ecg Flashcards
ventricular tachycardia ( SVT with BBB) treat - broad reg QRS - tachy
A-E
Iv amiodarone 300mg over 20minutes
900mg over 24 hr
narrow reg QRS - sinus tachy or atrial flutter- tachy - SVT
A-E
vagal ,manoueveres
6mg adenosine IV bolus then 12 then 18
if does not work consider rate control
borad QR ireg tachy
torsades or AF
A-E
torsades with Iv magensium 2mg
af with BB treat narro
Vf and pulseness VT
defibrillate
narrow QRS ireg tachy
A-E
under 48hr rate or rhythm control
over 48 rate control and anticoagulatefor 3w then rhythm
over 65 rate
under 65 rhythm amiodarone
adverse DC shock
BBB
A-e
ECG monitor
biventricular pacing
heart block
A-e
monitor and give oxygen if needed
mponitor BP and ECG
obtain IV access
type 1 - A_E treat underlying cause , could be reversible cause like potassium or calcium levels orph so could take bloods , ECG monitoring if really needed -12 lead ,pacemaker if severe
morbitz 1 - A-E , follow up ECG , if bradycardiac guidelines , pacemaker if sx
morbitz 2 - A-E, risk of asystole so consider trancutaneous pacing or IV atropine if unstable
they will need a pacemaker , expert advice for this
3 - A-e ,get IV acess if needed, monitor sats, pacing or pacemaker ,monitor closesly
pericarditis
NSAID PPI and colchine after A-E and blood - troponin and ECG levels
STEMI
A_e
MONA
morphine, oxyggen , GTN and aspirin 300mg and clop 300mg
PCI in 2 hr
if over 2hr unfractionated heaprin and anotehr antiplatelet - fondaparinux
bb for rate control too
t wave inversion
NTEMI
A_E
MONA again and fondarpairux
BB
clacualte GRACE score - if high risk PCI within 72hr
unstabel24hr
hyperkalamia
A-E
iv gluconate 10%
IV insulina nd dextrose
neb salbutamol
sodium hydrocabonate f acidodotic
hypokalamia
KCL, Mg suplhate A-e and montior k
