Dysrythmia and Treatment

Question 1

Sinus Bradycardia

Answer 1

Treatment: dependent on patient tolerance

Atropine, dopamine or epinephrine infusion, permanent pacer. If caused by meds, adjust or discontinue.

Question 2

Sinus Tachycardia

Answer 2

Treatment: dependent on cause

Pain management, vagal maneuvers, beta-blockers, adenosine, calcium channel blockers.

Question 3

Premature Atrial contraction

Answer 3

Treatment: dependent on symptoms

Withdraw stimulation, such as caffine. Beta-blockers can decrease PACs.

Question 4

PSVT-Paroxysmal Supraventricular tachycardia

Answer 4

Treatment: Valsalva and coughing. IV adenosine. Beta-blockers, calcium channel blockers, amiodarone. Cardioversion.

Question 5

A-flutter

Answer 5

Calcium channel and beta-blockers, amiodarone

Cardioversion, Ablation (if ablation will need coumadin therapy)

Question 6

A-Fib

Answer 6

Calcium channel and beta-blockers, digoxin, Amiodarone, Procanamide.

Cardioversion (for new onset ONLY), ablation (will need coumadin therapy)

Question 7

First Degree Heart Block

Answer 7

No treatment

Question 8

2nd Degree HB, Mobitz I or Wenckebach

Answer 8

Atropine, temporary pacer

Question 9

2nd Degree HB, Mobitz II

Answer 9

Permanent Pacer

Question 10

3rd Degree HB

Answer 10

Permanent Pacer

Atropine, dopamine and epinephrine to increase HR until pacer implant

Question 11

PVC - Premature Ventricular Contraction

Answer 11

Assess hemodynamics.

Beta-blockers, amiodarone, procanamide

Question 12

V-Tach

Answer 12

Defibrillation, CPR, AICD

Question 13

V-Fib

Answer 13

CPR
ALCS
Defibrillation

Question 14

Asystole

Answer 14

CPR, ACLS, epinephrine, vasopression, intubation

Question 15

PEA - Pulseless Electrical Activity

Answer 15

CPR, epinephrine, Intubation,