Dysrhythmias

Question 1

Atrial fibrillation tx

Answer 1

warfarin, cardioversion if unstable

Question 2

Atrial flutter tx

Answer 2

caumadin, O2, digoxin, calcium channel blockers, beta blockers

Question 3

SVT tx

Answer 3

Vagal stimulation, O2, IV adenosine, cardioversion if unstable

Question 4

Ventricular Tachycardia tx

Answer 4

Pulseless/sustained: rapid D fib, followed by vasopressors like epi, and antidysrhythmics (Amiodarone)

Question 5

Second degree block Mobitz I tx

Answer 5

symptomatic: O2, atropine, possible temp pacemaker
asymptomatic: observe with a subcutaneous pacemaker available

Question 6

Second degree block Mobitz II tx

Answer 6

O2, atropine, permanent pacemaker

Question 7

Third degree block tx

Answer 7

O2, atropine, permanent pacemaker, drugs like epi/dopamine to increase HR and BP

Question 8

Asystole tx

Answer 8

CPR, epi or vasopressin (shocking wont do anything)

Question 9

What med are you gonna commonly give for SVT

Answer 9

IV adenosine

Question 10

How to administer adenosine

Answer 10

Initial dose of 6mg RAPID PUSH, if another dose is needed; 12mg RAPID PUSH

Question 11

How to administer Atropine

Answer 11

0.5mg q 3-5min, up to 3 mg

Question 12

What is atropine used for?

Answer 12

bradycardia and junctional

Question 13

How to administer Amiodarone?

Answer 13

300mg IV, next dose is 150mg

**very toxic

Question 14

When do you give epi?

Answer 14

cardiac arrest. stimulates the heart

Question 15

How to administer epi

Answer 15

1mg q 3-5min or 2-10mcg/min

**vasopressin can be used in place of 1st dose