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20 Cards in this Set

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  • Back
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3rd Degree AV Block

If symptomatic:PacemakerEpinephrine or Dopamine

Sinus Tachycardia

Treat underlying cause:


Infection? Anxiety? Dehydration? Anemia?

Atrial Fibrillation

Asymptomatic?


B-blockers, Ca channel blockers, Anti-arrhythmics (Digoxin)


Symptomatic?


Synchronised electrical cardioversion


Anticoagulants



2nd Degree AV Block Mobitz type I (Wencheback)

If symptomatic:


Pacemaker


Atropine


Withhold medication (if digoxin, B-blockers or Ca channel blockers)

Normal Sinus Rythm

None

Sinus Bradycardia

If symptomatic:


Atropine


Epinephrine or dopamine infusion


Pacemaker

Normal Sinus Rhythm with Premature atrial contractions (NRS with PACs)

Usual no treatment


If tachycardia develops: Ca channel blockers, B-blockers, vagal manoeuveurs

Wandering Atrial Pacemaker

Usually no treatment requiered

Supraventricular Tachycardia (SVT)

Vagal manoeuvers


Ca Channel blockers


B-blockers


Cardioversion (if pt unstable)

Atrial Tachycardia

Vagal manoeuvers


Adenosine


Ca channel blockers


B-blockers


Synchronised cardioversion if unstable

Atrial Flutter

Stable?


Ca channel blockers, B-blockers


Unstable?


Synchronised cardioversion, Anticoagulants

AV Nodal Reentrant Tachycardia (AVNRT)

Vagal maneuvres


Adenosine


Cardioversion

AV Reentrant tachycardia (AVRT)


(ex. WPW)

Vagal maneuvres


Amiodarone


No Adenosine, No B-blockers, No Ca-channel blockers

Junctional Escape Rhythms

Atropine


Pacemaker

1st Degree AV Block

None

2nd Degree AV Block Type II (Mobitz II)

Pacemaker


Dopamine or Epinephrine if unstable

Premature Ventricular contractions (PVCs)

Treat underlying cause

Ventricular Escape (Idioventricular) Rhythm

Atropine


Pacemaker


Avoid Lidocaine

Ventricular Tachycardia

Stable: Anti-arrhytmics


Unstable with pulse: Synchronised cardioversion


Pulseless: CPR + Defibrillation

Ventricular Fibrilation

CPR


Defibrillation