Unit 6B Flashcards
What is bradydysrhythmias?
Less than 60 bpm
O2 demand is decreased
What is tachydysrthythmias?
Greater than 100 bpm
Are serious because they shorten the diastolic time
Can lead to heart failure
What are causes of tachycardia?
Drugs (cocaine, caffeine, nicotine, alcohol)
Physical activity
Response to decreased cardiac output or blood pressure
What are interventions for tachycardia?
Bedrest
Treat underlying cause
What causes bradycardia?
Vagal stimulation (carotid massage, vomiting, suctioning, Valsalva maneuvers, or pain)
What treats bradycardia?
Atropine 1mg IVP
Increase fluids and O2
Give glucagon if caused by beta-blocker
What are causes and treatment of A-fib?
Caused by age
Risk of throwing clots
Treatment: ECG, control rhythm, Coumadin, Lovenox, report signs of bleeding and bruising to HCP
What are causes and interventions of SVT?
Causes: age, pregnancy, hx of heart disease
Treatment: ECG, vagal maneuvers, Adenosine 6 mg IVP then 12 mg IVP
What are causes and interventions of V-tach?
Causes: MI, HF, drug toxicity, hypotension, cocaine, inhalants
Treatment: ABCs, O2 administration, cardioversion or defib
What are causes and interventions for v-fib?
Causes: CAD, MI, low K+ and Mg+, trauma
Treatment: defibrillate, CPR, epinephrine 1mg IVP
What is done for a patient in asystole?
Check for pulse 5-10 seconds
Start CPR
Maintain airway
Defibrillate if ECG starts to read stuff