Mgmt For Cardiac Dysrhythmia

Front 1

supraventricular rhythm

Back 1

none, normal heart rhythm

Front 2

sinus arrhythmia

Back 2

none, considered a normal rhythm in the very young and very old

Front 3

sinus tachycardia

Back 3

tx only if the pt is experiencing symptoms or is at risk for myocardial dmage. Tx undelrying causes (hypovolemia, fever, pain)
Beta blockers or verpamil may be used.

Front 4

sinus bradycardia

Back 4

tx only if the client is experiencing symptoms. Intravenous atropine and/or pacemaker therapy may be used

Front 5

premature Atrial Contractions

Back 5

usually require no tx.
Advise pt to reduce alcohol and caffeine intake, to reduce stress, and to stop smoking

Front 6

paroxysmal supraventricular tachycardia

Back 6

tx if pt is experiencing symptoms.
Tx may include vagal maneuvers (valsalva, carotid sinus massage)
O2 therapy, Adenosie, verapamil, procainamide, propranolol and esmolol; and synchronized cardioverison

Front 7

atrial flutter

Back 7

synchronized cardioversion
meds to slow ventricular response such as a beta blocker, ccb (verapamil) or amiodarone, followed by quinidine, procainamide, flecainide

Front 8

A-fib

Back 8

synchronized cardioversion; meds to convert rhythm (amiodarone) or reduce ventricular response rate (verapamil, propranolol, digoxin); anticoagulant therapy to reduce risk of clot formation and stroke

Front 9

junctional escape rhythm

Back 9

tx cause if client is experiencing symptoms

Front 10

ventricular rhythms

Back 10

tx if client is experiencing symptoms. Advise against stimulant use (caffeine, nicotine) Drug therapy includes intravenous lidocaine, procainamide, quinidine, propranolol, phyenytoin, bretylium

Front 11

ventricular tachycardia

Back 11

Tx if Vt is sustained or if the client is experiencing symptoms. Tx includes intravenous procainamide, amiodarone, or lidocaine and/or immediate defibrillation if the client is unconscious or unstable.

Front 12

ventricular fibrillation

Back 12

immediate defibrillation

Front 13

atrioventricular conduction blocks - 1st degree

Back 13

none required

Front 14

atrioventricular conduction blocks - 2nd degree type 1

Back 14

monitor and observaiton; atropine or isoproterenol if client is experiencing symptoms

Front 15

atrioventricular conduction blocks - 2nd degree type 2

Back 15

atropine or isoproterenol, pacemaker therapy

Front 16

atrioventricular conduction blocks - 3rd degree complete heart block

Back 16

immediate pacemaker therapy