Treatments

Question 1

Sinus Tach Treatment

Answer 1

Treat Cause
BB blockers

(result of vagal inhibition)
-Adenosine?

Question 2

Sinus Brady Treatment

Answer 2

If symptomatic:

• IV Atropine 1 mg Q 3-5 mins
• Transcutaneous pacing

Question 3

What causes Bradycardia?

Answer 3

\++Excessive vagal (parasympathomimetic) stimulation:
-Carotid sinus massage
-Vomiting/gagging
-Valsalva maneuvers
-Eyeball pressure
-Administration of 
 parasympathomimetic drugs

Digitoxin toxicity

Hyperkalemia (slow depolarization)

MI

Question 4

Sinus Tach Causes

Answer 4

Physical activity
Anxiety
Pain
Stress
Anemia
Hypovolemia
Hypotension
MI
HF

Question 5

Afib Cause

Answer 5

Underlying HD
Electrolytes
Hypoxia
Cardiac Surgery

Question 6

A-fib/A-flutter Treatment

Answer 6

BB or CCB (diltiazem, verapamil)

doFETilide amiodarone

Warfarin

If stable but symptomatic: IV bolus + drip

If unstable/hemocompromised

• Synchronized cardioversion
• Heparin drip will be included

Catheter ablation or Maze

Question 7

PSVT

Answer 7

Is an Atrial thing because the QRS is still narrow.

-starts with a PAC (generally presents a multiple PACs in a row)

Question 8

PSVT Treatment

Answer 8

Vagal maneuvers
-Valsalva (most effective)
Hold breath 10-15 seconds (NVD) then resume breathing

Coughing

Carotid sinus massage

ADENOSINE IV PUSH
-followed by rapid NS flush

If nothing works: Cardioversion

Question 9

PVC treatment

Answer 9

Amiodarone, Lidocaine, BB (treat the cause)

Question 10

PVC causes

Answer 10

Hypoxia
Stimulants 
Electrolytes
Fever 
Exercise
Emotional stress
CVD

Question 11

V-Tach Treatment

Answer 11

Pulse or no pulse?
ACLS!!!
-Maybe just anti-dysrhythmic meds (BB, CCB, Amiodarone)

-If pulseless Defibrillate
200-400J

Question 12

What does Atropine do?

Answer 12

Increase HR

Question 13

What does Adenosine do?

Answer 13

Dec HR

-PSVT