ECG/Treatment Flashcards

1
Q

Normal PR interval

A

0.1 - 0.2

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2
Q

Normal QRS interval

A

0.08 - 0.12

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3
Q

Normal QT interval

A

0.34 - 0.43

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4
Q

Sinus means…

A

Present, upright P Wave

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5
Q

Sinus Bradycardia tx

A
  1. Assess
  2. Identify and treat cause (O2, maintain airway, monitor, IV access, 12 lead)
  3. If symptomatic –> ATROPINE 0.5 mg q 3-5 min max of 3 mg
  4. Dopamine (2-10 mg/kg/min), Epi (2-10 mg/min)
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6
Q

Sinus Tachycardia tx

A
  1. Assess
  2. Treat underlying cause (O2, maintain airway, monitor)
  3. If symptomatic with normal QRS –> cardioversion
  4. Not symptomatic –> BBs and CCBs
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7
Q

Sinus Arrhythmia

A

Irregular rhythm

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8
Q

Sinus Arrhythmia treatment

A

No treatment required, ABCD assessment

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9
Q

Sinus Rhythm with Premature Atrial Complexes (PAC)

A
  • Impulse from high in the atria before the next sinus beat
  • P waves are there but often hiding in preceding T wave
  • Irregular rhythm
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10
Q

Sinus with PAC tx

A

No treatment required, ABCD assessment

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11
Q

Junctional Rhythm/Premature Junctional Contraction (PJC)

A
  • Impulse in AV junction –> SA causes retrograde atrial depolarization –> INVERTED P wave
  • Narrow QRS
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12
Q

Atrio-Ventricular Nodal Rhythm

A
  • Impulse in AV junction –> SA causes retrograde atrial depolarization –> MISSING P wave
  • Narrow QRS
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13
Q

Junctional Rhythm rate

A

40 - 60 bpm

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14
Q

Accelerated Junctional rate

A

60 - 100 bpm

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15
Q

Junctional tachycardia

A

> 100 bpm

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16
Q

Paroxysmal Supraventricular Tachycardia (PSVT)

A
  • P waves are present but hidden
  • HR > 150
  • Normal QRS
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17
Q

PSVT tx

A
  1. Assess
  2. Treat underlying cause (O2, maintain airway, IV, 12 lead)
  3. ADENOSINE (first dose 6 mg, 2nd dose, 12 mg)
  4. Cardioversion
18
Q

How do you give Adenosine?

A
  • Rapidly over 2 seconds through the closest IV port

- Lift arm after administration to expedite via gravity

19
Q

Atrial Flutter

A
  • Saw tooth P Wave
  • Atrial 250-350
  • Regular rhythm, regular QRS
20
Q

A Fib

A
  • Irregularly irregular

- Atrial 300-600

21
Q

Stable A Fib tx

A
  • ABCD
  • Treat reversible causes
  • Digoxin, amiodarone
22
Q

Unstable A Fib tx

A

Find out how long the A fib has been going for

  • if less than 2 days (48 hrs) get TEE
  • if no thrombus –> cardiovert
  • if there is a thrombus –> Coumadin
23
Q

Torsades de Pointes

A

Polymorphic Ventricular tachy

- width of QRS varies

24
Q

Torsades de pointes tx

A

Mag Sulfate

25
Q

PVC

A

Wide QRS followed by compensatory pulse (pause)

26
Q

PVC treatment

A
  • treat if there are > 6 in one min, couplets, bigeminy (alternation of normal, PVC), multifocal, or short run V tach
  • Amiodarone
27
Q

V Tach

A
  • HR 150-250
  • Can’t see the P
  • WIDE QRS
  • can lead to V Fib
28
Q

V tach with a pulse tx

A
  • ABCD –> cardioversion + amiodarone
29
Q

V tac without a pulse tx & V fib tx

A
  • CPR –> defibrilate –> –> Epi 1 mg q 3-5 min –> SHOCK –> CPR –> Amio 300 mg bolus
30
Q

Asystole, PEA, Idioventricular Rhythm tx

A

CPR –> intubate –> IV Epi 1 mg q 3-5 min –> CPR

  • do NOT shock
31
Q

First Degree Heart Block

A

constant prolonged PR

32
Q

1 st degree tx

A

Atropine if symptomatic

33
Q

2nd degree heart block type 1

A

Progressive prolongation followed by a dropped beat

34
Q

What if the 2nd degree heart block is in the lower bundle of His

A

NO ATROPINE

- only give Atropine to high heart block

35
Q

2nd degree heart block type 2

A

Constant prolonged PR followed by dropped beat

36
Q

2nd degree type 2 tx

A

Atropine 0.5 mg q 3-5 min for max of 3 mg –> epi –> dopamine

37
Q

3rd degree heart block

A

P and QRS are independent

38
Q

3rd degree heart block tx

A

atropine, epi, dopamine

39
Q

Low heart block creates what kind of QRS

A

Wide

40
Q

High heart block creates what kind of QRS

A

Narrow