Dysrhythmias

Question 1

Sinus Bradycardia

Answer 1

• HR: <60
• Rhythm: regular
• P wave: before QRS; identical

Question 2

Sinus Bradycardia Symptoms

Answer 2

• hypotension
• pale; cool skin
• weakness
• angina

Question 3

Sinus Bradycardia Treatment

Answer 3

Atropin
-overdose: hot, mad, red, dry
Pacemaker

Question 4

Sinus Tachycardia

Answer 4

• HR: >100
• Rhythm: regular
• P: before QRS; identical

Question 5

Sinus Tachycardia Symptoms

Answer 5

• dizziness
• dyspnea
• Hypotension
• angina (w/ CAD)

Question 6

Sinus Tach Treatment

Answer 6

• treat cause
• vagal maneuver
• Beta blockers

Question 7

Atrial Flutter

Answer 7

sawtoothed P wave

Question 8

Atrial Fib Treatment

Answer 8

digoxin

Question 9

Heparin and Coumadin Lab Tests

Answer 9

C: PT & INR
H: PTT & APTT

Question 10

PT/INR value to have bleeding tendencies

Answer 10

PT: >2.5
INR: >4.0

Question 11

Ventricular Tachycardia

Answer 11

HR: <100
P: absent
Mcdonald’s

Question 12

V Tach Treatment

Answer 12

w/ pulse:
-electrolyte imbalance
-IV
pulseless
-CPR
-defib
-E

Question 13

Ventricular Fib

Answer 13

HR: 300-600
P wave: absent
CRAZY

Question 14

Ventricular A-systole

Answer 14

no HR or p Wave

Question 15

Asystole/Pulseless Electrical Activity Treatment

Answer 15

• CPR/Defib
• Epinephrine
• Pacemale

Question 16

What do most SCDs result from?

Answer 16

ventricular tachy and fib

Question 17

Synchronized Cardioversion

Answer 17

-Choice of therapy for VT with pulse or V tach

Question 18

ICD

Answer 18

for patients who

• survived SCD
• VT
• syncope with V tach/fib

Question 19

ICD Patient teaching

Answer 19

• follow ups
• incision care
• arm restrictions
• driving
• avoid direct blows/magnets

Question 20

Pacemaker Complications

Answer 20

• infection
• hematoma
• pneumothorax
• atrial/vent septum perforation

Question 21

Pacemaker Postprocedure

Answer 21

• OOB once stable
• limit arm/shoulder activity
• monitor insertion site