Cardiac Dysrhythmias

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Cardiac Dysrhythmias
Sharma Cools
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Sharma Cools
Creado por Sharma Cools hace alrededor de 2 años
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Pregunta Respuesta
3rd degree block
V-TAC
V-TAC
Trigeminy PVCs that occur every 3rd beat
Supraventricular Tachycardia (SVT) With SVT, HR is between 140 to 250 beats/min (average 180) SUSTAINED P-wave may be buried in the T-wave (sometimes looks like a camel’s hump) and difficult to see many times.
PVC
pac
pac
pac
normal
Bigeminy PVCs that occur every other beat
Asystole TREATMENT: CPR
A- fibrillation (A-fib)
3rd Degree AV Block
2nd degree AV block Type 1 Longer and Longer PR interval until it is completely blocked from reaching the ventricles for a single cycle
2nd Degree AV Block—Type 2 NORMAL CONDUCTION and then a DROPPED QRS
Couplets Two PVCs that occur in a row
Myocardial Injury (infarction) ST segment elevation > 1mm
Myocardial Ischemia Depression of the ST segment >1mm below the isoelectric line or inversion of T waves No permanent damage to the heart
Atrial Flutter
Idioventricular Rhythm
Idioventricular Rhythm
Junctional Rhythm (HR 40-60) P wave is INVERTED and located AFTER the QRS
Bradycardia
V fib
Pulseless electrical activity PEA
Paroxysmal Atrial Tachycardia (PAT)
(A-fib)
Sinus Tachycardia 100-150 beats
Goal of Anti-dysrhythmics: Slow Down the HR Convert to NSR Suppress further ECTOPY (with a maintenance drug)
what drugs treat this A-flutter If stable (B-C-D) --try to slow the rate and let the SA node take over If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine
What drugs are used to treat A-fib If stable (B-C-D) UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. If UNSTABLE Management for maintenance Amiodarone Procainamide Quinidine
WHAT DRUGS ARE USED TO TREAT THIS SVT If stable: Slow rate with ADENOSINE If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine
WHAT DRUGS ARE USED TO TREAT THIS PAT If stable: Slow rate with ADENOSINE If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine
WHAT DRUGS ARE USED TO TREAT THIS Acute: Atropine OR Epinephrine If symptoms are significant or 2nd or 3rd degree block: PACE. Management pacemaker
WHAT DRUGS ARE USED TO TREAT THIS IF STABLE: Amiodarone Lidocaine procainamide beta blockers IF UNSTABLE: Synchronized CARDIOVERSION (120-200J, ↑as needed) Management for maintenance Amiodarone Lidocaine procainamide beta blockers
(WITH A PULSE) WHAT DRUGS ARE USED TO TREAT THIS IF STABLE: Amiodarone Lidocaine procainamide beta blockers IF UNSTABLE: Synchronized CARDIOVERSION (120-200J, ↑as needed) Management for maintenance Amiodarone Lidocaine procainamide beta blockers
WITH OUT A PULSE CPR Defibrillation 120-200J (stepwise ↑ to 360J as needed) Epinephrine every 3-5 min Amiodarone or lidocaine
WITHOUT A PULSE CPR Defibrillation 120-200J (stepwise ↑ to 360J as needed) Epinephrine every 3-5 min Amiodarone or lidocaine
WHAT DRUGS ARE USED TO TREAT THIS PEA: Pulseless Electrical Activity CPR Pharmacologics Epinephrine every 3-5 min
what drugs are used to treat this Asystole CPR Pharmacologics Epinephrine ever
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