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78 Cards in this Set
- Front
- Back
WHAT RHYTHM CAN YOU SEE PVC'S WITH?
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WITH ANY UNDERLYING SUPRAVENTRICULAR RHYTHM
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WHAT IS THE RHYTHM IN PVC'S?
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DEPENDS ON THE UNDERLYING RHYTHM
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DESCRIBE P WAVES IN PVC'S.
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PVC WILL NOT BE PRECEDED BY A P WAVE. DISSOCIATED P WAVES MAY BE SEEN NEAR PVC.
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DESCRIBE QRS COMPLEX IN PVC.
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WILL BE WIDE AND BIZARRE, WITH DISCORDANT T WAVES
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WHAT ARE INTERPOLATED PVC'S?
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PVC'S THAT ARE NOT FOLLOWED BY A COMPENSATORY PAUSE BECAUSE THEY ARE SQUEEZED BETWEEN TWO REGULAR COMPLEXES; DO NOT DISTURB THE REGULAR RATE
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WHAT ARE UNIFOCAL PVC'S?
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ALL FROM A SINGLE FOCUS
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UNI- OR MULTI- FOCAL PVC'S ARE LESS STABLE BECAUSE THEY ARE MORE IRRITABLE AND MORE ISCHEMIC.
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MULTIFOCAL PVC'S
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WHAT IS R ON T?
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IF A PVC OCCURS DURING THE VULNERABLE PHASE OF VENTRICULAR REPOLARIZATION IT CAN THROW THE HEART INTO AN UNCONTROLLED REPETITIVE PATTERN (R WAVE OF PVC IS HITTING ON T WAVE- VERY SERIOUS- LEADS TO V FIB)
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ETIOLOGY OF PREMATURE VENTRICULAR CONTRACTIONS
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MI*, ISCHEMIA OR INFARCT*, MOST LIKELY AUTOMATICITY, DRUG USE, ELECTROLYTE IMBALANE, DILATED HEART, METABOLIC ACIDOSIS, MVP
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SIGNS AND SYMPTOMS OF PVC
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MAY BE INCIDENTAL FINDING, PALPITATIONS WHEN FREQUENCY INCREASES (MORE THAN 12 PER HOUR)
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TREATMENT FOR PVC'S
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TREAT THE UNDELRYING CAUSE; USE BETA BLOCKERS FOR PALPITATIONS
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WHAT IS ANOTHER NAME FOR IDIOVENTRICULAR RHYTHM?
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INHERENT VENTRICULAR ESCAPE RHYTHM
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RATE IN INDIOVENTRICULAR RHYTHM
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20 TO 40 BEATS PER MIN; DROPS BELOW 20--AGONAL
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PRI IN IDIOVENTRICULAR RHYTHM
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NONE
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QRS IN IDIOVENTRICULAR RHYTHM
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WIDE AND BIZARRE
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HOW DO YOU DIFFERENTIATE BETWEEN IDIOJUNCTIONAL AND IDIOVENTRICULAR RHYTHMS?
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RATE AND WIDTH OF THE QRS
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ETIOLOGY OF IDIOVENTRICULAR RHYTHM
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MEDICATIONS, FAILURE OF THE SA NODE AND AV NODE, CONDUCTION BLOCKS (AV OR INTRAVENTRICULAR CONDUCTION), MI (A BIG ONE), PROFOUND ISCHEMIA, SICK SINUS SYNDROME (BECAUSE IT CAN CAUSE SA NODE FAILURE)
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SIGNS AND SYMPTOMS OF IDIOVENTRICULAR RHYTHM
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SIGNS OF LOW CARDIAC OUTPUT; PROFOUNDLY SLOW APICAL PULSE (OVER APEX OF HEART), DIFFICULT TO AUSCULTATE BP
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TREATMENT FOR IDIOVENTRICULAR RHYTHM
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SEEK/TREAT UNDELRYING CAUSE; SUPPORT CARDIAC OUTPUT; PACEMAKER (DO NOT SUPPRESS- MAY BE PREVENTING ASYSTOLE)
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WHY WOULD YOU NOT USE ATROPINE IN IDIOVENTRICULAR RHYTHM?
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ATROPINE DOES NOT WORK ON VENTRICULAR TISSUE
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THE MOST COMMON RHYTHM PRESENTING AFTER REPERFUSION
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ACCELERATED IDIOVENTRICULAR RHYTH,
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ETIOLOGY OF ACCELERATED IDIOVENTRICULAR RHYTHM
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FAILURE OF THE SA NODE AND AV NODE; AV OR IVC BLOCK WITH NEED FOR HIGHER CO; MI; AFTER REPERFUSION*****
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SIGNS AND SYMPTOMS OF ACCELERATED IDIOVENTRICULAR RHYTHM
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SIGNS AND SYMPTOMS OF LOW CARDIAC OUTPUT; DIFFICULT TO AUSCULTATE BP
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TREATMENT OF ACCELERATED IDIOVENTRICULAR RHYTHM
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TINCTURE OF TIME, SEEK/TREAT UNDERLYING CAUSE, SUPPORT CARDIAC OUTPUT, PACEMAKER---- DO NOT SUPPRESS IDIOVENTRICULAR RHYTHMS (THEY ARE PREVENTING ASYSTOLE)
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RHYTHM IN VENTRICULAR TACHYCARDIA
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USUALLY REGULAR
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RATE IN V TACH
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150-250 BEATS PER MIN; CAN EXCEED 250 BPM AND MAY OCCASIONALLY BE SLOWER THAN 150 (BEWARE SLOW VT)
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P WAVE IN V TACH
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WILL NOT BE PRECEDED BY P WAVE; MAY HAVE DISSOCIATED P WAVES
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QRS IN V TACH
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WIDE AND BIZARRE; DISCORDANT T WAVE
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A VENTRICULAR TACHYCARDIA WITH A RATE OVER 100, BUT LESS THAN 150 IS NORMALLY WHAT?
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HYPERKALEMIA
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IF YOU AREN'T SURE IF A RHYTHM IS V TAC OR SVT WITH A BBB, WHAT DO YOU DO?
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TREAT IT LIKE V TAC
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ETIOLOGY FOR V TACH
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MI**, MYOCARDIAL IRRITABILITY (PVC's, ENHANCED AUTOMATICITY)**, DRUGS, ELECTROLYTE IMBALANCES, CONGENITAL DISEASE
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SIGNS AND SYMPTOMS OF V TACH
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PROFOUNDLY POOR PERFUSION; SIGNS OF DECREASED CO; PALPITATIONS, SYNCOPE, POSSIBLY PULSELESSNESS
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RHYTHM WHERE THE PATIENT MIGHT BE PULSELESS
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V TACH
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TREATMENT FOR V TACH
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AMIODERONE; ELECTRICITY (CARDIOVERSION)
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IF IN DOUBT OF THE TREATMENT FOR ANY TACHYCARDIA, WHAT IS THE FIRST LINE TREATMENT
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CARDIOVERSION
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ANOTHER NAME FOR TORSADES DE POINTES
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POLYMORPHIC VENTRICULAR TACHYCARDIA
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RHYTHM OF TORSADES
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REGULARLY IRREGULAR
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RATE OF TORSADES
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200 PLUS
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QRS IN TORSADES
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WIDE AND BIZARRE; SINE WAVE PATTERN
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WHICH RHYTHM IS THE PARTY STREAMER RHYTHM?
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TORSADES DE POINTES
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ETIOLOGY OF TORSADES
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ELECTROLYTE IMBALANCE; PSYCHOTROPHIC DRUGS; ANTIARRHYTHMIC DRUGS; ANY MED THAT PROLONGS THE QT INTERVAL**, HEREDITARY OR IDIOPATHIC PROLONGING OF QT
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TREATMENT OF TORSADES
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MAGNESIUM; ELECTRICITY
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RHYTHM IS VENTRICULAR FIBRILLATION
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BIZARRE AND IRREGULAR
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RATE IN VENTRICULAR FIBRILLATION
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300 PLUS
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QRS IN VENTRICULAR FIBRILLATION
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WIDE AND BIZARRE; TOTALLY CHAOTIC WITH NO DISCERNABLE WAVES
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WHAT TYPE OF DRUGS PROLONG THE QT?
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"ANTI" DRUGS
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ETIOLOGY OF V FIB
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MI**, MYOCARDIAL ISCHEMIA, ACID BASE DISORDERS; UNTREATED VT**, ELECTRICAL SHOCK, HYPOTHERMIA
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SIGNS AND SYMPTOMS OF V FIB
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DEATH, ALWAYS PULSELESS AND APNEIC
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TREATMENT FOR V FIB
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CPR, ELECTRICITY (DEFIBRILLATION), EPINEPHRINE
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WHAT IS PULSELESS ELECTRICAL ACTIVITY?
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ANY RHYTHM ON THE MONITOR THAT DOES NOT HAVE AN ASSOCIATED PHYSICAL PULSE
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ARE V FIB, V TACH, AND ASYSTOLE CONSIDERED PULSELESS ELECTRICAL ACTIVITY?
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NO- BECAUSE THEY ARE NOT EXPECTED TO HAVE A PULSE
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HOW LONG DOES IT TAKE FOR ADENOSINE TO STOP WORKING IN BODY?
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12 SECONDS
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WHAT DOES ATROPINE DO TO THE HEART RATE?
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INCREASES IT
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WHAT DO WE USE AMIODARONE AND LIDOCANE FOR?
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AS ANTIARRHYTHMICS FOR V TACH OR A FIB (SUSTAINED)
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THREE FACTORS WE USE TO DETERMINE STABILITY
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MENTAL STATUS, CHF SIGNS (CRACKLES, ETC), HYPOTENSION--SYSTOLIC BELOW 100
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WHAT TYPE OF DRUG IS METOPROPOL
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BETA BLOCKER
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TREATMENT FOR A FIB
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ANTICOAGULATION, RATE CONTROL
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WHEN WOULD YOU USE A PACEMAKER TO TREATE WECKENBACH?
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WHEN THE PATIENT IS BRADYCARDIC AND SYMPTOMATIC
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FOR ATRIAL TACHYCARDIA, WHAT DRUGS ARE USED?
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BETA BLOCKERS, CCB's, ADENOSINE
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WHAT DRUG DO WE USE FOR WIDE COMPLEX VENTRICULAR TACHYCARDIAS?
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AMIODARONE
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DRUG FOR TREATMENT OF WPW (ANTIDROMIC)
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PRICAIDIMINE
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HOW LONG DOES IT TAKE FOR ADENOSINE TO STOP WORKING IN BODY?
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12 SECONDS
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WHAT DOES ATROPINE DO TO THE HEART RATE?
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INCREASES IT
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WHAT DO WE USE AMIODARONE AND LIDOCANE FOR?
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AS ANTIARRHYTHMICS FOR V TACH OR A FIB (SUSTAINED)
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THREE FACTORS WE USE TO DETERMINE STABILITY
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MENTAL STATUS, CHF SIGNS (CRACKLES, ETC), HYPOTENSION--SYSTOLIC BELOW 100
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WHAT TYPE OF DRUG IS METOPROPOL
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BETA BLOCKER
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TREATMENT FOR A FIB
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ANTICOAGULATION, RATE CONTROL
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WHEN WOULD YOU USE A PACEMAKER TO TREATE WECKENBACH?
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WHEN THE PATIENT IS BRADYCARDIC AND SYMPTOMATIC
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FOR ATRIAL TACHYCARDIA, WHAT DRUGS ARE USED?
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BETA BLOCKERS, CCB's, ADENOSINE
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WHAT DRUG DO WE USE FOR WIDE COMPLEX VENTRICULAR TACHYCARDIAS?
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AMIODARONE
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DRUG FOR TREATMENT OF WPW (ANTIDROMIC)
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PRICAIDIMINE
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WHAT DO WE USE TO TREAT NARROW COMPLEX REG TACHYCARDIA?
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VAGAL MANEUVERS, ADENOSINE
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WHAT DO WE USE TO TREAT IRREGULAR TACHYCARDIAS LIKE A FIB OR A FLUTTER?
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CCB's and BETA BLOCKERS
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FOR SYMPTOMATIC PREMATURE CONTRACTIONS, WHAT DRUG?
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BETA BLOCKERS
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DRUG FOR TORSADES
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MAGNESIUM
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WE DO NOT USE THESE DRUGS FOR WIDE COMPLEX TACHYCARDIAS
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BETA BLOCKERS, CCB's, ADENOSINE
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IF YOU HAVE A BRADYCARDIA WITH NO KNOWN (ABSOLUTE) REVERSIBLE CAUSE, WHAT DRUG DO YOU USE?
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ATROPINE
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IF YOU HAVE A VENTRICULAR BRADYCARDIA, WHAT IS THE DRUG TO USE?
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DOPAMINE OR EPINEPHRINE; THE DOPAMINE WILL CAUSE LESS MYOCARDIAL OXYGEN DEMAND
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