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78 Cards in this Set

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