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17 Cards in this Set

  • Front
  • Back

Normal Sinus Rhythm:


Rate = 60-100


Rhythm = Normal


PRI = 0.12- 0.20


QRS = </= 0.12


Sinus Bradycardia:


rate = 40-60


rhythm = regular


PRI = 0.12-0.20


QRS = <=0.12



Treatment:


stable = Monitor and call MD


Unstable = Trancutaneous Pacing and Atropine

Sinus Tachycardia:


rate = 100-150


rhythm = regular


PRI = 0.12-0.20


QRS = 0.12

supraventricular tachycardia:


Rate = 150-250


rhythm = regular


PRI = unable to see p waves



Treatment:


Stable = Vagal maneuver and Adenosine


Unstable = Cardioversion

2nd degree AVB type 1


rate = Atrial > Ventricle


rhythm = irregular


PRI = gradually lengthens then drops


QRS = < 0.12



Treatment:


Stable = Monitor Call MD


Unstable = Transcutaneous pacing and Atropine

2nd degree type 2


rate = Atrial > Ventricle


rhythm = Irregular


regular if every other QRS drops


PRI= constant when present


p waves upright b4 each QRS


QRS = <0.12


P:QRS relation = more P's than QRS



Treatment:


stable = Monitor and call MD


Unstable = Transcutaneous pacing and Atropine

3rd degree / complete heart block


rate = Atrial > Ventricle


rhythm = regular


PRI = NOT PRESENT


QRS = <0.12 - >0.12


Pwaves = upright BUT not related to QRS



Treatment:


stable = Monitor Call MD


Unstable = Transcutaneous Pacing with Atropine



A Fib:


rate= 350-400


ventricle rate : controlled vs. uncontrolled


rhythm = Irregularly Irregular


PRI = P waves replaced with wavy baseline



Treatment:


stable = ABCD's


Unstable = Cardiovert

A Flutter:


rate= atrial - 250-350


Ventricle- 60-100


rhythm = Irregular


PRI = P waves replaced with saw-toothed flutters



Treatment:


Stable= ABCD's


Unstable = Cardiovert

Asystole:


rate= NONE


rhythm = NONE


PRI = NONE


QRS = NONE



Treatment:


CPR, Vasopressin,Epinephrine


*** NO antirrythmias or atropine


must consider what the cause is H & T's


H= hypoxia, hypovolemia, hydrogen ions Hypo/Hyper K+


T= trauma, toxins, thrombosis, tension pnuethorax, tamponade

Atrial Pacing



AV paced 100% capture



Pacer spikes: infront of both P waves and QRS



Torsades:


rate = > 100


rhythm = Regular - twist


PRI = None no p waves


QRS = > 0.12



Treatment:


CPR- Defib - Magnesium then VEAL

Loss of Capture:



Pacer spikes: Not followed by a complex



MUST CALL MD

V- Fib:


rate = NONE


rhythm = irregular


PRI = NONE - no p-waves


QRS = NONE



Treatment:


CPR, D-FIB, VEAL

Ventricular Tachycardia:


rate = > 100


rhythm = regular


PRI = NONE no p waves


QRS > 0.12



Treatment:


stable narrow with pulse = Adenosine


stable wide with pulse = Amiodarone


Unstable = Cardioversion and Amiodarone


No pulse = CPR- D-FIB and VEAL

Ventricular Pacing