Ventricular Rhythms

Descripción

(Exam 1: Cardiac) Critical Care Fichas sobre Ventricular Rhythms, creado por nalice el 18/09/2013.
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Resumen del Recurso

Pregunta Respuesta
Rhythms that arise from the ventricles have abnormalities in ______, that look _____,_____, and, ________. QRS complex; big, wide, and ugly
multifocal pvc's that look different coming from more than one site
unifocal pvc's that look the same
PVC early depolarization begins in the ventricle instead the sinus node
Causes of PVC anxiety, caffeine, alcohol, tobacco, dig toxicity, antiarrhythmic meds, electrolyte imbalance
Significant PVC's more than 6 PVC's multifocal paired "couplet" PVC's triple PVC's R on T PVCs
bigeminy pvc's are occurring in every other beat
trigeminy pvc's every 3 beats
couplet pvc's that occur in pairs
triplet 3 pvc's in a row
R on T falls on the down slope of the preceding T wave
Why is R on T dangerous? correlates with ventricular repolarization, myocardium vulnerable state, cause repetitive ventricular contraction resulting in vtach and vfib
vtach 3 or more pvc's in a row at a rate greater than 100 bpm
idioventricular the impulse of conduction starts in the ventricles. SA and AV nodes have failed
vfib absence of an audible heartbeat, palpable pulse, and respiration
What rhythm gets defibrillation as a tx? vfib and pulseless vtach
Which rhythm gets cardioversion as a tx? vtach w/pulse
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