EKGs Flashcards
What rhythm?
Interventions?
1st Degree AV Block
None neededed
What rhythm?
What intervention?
2nd Degree AV Block Type I (Wenckebach)
-IV, Monitor, Vitals, Oxygen if saturation < 94%.
*unstable
-Atropine 0.5mg IV —> Dopamine IV 2-20
mcg/kg/min
-prepare for transcutaneous pacing.
-Evac
*Stable but symptomatic
-Monitor observe
-MEDADVICE
*Stable Asymptomatic
-Get back to work nerd,
-MEDADVICE
What rhythm?
What intervention?
2nd Degree AV Block Type II (Morbitz II)
ABCs, IV, Monitor, Vitals, Oxygen if saturation < 94%.
*unstable
-Atropine 0.5mg IV —–> Dopamine IV 2-20
mcg/kg/min
-Regardless of treatment you need to transcutaneous pace the patient.
What rhythm?
What intervention?
3rd Degree AV Block
ABCs, IV, Monitor, Vitals, Oxygen if saturation < 94%.
*unstable
-Atropine 0.5 mg IV —–>Dopamine IV 2-10 mcg/kg/min
-Regardless of treatment you need to transcutaneously pace the patient
-MEDEVAC to a higher level of care to a cardiologist and permanent pacemaker
What rhythm?
What intervention?
Torsades de Pointes
IF stable
-Vitals every 5 minutes
-2 grams of Magnesium Sulfate IV
-MEDEVAC to higher level of care
IF unstable
-synchronized cardioversion at 100 J
-2 grams of Magnesium Sulfate IV
IF PULSELESS then initiate ACLS Protocol
What rhythm?
What intervention?
(PULSELESS)
V-Tach
Start CPR immediately
Repeat cycles of 2 minutes of CPR, rhythm check, shock and medications as appropriate until the rhythm check reveals a nonshockable rhythm, Return of Spontaneous Circulation (ROSC) is achieved or resuscitation is terminated.
-Meds
1. Epinephrine 1mg IV push
2. Amiodarone 300 mg IV push OR
Lidocaine 1-1.5 mg/kg IV push
What rhythm?
What intervention?
(PULSELESS)
V-Fib
Start CPR immediately
Repeat cycles of 2 minutes of CPR, rhythm check, shock and medications as appropriate until the rhythm check reveals a nonshockable rhythm, Return of Spontaneous Circulation (ROSC) is achieved or resuscitation is terminated.
-Meds
1. Epinephrine 1mg IV push
2. Amiodarone 300 mg IV push OR
Lidocaine 1-1.5 mg/kg IV push
