Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Telemetry > Rhythm Interpretations and Intervention > Flashcards

Rhythm Interpretations and Intervention Flashcards

1
Q

Normal Sinus Rhythm

A

Continue to monitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Sinus Tachycardia

A
  • Assess patient

- identify and treat underlying causes (pain, fever, anxiety)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Sinus Bradycardia

A
  • Assess patient
  • If symptomatic: call a RR or get provider to the bedside; identify and treat possible causes
  • Atropine 1 mg. Repeat every 3-5 min. Max: 3 mg
  • TCP (Transcutaneous pacing)
  • PPM (Permanent pacemaker)
  • Dopamine 2-20 mg/kg/min
  • Epinephrine 2-10 mcg/min
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Premature Atrial Contractions (PAC)

A
  • Assess patient; usually benign

- identify and treat possible causes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Atrial Tachycardia/ Paroxysmal AT/SVT

A
  • Goal: control the ventricular rate and converting the rhythm
  • Stable: sedation may lower HR; Vagal Maneuvers; Adenosine 6mg IV rapid infusion (if first dose not effective may give second dose of 12 mg IV rapid infusion); rate control (Beta or Calcium channel blockers)
  • Unstable: Call RR or MD; Synchronized Cardioversion at 50-100 Joules (consider pre-sedation)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Atrial Flutter

A

> Stable:
-identify and treat reversible causes
-Rate control: Beta blockers or Calcium channel blockers (diltiazem 0.25mg/kg over 2 min, follow w/ infusion)
-Rhythm control: Onset <48 hours synchronized cardioversion at 50-100 joules; amiodarone 150 mg IVP x 10 min
Onset >48 hours anti-coagulate w/ low intensity heparin; synchronized cardioversion at 50-100 joules

> Unstable: call RR or get MD to bedside; synchronized cardioversion at 50-100 joules (consider pre-sedation); anti-arrhythmic post rhythm conversion; radio frequency catheter ablation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Atrial Fibrillation

A
  • Assess patient
  • anti-coagulate w/ low intensity heparin
  • narrow irregular complex
  • synchronized cardioversion at 120-200 joules
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Premature Junctional Contractions (PJC)

A
  • Assess patient
  • usually benign
  • identify and treat possible causes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Junctional Rhythm

A
  • If HR is slow and patient symptomatic, call RR or get provider to bedside
  • same tx as sinus bradycardia; Atropine 1 mg. Repeat every 3-5 minutes. Max: 3mg; TCP, PPM, Dopamine 2-20 mg/kg/min, Epinephrine 2-10 mcg/min
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Accelerated Junctional Tachycardia

A
  • assess patient

- identify and treat possible causes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Junctional Tachycardia

A
  • Assess patient
  • identify and treat possible causes
  • Beta or Calcium channel blockers, Amiodarone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Normal Sinus Rhythm w/ First Degree AV block

A
  • Assess patient

- check medications for possible cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Second degree AV block Type 1/ Mobitz 1/ Wenckebach

A

> Stable: notify MD if new for patient; asses patient; check medications for possible cause

> Unstable: call a RR or get MD to bedside; tx same as sinus bradycardia (Atropine 1 mg. Repeat every 3-5 min. Max: 3 mg.; TCP, PPM, Dopamine 2-20 mcg/kg/min, Epinephrine 2-10 mcg/min)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Second Degree AV Block Type II/ Mobitz II

A
  • assess patient
  • if symptomatic call RR or get provider to bedside
  • prepare for pacemaker
  • review meds for possible cause
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Third degree AV block/ Complete Heart Block

A
  • Call a RR if new onset
  • Emergent transcutaneous pacing and prepare for permanent pacemaker
  • Dopamine or Epinephrine IV to treat symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Premature Ventricular Contraction (PVC)

A
  • monitor for increased frequency
  • assess patient
  • infrequent/asymptomatic: no treatment
  • frequent/symptomatic: identify and treat possible causes (especially electrolytes); Anti-arrhythmics: Amiodarone 150 mg IV over 10 min, Lidocaine 1-1.5 mg/kv IV
17
Q

Ventricular Tachycardia (VT): Stable w/ pulse

A
  • call a RR
  • antiarrhythmics
  • amiodarone 150 mg/100 ml D5W x 10 min
  • procainamide
18
Q

Ventricular Tachycardia (VT); Unstable w/ a pulse

A
  • call a RR

- synchronized cardioversion 100 joules

19
Q

Ventricular Tachycardia (VT); w/o a pulse

A
  • start CPR, call a code, get code cart to bedside

- defibrillate 120-200 joules

20
Q

Torsades de Pointes

A
  • assess for pulse, no pulse start CPR
  • call a code and get code cart to bedside
  • defibrillate 120-200 joules
  • Magnesium 1-2 gm/10 ml D5W x 5 min, followed by 0.5 to 1 gm/hr IV drip
21
Q

Ventricular Fibrillation (Vfib)

A
  • Start CPR, call a code, get coder cart to bedside
  • Defibrillate 120-200 joules
  • Epinephrine 1 mg IV/IO every 3-5 min
  • CPR- Shock- CPR- drug sequence
  • Anti-arrhythmics: Amiodarone, Lidocaine
22
Q

Idioventricular Rhythm (IVR)

A
  • Assess Patient
  • Symptomatic: call RR or get provider to bedside; Pacing (TCP until TVP); Vasopressors (Dopamine 2-20 mcg/kg/min IV, Epinephrine 2-10 mcg/kg/min IV)
23
Q

Accelerated Idioventricular Rhythm (AIVR)

A
  • assess patient

- usually no treatment

24
Q

Asystole/ Ventricular Standstill

A
  • Check you patient!, check for pulse
  • no pulse, start CPR
  • call CODE, get code cart to bedside
  • Epinephrine 1 mg IVP every 3-5 min
  • Consider H’s and T’s
25
Q

100% Paced and Captured Rhythm

A
  • continue to monitor

- pacemaker working properly

26
Q

Failure to Pace

A
  • Assess patient
  • If permanent: attach defibrillator pads b/c patient will need transcutaneous pacing; have patients pacemaker interrogated
  • If transvenous or epicardial: replace battery; check connections; avoid EMI exposure; check on/off button (turn on pacer)
27
Q

Failure to Capture

A
  • assess patient
  • If permanent: attach defibrillator pads b/c patient will need transcutaneous pacing; have patients pacemaker interrogated
  • If transvenous or epicardial: increase mA; check connections; turn pt. to left side, MD to reposition lead; check electrolyte balance and treat as needed; may consider TCP
28
Q

Failure to Sense

A

> Under-sensing:

  • If permanent: attach defibrillator pads b/c patient will need transcutaneous pacing; have patients pacemaker interrogated
  • If transvenous or epicardial: increase sensitivity; turn pt. to left side, MD to reposition lead; turn dial to demand/synchronous mode; decrease sensitivity

> Over-sensing
-If transvenous or epicardial: decrease sensitivity

Telemetry (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions