Graded A+
v fib, v tach, asystole, PEA, idioventricular, 2nd degree T2, complete heart block
what are the 7 lethal rhythms?
P-R interval
#4
NSR (Normal Sinus Rhythm)
Sinus bradycardia
<60bpm, TX: pacing, atropine, treat reversible causes
Sinus tachycardia
>100-<160, TX: identify and tx underlying cause
sinus arrest
PACs
looks like sinus arrest, TX: underlying cause, P waves are different
atrial flutter
P waves sawtooth, TX: support airway, ditiaziam, bblockers
a fib
wavy P waves, TX: with HypoTN use cardioversion and anticoagulant
junctional rhythm
youll see the J, rate 40-60bpm, PR interval <0.12, P waves inverted! TX: same as
bradycardia
<60bpm
junctional rhythm rate is?
SVT
no visible P wave, if symptomatic synchronized cardioversion, vagal maneuver,
adenosine
PVC
T wave in opposite direction, wide bizarre QRS, will always be with NSR or something
like that
Idioventricular Rhythm
no P waves, WIDE QRS, T wave opposite
<40bpm
accelerated idioventricular rhythm is anything greater than?
v fib
DEFIB
v tach
do ur ghost have a pulse? if yes-adenosine, no-CPR, O2, epi!
1st degree AV block
only one with no extra P wave, often confused with NSR, PR interval is >0.20
2nd degree AV block T1
inconsistent PR interval, R-R inconsistent
INCONSISTENCY
2nd degree AV block T2