Ventricular Rhythms Flashcards
unifocal
all PVCs in one strip look the same
multifocal
all PVCs in a strip look different
bigeminy
every other beat is a PVC
trigeminy
2 normal beats, 1 PVC
over 3 PVCs in a row
run of vtach
PVC causes
stress, hypoxia, ischemia, MI, caffeine, electrolyte imbalances, meds
PVC treatment
monitor for increased frequency, correct lytes, may need antiarrhythmic
causes of Vtach
heart disease, hypoK/Mag, R on T
stable V tach
patient has a pulse
stable V tach treatment
antiarrhythmic, replace K & Mag, synchronized cardioversion
procainamide
antiarrhythmic
procainamide side effects
pancytopenia, wide QRS, prolonged QT & PRI
unstable V tach
pulseless
unstable V tach treatment
CODE, antiarrhythmics after ROSC
polymorphic V tach
Torsades de pointes
causes of Torsades
low Mag, prolonged QT (R on T), MI
Torsades tx
code if pulseless, IV Mag
causes of V fib
H’s And T’s, CAD, MI, R on T
H’s And T’s
hypovolemia, hypoxia, hyper/hypoK, hypoglycemia, hypothermia, acidosis, anaphylaxis, overdose, toxins, tension pneumo, trauma, thrombosis
V fib tx
CODE, amio after ROSC
can you defib PEA?
NO bitch
can you defib asystole?
be so fr