EKG Rhythms Flashcards
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
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
PVC
PVC
(Premature Ventricular Contraction)
PVC
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
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
Vfib
defib
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.
Asystole
Push epi q3m and atropine with good CPR
Afib
If not severe, Diltiazem or Cardizem
Amiodarone or cardioversion, if severe
Sinus brady
If symptomatic, give Atropine 0.5mg rapid IV push q3-5m with max dose of 3mg
If Atropine ineffective, give Dopamine
Sinus Tach
Heart block (3rd degree)
3rd degree heart block (AV block)