ECG tx Flashcards
2nd degree AV block Winckebach type 1
nothing
ventricular flutter/tachy
shock
MAT
Focus on underlying cause
Calcium channel blocker (CCB) – nonDHP – to control vent rate and dec. ectopic atrial impulses
Mg SO4 , Amiodarone/Adenosine.
Caution with beta blocker (pulmonary problems). Digitalis isn’t helpful and DC cardioversion isn’t effective
PS
May require balloon commissurotomy if pressure gradient > 50mmHg
premature ventricular contractions
tx the cause
- if symptomatic in setting of ACS –> metoproprolol
- if unstable –> Amiodarone, Lidocaine, Procainamide
1st degree AV block
the cause: lipidwork up, stop smoking
MVP
- meds to treat hyperadrenergic state (anxious, palpitations) –consider B-blocker
- valve repair favored over replacement
AIVR
leave it aloneeeee
sinus tachycardia
the cause
AS
Percutaneous balloon valvuloplasty (AVR)
MS
Anticoagulant if in atrial fibrillation – to prevent emboli
Percutaneous balloon valvuloplasty MVR (replacement)
-Try to open the valve before you replace it
hyperkalemia
- Dialysis!!! If kidnept
- Insulin & glucose
- Na HCO3
- Albuterol
- Rezin binding agents
MR
o Vasodilators - Afterload reduction
o Decrease resistance to flow*
o ACE inhibitors – Chronic MR - ok
2nd degree AV block Mobitz type 2
progressive/irreversible
sinus bradycardia
may not need to be treated, but is in hemodynamic compromise or ustable acute conds… use atropine
-pacemaker wld be last option to consider
