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-Barotrauma
-Volutrauma
-Atelectrauma
-Biotrauma
-VALI and VILI
Asystole
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, - no HR
-Treatment: CPR, can give unlimited epinephrine every 2-3 minutes of each
dose as you do CPR
Heart Valve Disease: Atrial Regurgitation
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-Fibrosis/ calcification of valve
-Incomplete closure of valve-> backflow of blood into L atrium decreasing
blood flow with ejection ->L ventricle hypertrophy
-Initially may be asymptomatic due to compensation of L ventricle
-May eventually lead to L sided heart failure
Sinus Tachycardia
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- HR >100 bpm
- Rhythm: regular
- Risk Factors: anemia, hypoxia, hyperthyroid, drugs
- Symptoms: asymptomatic, SOB, chest pain
- Treatment: beta-blockers (anything ending in -lol), calcium channel
blockers (diltiazem, nifedepine), change in lifestyle
, Pharmacotherapies for Dysrhythmias (continued)
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- Adenosine: converts narrow-complex PSVT to NSR
-Magnesium sulfate: used for refractory VT and Vfib; also indicated for
Torsades de Pointes
-Atropine: reduces vagal stimulation; increases heart rate
-Digoxin: used for atrial fibrillation or atrial flutter (watch for dig toxicity
especially if they are on diuretics)
Acute Coronary Syndrome
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-Medication: ACE inhibitors, beta blockers, nitroglycerine, Morphine,
Oxygen, ASA (MONA), heparin
***assess BP before giving nitroglycerin SL
Ventricular Tachycardia
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-HR >100 bpm
-Check their pulse
-Treatment: amiodarone; if that doesn't work, shock them