Electrophysio Flashcards
Factors that induce PVC’s
CHAMCHAS-MMMD
Cocaine
Hypokalemia
Alcohol
Myocardial Ischemia
Caffeine
Hypomagnesemia
Arterial Hypoxemia
Sympathetic Activity
Myocardial Infection
Myocarditis
Mechanical Irritation - Swanz Cath
Digitalis Toxicity
Drugs that indice long QT
MISPATCH-BAOA
Methadone
Iso/Sevo
SRI’s
Propofol
Antiemetics
Trazodone
Cocaine
HIV Retrovirals
B2 Agonists
Antiphychotics
Organophospahtes
Antiarrhythmics
Vfib H’s
Hypovelemia
Identify: Rapid HR, Narrow QRS
Treatment: Crystalloid infusion
Vfib H’s
Hypoxia
Identify: Slow HR
Treatment: Increase O2
Vfib H’s
Acidic [H+]
Identify: Low QRS Amplitude
Treatment: Hyperventilate and NaHCO3-
Vfib H’s
Hypoglycemia
Identify: Blood glucose test
Treatment: Dextrose
Vfib H’s
Hypokalemia
Identify: Flat T wave and U wave
Treatment: IV Magnesium
Vfib H’s
Hyperkalemia
Identify: Peaked T wave & wide QRS
Treatment: CaCl, NaHCO3-, Insulin/Glucose
Vfib H’s
Hypothermia
Identify: Cold Environment
Treatment: Rewarming
Vfib T’s
Tension Pneumo
Identify: Slow HR, Narrow QRS, difficult breathing
Treatment: Needle Decompression
Vfib T’s
Cardiac Tamponde
Identify: Rapid HR, Narrow QRS
Treatment: Pericardiocentesis
Vfib T’s
Toxins
Identify: Prolonged QT
Treatment: Depends on Toxin
Vfib T’s
PE Thrombosis
Identify: Rapid HR, Narrow QRS
Treatment: Embelectomy or Fibrinolytics
Vfib T’s
MI Thrombosis
Identify: ST changes (elevated or depressed)
Treatment: Depdendant on MI
1st Degree AV Block
1st Line: Atropine
2nd line: Reduce AVN delay
2nd Degree Block Type 1
1st Line: Atropine
2nd line: Pacing
2nd Degree AV Block Type 2
1st Line: Pacing
2nd line: Isoproterenol as bridge to pacing
3rd Degree AV Block
1st Line: Pacing
2nd line: Isoproterenol as bridge to pacing
RBBB
1st Line: Pacing
2nd line: Correct potential ischemia
LBBB
1st Line: Pacing
2nd line: Correct potential ischemia
SVT
1st Line: Adenosine
2nd line: CCB, BB’s, Cardioversion
Orthodromic WPW
1st Line: Adenosine
2nd line: CCB, BB’s, Cardioversion
Antidromic WPW
1st Line: Procainamide
2nd line: Cardioversion
Afib RVR
1st Line: Amiodarone/Cardioversion
2nd line: CCB, BB’s, Digoxin
Aflutter
1st Line: Cardioversion
2nd line: Amiodarone, CCB
Bigem/Trigem
Nonthing needed
Nonsustained VT
1st Line: Amiodarone/Lido
Monomorph VT
1st Line: Cardioversion
Polymorph VT
1st Line: Cardioversion
Vfib
1st Line: CPR/Defib
2nd line: Epi/Ami
Sinus Brady
1st Line: Atropine
2nd line: Isoproterenol/pacing
Junctional Brady
1st Line: Atropine
2nd line: Isoproterenol/pacing
Junctional tachy
1st Line: Adenosine