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16 Cards in this Set

  • Front
  • Back
what are the r/f developing dysrhythimas
electrolyte abnorm
FVD/E
hypoxemia
altered body temp
degenerative changed in conductive system
congenital defects
myocardial ischemia/ infarction
drug toxicity
abrupt onset and termination
paroxysmal
characteristics of SVT
paroxysmal
>180bpm
PAC may trigger
P wave misshappen or hidden in QRS
normal QRS
regular rhythm
ectopic focus above bifurcation of BHIS
clinical associations with SVT
overexertion
emotional stress
stimulants
AV block or WPW
digitalis toxicity
rheumatic heart disease
CAD
cor pulmonale
tx for SVt
vagal maneuvers
IV adenosine
verapamil
what is done with SVT if vagal maneuver and drup therapy is ineffective
direct current cardioversion
has a very short half life
adenosine
method to give adenosine
6 mg rapid IV push followed by 20 ml NS bolus
what should be done if the first dose of adenosine did not work
wait 1-2 minutes and give 12 mg rapid iv push followed by NS bolus
what are the side effects of adenosine
flushing
chest pain
chest tightness
brief asystole
bradycardia
contraction originating from ectopic focus in atrium in location other than SA node
PAC
PAC can results from what
emotional stress
use of caffiene/tobacco/ETOH
hypoxia
drugs
electrolyte imbalances
COPD
valvular disease
TX for PAC
B adrenergic blockers
diltiazem
propafenone
amiodarone
flecainide
clonidine
magnesium
reduce or eliminate caffiene
recurring, regular, saw tooth shaped flutter waves
atrial tachydysrhythmia
atrial flutter characteristics
saw tooth waves
rate 250-350
from single ectopic focus
vent rate reg or irregular
QRS is normal
risk with atrial flutter
decreased CO and precipitate HF, angina