Ventricular tachycardia and Ventricular fibrillation Flashcards
Ventricular tachycardia
a fast dysrhythmia that arises from the ventricles.
Ventricular tachycardia rate and rhythm
100-250 bpm, regular
Ventricular tachycardia P waves
hidden in QRS
Ventricular tachycardia PR
absent
Ventricular tachycardia QRS
wide and bizzare
Ventricular tachycardia ST
depressed or elevated
Ventricular tachycardia T
opposite of R
Ventricular tachycardia QT
prolonged
Ventricular tachycardia causes
it is increased Myocardial irritability that is causes by enhances automaticity (from MI or ischemia), Re-entry loops from the purkinje system, or from PVC’s that are R on T. Stimulant drugs, Digoxin, hypokalemia and acid-base imbalance may also cause.
Ventricular tachycardia effects
always significant. compromised CO and decreased coronary and cerebral perfusion.
Ventricular tachycardia treatment
Maintain airway, give O2, place IV line. If stable can treat with amiodarone, procanamide or stall. If unstable, do cardioversion. If pulseless, treat as though it is V-Fib.
Ventricular fibrillation
result of chaotic firing of multiple sites in the ventricles. Causes the heart muscle to quiver, rather than contract, giving no effective CO.
Ventricular fibrillation rate and rhythm
both irregular
Ventricular fibrillation cause
MI, trauma, acid base imbalance, CAD, untreated vtach, R on T phenomena, drugs like epi, cocaine.
Ventricular fibrillation effects
will lead to death if left untreated.