electrical therapies Flashcards
when do we use anterior posterior pad placements for adult
- pacing
- cardioversion
- vector change
when can you treat for symtomatic bradycardia
> 18
hr <50
- hemodynamic instability
what is the treatment for symptomatic bradycardia?
- atropine
- trancutaneous pacing
- can consider dopamine
what is the posterior pad placement for transcutaneous pacing?
- beneath the scalpula
- lateral to the spine
how do we know if the transcutaneous pacing is working properly
when we are feeling a palpable pulse during the pacing spike and ventricular complex
how can you as a pcp treat for symptomatic bradycardia?
- start a fluid bolus
- call an ACP
- move towards transport
when do ACPs use syncornized cardioversions?
- during tachydisrhythmias (NOT SINUS TACH)
- hemodynamic instability
why might synchronized cardioversion be done for a patient with rapid a fib?
there is risk of throwing a clot and causing a stroke
what happens if the ACP doents sync and shocks not on beat?
it can cause r on t and cause asystole
what can you as a PCP do if you have a patient who is in a tachydysrhtmia?
- star bolus
- call ACP
- move towards transport
how should you start an IV if you belive that this patient will need adenosine?
used the largest bore needle and start the IV on the right AC
when is double sequential defib used?
in cases of refractory VF and VF
what is the MOA of adenosine?
- slows conduction at the AV node
- Increases potassium efflux hyperpolarizing the cell
when is Adenosine used?
- stable SVT and vagal attempts are unsuccessful
what rhythms can adenosine send a pt in ?
- heart block, transient asystole or another cardiac arhythmia
