapid disorganized ventricular activity
What is the treatment for V fib?
immediate defibrillation
What are the 4 markers of instability that guide your decision for treatment?
decrease level of consciousness, acute CHF, ischemia (chest pain or ekg), hypotension –only need one of these
How do you treat unstable bradycardia?
atropine or can go right to pacer
What is the treatment for 1st degree block?
none
What is the treatment for 2nd degree block type 1?
atropine or pacer
What is the treatment for 2nd degree block type 2?
pacer
What is the treatment for 3rd degree block?
pacer
Treatment for SVT?
vagal maneuvers, adenosine, calcium channel blockers (unless WPW), cardioversion (50-100J)
How do you give adenosine?
rapid bolus w/ saline flush
What symtoms should you warn the pt about before giving adenosine?
flushed feeling and chest pressure
What is the treatment for afib?
calcium channel blocker, cardioversion at 200 J, anticoagulation
What is the treatment for a flutter?
calcium channel blocker, cardioversion at 50 J, anticoagulation