Rhythms And TX

Question 1

Unstable V-tach

Answer 1

CAB check pulse always.

CPR, Defibrillate, Epi. Amiodorone

Question 2

A-flutter

Answer 2

BB, CCB, SC, amiodorone

*single ectopic beat.
Saw tooth

Question 3

A-Fib

Answer 3

BB, CCB, Dig!, SC, coags.

*multiple ectopic beats

Question 4

V-Fib

Answer 4

CPR, defibrillate,epi

Question 5

Stable V-tach

Answer 5

CAB, VS, Amiodorone, procaindamide,

Question 6

Asystole

Answer 6

CPR, ACLS, epi, atropine, intubate.

NO Defibrillate!

Question 7

PEA

Answer 7

Fix underlying problem.

CPR, epi

Question 8

PVC’s

Answer 8

Treat cause- O2, lytes?

BB, amiodarone, lidocaine, procainamide.

Question 9

2 PVC’s in a row =

Answer 9

Couplet

Question 10

Ventricular bigeminy=

Answer 10

Every other beat is a PVC

Question 11

Ventricular trigeminy=

Answer 11

Every 3rd beat is a PVC

Question 12

What is the TX for a third degree heart block?

Answer 12

Pacemaker,
Epi
Dopamine
Atropine

Complete heart block, no conduction from A to V

Question 13

R - T phenomenon may lead to what?

Answer 13

V-fib

Question 14

What is conduction for SA - AV node showing?

Answer 14

Atrial depolarization or contraction.

PR interval

Question 15

What does the AV - BOH - purkinje fibers showing?

Answer 15

Ventricular depolarization.

QRS

Question 16

How many seconds is a small box?

Answer 16

0.04

1mm

Question 17

How many seconds is a big box?

Answer 17

0.2

5mm

Question 18

How many seconds in the PR?

Answer 18

0.12- 0.2

Question 19

How many seconds for the QRS?

Answer 19

< 0.12

Question 20

How many seconds for the QT?

Answer 20

0.34 - 0.43

Question 21

What does the ST segment represent?

Answer 21

Time between ventricular depolarization and repolarization

Question 22

What does an elevated or depressed ST represent?

Answer 22

Ischemia, infarct, injury

Question 23

S/S of sinus brady?

Answer 23

Pale/cool skin,
SOB, fatigue
Dizzy, syncope, decreased LOC
Angina

Question 24

TX for sinus tach?

Answer 24

BB, CCB, vagal maneuvers

Question 25

Which patient is more likely to develop a thrombus, A-flutter or Fib?

Answer 25

A-Fib

Question 26

Can heart withstand V-fib?

What will it lead to?

Answer 26

No.

Asystole.

Question 27

What criteria need to be meet in order for rhythm to be considered NSR?

Answer 27

HR 60-100
PR- 0.12-0.2
QRS- < 0.12
QT- 0.34-0.43

Question 28

What does ectopic mean?

Answer 28

Irritability

Question 29

What are normal causes of sinus tach?

And their treatments?

Answer 29

Exercise- stop
fever- antipyretic
pain- analgesics
hypovolemia- IVF

Question 30

What are bad causes of sinus tach?

Answer 30

MI
HF

Give BB

Question 31

S/S of sinus tach?

Answer 31

Decreased CO which will lead to - hypo, dizzy, angina

Question 32

If pt is in A flutter, will you see a normal P wave?

Answer 32

No, it will be sawtooth instead.

*single ectopic foci!

Question 33

What is the most common dysrhythmia?

Answer 33

A-fib.

*multi ectopic.
Fib-dig

Question 34

What does 3 or more PVC’s in a row represent?

Answer 34

V tach

Question 35

What does torsades de pointe stand for?
What does is look like?
What is usually the cause?

Answer 35

Twisting around a point

V tach that goes from bigger to smaller.

Hypo-magnesia

Question 36

What is monophasic defibrillate?

How many Jules?

Answer 36

Shock goes one direction.

360 Jules

Question 37

What is biphasic defibrillate?

How many Jules?

Answer 37

Shock goes in both directions.

120-200 Jules

Question 38

If a pt has a pacemaker, can they have an MRI?
Security wand?
Metal detector?

Answer 38

No MRI
No wand
Ok for metal detector, must walk right through.

Question 39

After a pt has a ICD or pacemaker implanted, should they have sex/drive?

Wear a sling?

Answer 39

Sex/ drive cannot be done until MD gives ok.

Pt should wear a sling post op. On the side of the pacer. This is to avoid displacing wires.