Dysrhythmia Treatments Flashcards
Sinus Bradycardia
Atropine
Pacing
Sinus Tachycardia
Tx underlying cause
Tx not usually required
Sick Sinus Syndrome
Dual chamber pacing
SVT meds worsen bradycardia
SVT (AVNRT)
Self-resolve Vagal maneuvers Adenosine CCB B-blocker Electric cardioversion
SVT (AVNRT) Prevention
Ablation
AV blockers
SVT (AVRT)
No Tx is asymptomatic
Ablation
A-Fib SVT (AVRT)
Class Ia, Ic, or III
Atrial Flutter
Based on rate Class I antiarrhythmics Ibutilide Electric cardioversion Ablation
Chronic Atrial Flutter
Anticoagulation
Amiodarone
Multifocal Atrial Tachycardia
Tx underlying lung Dz
Verapamil
Hemodynamically Unstable A-Fib
Emergent electric cardioversion
TEE
Stable RVR A-Fib
Amiodarone
Diltiazem
Metoprolol
A-Fib w/ Risk of Embolization
Anticoagulation
Chronic A-Fib
Self-resolve w/in 24 hrs
B-blockers, CCB, Digoxin, Warfarin
Paroxysmal A-Fib
Dofetilide
Amiodarone
Refractory A-Fib
Drug Combos
Ablation therapy
MAZE surgery
1st Degree AV Block
No Tx
Wenckeback
No Tx
Mobitz II
Pacemaker
3rd Degree AV Block
Pacemaker
AV Dissociation
None
Pacemaker if symptomatic or AV block
BBB
Tx underlying Dz
PVC (Asymptomatic)
Tx underlying Dz
None
PVC (Symptomatic)
Class I or III antiarrhythmics
Ectopic site ablation
Acute VT w/ pulse, symptomatic
DC cardioversion
Acute VT w/ pulse, asymptomatic
Lidocaine
Amiodarone
Mg replacement
Chronic VT w/ pulse
ICD
Amiodarone
B-blocker
Catheter ablation
Non-sustained VT
B-blockers
Tx underlying cardiac disorder
Pulseless VT
Consult ACLS guidelines
PEA
CPR
Follow ACLS guidelines
Asystole
CPR
Follow ACLS guidelines
