Its all about the heart

Question 1

v fibb treatment

Answer 1

• three rounds of shocks and epi

- next line is an antiarrhtmic like lidocaine or amiodarone

Question 2

symptomatic 3rd degree heart block tx?

Answer 2

transcutanous pacer

Question 3

acute termination of AVNRT treat with?

Answer 3

adenosine

Question 4

mobitz type II

Answer 4

atrioventricular-block rhythm in which there are intermittently non-conducted atrial beats not preceded by lengthening AV conduction. It is usually due to a block within the His bundle system. The bradycardia often is unresponsive to atropine and patients tend to require pacing.

Question 5

second degree AV block (Mobitz I)

Answer 5

progressive increase in the PR interval until a blocked P wave occurs. Also note the progressive shortening of the R-R interval before the nonconducted beat. T

Question 6

atrial flutter

Answer 6

saw tooth

Question 7

malignant hypertension or hypertensive crisis

Answer 7

hypertensive encephalopathy, intracerebral hemorrhage, hypertensive retinopathy, heart failure and associated pulmonary edema, acute coronary syndrome, acute renal failure, aortic dissection, and eclampsia.

usually occurs with a diastolic pressure greater than 130 mmHg. drop 75% of the pretreatment mean arterial pressure (MAP) within in 2-6 hours

Patients with hypertensive emergencies are usually treated with a goal of 20-25% reduction in blood pressure over 30-60 minutes, and patients with hypertensive urgencies should have blood pressure lowered over a longer period (hours to days).

Hyptertensive emergencies require treatment with IV agents, primarily for their fast onset of action and ability to be titrated. like esmolol IV

Question 8

labetalol

Answer 8

non selective beta block that also possesses alpha blocking effects