EKG Rhythms Flashcards

1
Q
A

SVT

Vagal maneuver
For stable patients, give Adenosine 6mg rapid IV push (do not allow client to watch)
If adenosine unsuccessful or client unstable, “pace” with cardioversion, sedate if awake

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2
Q
A

VTach

If pulse present, “pace” with cardioversion

If pulseless, defib q2m, then epi 1mg rapid IV push q3m, alternate with amiodarone 300mg (then 150mg for subsequent dosing)

Defib
Epi 1 mg
Defib
Amiodarone 300mg
Defib
Epi 1mg
Defib
Amiodarone 150mg

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3
Q
A

PVC

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4
Q
A

PVC

(Premature Ventricular Contraction)

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5
Q
A

PVC

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6
Q
A

Vfib

Defib q2m, then epi 1mg rapid IV push q3m, alternate with amiodarone 300mg (then 150mg for subsequent dosing)

Defib
Epi 1 mg
Defib
Amiodarone 300mg
Defib
Epi 1mg
Defib
Amiodarone 150mg

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7
Q
A

Vfib

Defib q2m, then epi 1mg rapid IV push q3m, alternate with amiodarone 300mg (then 150mg for subsequent dosing)

Defib
Epi 1 mg
Defib
Amiodarone 300mg
Defib
Epi 1mg
Defib
Amiodarone 150mg

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8
Q
A

Vfib

defib

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9
Q
A

Torsades de Pointes

1 to 2 g of magnesium sulfate diluted in
10 mL of D5W is given IV/IO over 5 to 20 minutes.

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10
Q
A

Asystole

Push epi q3m and atropine with good CPR

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11
Q
A

Afib

If not severe, Diltiazem or Cardizem
Amiodarone or cardioversion, if severe

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12
Q
A

Sinus brady

If symptomatic, give Atropine 0.5mg rapid IV push q3-5m with max dose of 3mg

If Atropine ineffective, give Dopamine

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13
Q
A

Sinus Tach

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14
Q
A

Heart block (3rd degree)

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15
Q
A

3rd degree heart block (AV block)

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16
Q
A

3rd degree (AV) heart block

17
Q
A

NSR

18
Q
A

NSR