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Ventricular Tachycardia
1. What is this rhythm and how
is it treated? CPR, Defibrilate, amiodarone, epi
Ventricular fibrillation
2. What is this rhythm and how
is it treated? CPR, Amiodarone, Defibrilate, Epi
3. What is this rhythm? and how Asystole
is it treated?
CPR & Epinephrine
4. What is this rhythm? and how PVC or premature ventricular contraction
is it treated?
Treat the underlying cause:
1. hypoxemia (o2)
2. Ischemia (12 lead to confirm)
3. electrolyte imbalance (Mg+ or K+ replacement)
5. What is this rhythm and how AFib
is it treated if unstable? "control the rate and anticoagulate"
Synchronized Cardioversion and anticoagulation
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6. How is stable Afib treated? Give an antidysrhythmic (amiodarone)
Cardizem/Diltiazem
We don't defib because we are worried a clot has formed in
the appendages which will travel to the brain or lungs when
shocked
7. What is this rhythm? and how AFib RVR
is it treated?
This is Afib plus tachycardia and it is treated as unstable Afib
Cardiovert
8. What percent of cardiac out- 30%
put is lost due to Afib and loss
of "atrial kick"?
9. What does Cardizem/Dilti- this is a calcium channel blocker it decreases BP & decreases HR
azem do? it is often given to help reduce the HR in Afib RVR along with
Heparin/Warfarin
10. What is the antidote for he- 1. Protamine
parin? 2. Vitamin K
What is the antidote for War- 3. if there is an active bleed or they are going to need surgery
farin?
When do we reverse antico-
agulation?
11. what are the steps to BLS 1. recognition of sudden cardiac arrest ck for pt responsiveness
CPR? and breathing
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2. Activate the emergency response system (call a code or
rapid)
3. CPR if no pulse, and while waiting on the crash cart to arrive.
(Remember 30 compressions to 2 breaths)
4. Defibrillate- as soon as possible
12. How many leads must Asys- 2 leads ds
tole be confirmed in?
13. what is Epinephrine? Vasoconstrictor and (+) Inotrope
14. What is failure to capture on pacer spikes with no P or QRS
a pacemaker?
Usually a problem with battery or lead in the wrong place. the
PM fires but doesn't cause a contraction
use an external pacemaker and call the Dr.
Turn up the the miliamps
15. What is failure to sense? The PM is unable to sense where or when the heart is depolariz-
ing or repolarizing and delivers spikes at an inappropriate time
Pacer rep needs to be called to interrogate the PM
16. What happens if pt is this is called a R on T phenomenon
shocked mid repolarization Causes vtach or torsades de point
between the S-T?
17. What is the cardiac output CO= HR x SV
formula?
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18.