Conduction disorders Part 3 Dysrhythmia Tx and Torsades Flashcards

1
Q

What does torsades look like?

A

PVT associated with prolonged QT (>500 ms)–ribbon

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2
Q

Does V fib have a pulse?

A

no

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3
Q

What does V fib look like?

A

rapid disorganized ventricular activity

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4
Q

What is the treatment for V fib?

A

immediate defibrillation

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5
Q

What are the 4 markers of instability that guide your decision for treatment?

A

decrease level of consciousness, acute CHF, ischemia (chest pain or ekg), hypotension –only need one of these

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6
Q

How do you treat unstable bradycardia?

A

atropine or can go right to pacer

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7
Q

What is the treatment for 1st degree block?

A

none

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8
Q

What is the treatment for 2nd degree block type 1?

A

atropine or pacer

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9
Q

What is the treatment for 2nd degree block type 2?

A

pacer

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10
Q

What is the treatment for 3rd degree block?

A

pacer

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11
Q

Treatment for SVT?

A

vagal maneuvers, adenosine, calcium channel blockers (unless WPW), cardioversion (50-100J)

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12
Q

How do you give adenosine?

A

rapid bolus w/ saline flush

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13
Q

What symtoms should you warn the pt about before giving adenosine?

A

flushed feeling and chest pressure

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14
Q

What is the treatment for afib?

A

calcium channel blocker, cardioversion at 200 J, anticoagulation

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15
Q

What is the treatment for a flutter?

A

calcium channel blocker, cardioversion at 50 J, anticoagulation

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16
Q

What is the treatment for V tach?

A

procainamide, cardioversion

17
Q

What is the treatment for a fib with WPW?

A

procainamide, cardiovert

18
Q

What is the treatment for PVT and torsades?

A

cardiovert/defibrillate then check ekg: if QT is normal can use procainamide but if the QT is prolonged (torsades: >500 ms) use magnesium

19
Q

What is the treatment for V fib?

A

defib (max joules), epi, good compressions, induced hypothermia if you get pulse back