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26 Cards in this Set
- Front
- Back
What rhythm is this?
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NORMAL SINUS RHYTHM
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What rhythm is this?
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SINUS BRADYCARDIA -
Causes: seen in athletes at rest - & vagal manuever, Treatment: underlying cause, atropine, or isuprel or transcutanous pacing if unstable - may have to give Epi - S/S: chest pain, hypotension, vertigo, dizziness |
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What rhythm is this?
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SINUS TACHYCARDIA
Causes: catecholamines (Epi,noreip etc), CHF, hypoxia, PE, temp., stress, pain Treatment: underlying causes |
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What rhythm is this?
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SINUS ARRHYTHMIA
causes: nrml-inc w/inspiration; dec w/exp. Treatment: if brady present, then treat brady |
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What rhythm is this?
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VENTRICULAR TACHYCARDIA
Causes: CAD, MI, dig tox, CHF, aneurysms Treatment: (if more than 1) cardioversion, amiodarone & lidocaine, call MD, code, can go to v-fib - if pulse give meds, if pulseless -shock |
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What rhythm is this?
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VENTRICULAR FIBRILLATION
Causes- acute Mi, absent of CO, Treatment: same as V-tac, if pulseless-shock, if pulse-meds, also need CPR-then trt underlying cause, meds: lidocaine, procainimide or quindine IF V-FIB THEN D-FIB |
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What rhythm is this?
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ATRIAL FIBRILLATION
Causes: COPD, CHF, paroxysmal Treatment: dig, diliazem, cardioversion, anticoagulates may cause CVAs, |
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What rhythm is this?
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ATRIAL FLUTTER -
Causes: CHF & others, Treatment: Amiodarone, dig & verapimil, cardioversion, vagal maneuvers/verapamil-when need fast- if PEA then shock |
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What rhythm is this?
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FIRST DEGREE AV BLOCK
Causes: healthy or dx hearts, MI, dig tox, hyperkalemia, vagal tone Treatment: treat underlying cause, & observe-may progress |
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What rhythm is this?
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SECOND DEGREE AV BLOCK (MOBITZ TYPE I - WENCKEBACH)
Causes: inferior MI or dig tox Treatment: artificial pacing |
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What rhythm is this?
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SECOND DEGREE AV BLOCK (MOBITZ TYPE II) (2:1 BLOCK)
Causes: anterior MI, trmt: artificial pacing |
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What rhythm is this?
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THIRD DEGREE HEART BLOCK -
AV DISSOCIATION OR COMPLETE HEART BLOCK Causes; dig tox, infection, MI Treatment: external pacing, atropine for acute episodes, permanent pacing for chronic |
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Which rhythms are without a P wave?
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A-Fib -
VT TDeP V-Fib All originate with ventricle contractions |
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ST segment abnormalities can represent?
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Length not important - all inrelation to baseline - hgt is imp. elevation over 1mm can be sign of MI injury pattern. Depression can be a sign of Micardial ischema
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U wave abnormalities can represent?
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the three hypos - hypokalemia, hypocalcemia and hypomagnesemia.
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Rate: Which rhythms can be diagnosed by the rate?
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normal 60-100
Brady <60 Tachy >100 Atrial Flutter 250-400 atrial (vent. is 60-100) A-Fib - 400-600 (does not determine A-fib though) V-Tach- 150-250 Torsades de pointes- 150-250 V-fib - cannot count 1st degree - <60 (50) 2nd degree type I- atrial greater than ventricular 2nd degree type II - brady (30) 3rd degree= brady |
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Rhythms with different Atrial and ventricular rates?
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2nd and 3rd degree AV blocks
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What is this rhythm
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PAC-PREMATURE ATRIAL CONTRACTION
Causes: in nmrl hrt or CHF, M isch. and COPD |
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What is this rhythm?
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WAP- WANDERING ATRIAL PACEMAKER
Causes: nrl or dx hearts-COPd Trt: none At least 3 P's are different |
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What rhythm is this?
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TORSADE DE POINTES
Causes: paroxysmal, V-tac goes into this, quinidine, amiodarone or other drugs that lengthen QT Interval, hypokalemia, M Ischemia Trmt: sync cardioversion, IV MAG, IV Potassium, overdrive pacing |
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What is this rhythm?
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ASYSTOLE
Causes: sometimes follows tachys-insignificant if longer then MI, CAD, frequently fatal Treatment: CPR, 100% O2, IV, intubation, tras. pacing, EPI/Atropine, non-shockable rhythm, code |
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What is this rhythm/
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PAROXYSMAL ATRIAL TACHYCARDIA
Causes: Wolfe-Parkinson-White, CHF, same as SVT Trmt: if meds do not work go to defib |
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What is this rhythm?
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IDIOVENTRICULAR
Causes: MI, pacemaker failure, met. imbalance, M ischemia, Treatment: improve CO or atropine, pacing if cannot feel pulse, then pacemaker quick |
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What is this rhythm?
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JUNCTIONAL ESCAPE RHYTHM
Causes: sinus brady Trmt: underlying cause Atropine, or a pacemaker |
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What is this rhythm?
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PVC- Premature Ventricular Contraction
Causes: catecholamines, dig tox, MI,CHF, MI, big 3 elec. imbalance Trmt: lidocaine, pronestyl or quinidine -may need K- if pulseless then v-fib so trt as this |
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What is this rhythm?
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VPR- VENTRICULAR PACEMAKER
replace pacemaker or repair |
