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133 Tachydysrythmias Flashcards

(47 cards)

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1
Q

What is the age for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?

A

18 years old

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2
Q

What is the LOA for the medications in the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?

A

unaltered
Altered go directly to cardioversion

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3
Q

What is the SBP for all medications for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?

A

Normotensive

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4
Q

What treatments are available for narrow complex arrythmias in the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?

A

Valsalva, adenosine, cardioversion

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5
Q

What treatments are available for wide complex arrythmias in the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?

A

amiodarone, lidocaine, cardioversion

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6
Q

What must the HR be to treat in the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?

A

narrow: 150
wide 120

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7
Q

What is added in the modified valsalva

A

Raising legs for 15 seconds

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8
Q

What class of medication is Adenosine?

A

Class 5 antiarrythmic

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9
Q

What does adenosine do to calcium and potassium?

A

Block calcium going into the cell
Causes Potassium to leave the cell

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10
Q

Where does adenosine work?

A

At the AV node

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11
Q

What does adenosine do to depolarization, conduction, and refractory periods?

A

Lengthens depolarization
Slows conduction, prevents re-entry in the AV node
Prolonges refractory periods

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12
Q

What does adenosine do to the coronary arteries

A

Vasodilates

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13
Q

What class of medication is amiodarone?

A

Class 3 antiarrythmic

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14
Q

Which classes of antiarrythmics does amiodarone have properties of?

A

Class 1-4

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15
Q

What are class 1 anti-arrythmics?

A

Sodium blocker

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16
Q

What do class 1 anti- arrythmics do?

A

Blocks Sodium in non-nodal cells
Decrease automaticity
Decrease conduction speed

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17
Q

What do class 2 anti-arrythmics do?

A

Betablocker to non- nodal cells

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18
Q

What do class 3 anti-arrythmics do?

A

Blocks potassium out of nodal cell
Delays phase 3 of the cardiac cycle
Lengthens action potential
Increases refractory period

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19
Q

What do class 4 anti-arrythmics do?

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A

Calcium blocking
Decreases vascular resistance
Increases inotropy

20
Q

What are the contraindications for the valsalva maneouver?

Study These Flashcards
A

Sinus tach
Atrial Fibrillation
Atrial Flutter

21
Q

What are the contrindications for adenosine?

Study These Flashcards
A

Carbamazepine (Tegretol)
Bronchoconstriction on exam
Dipyidamole (aggrenox/ Persante)
Sinus Tach
Atrial fibrillation
Atrial Flutter

22
Q

What is the other name for Carbamazepine?

23
Q

What is the other name of dipyridamol?

Study These Flashcards
A

Aggrenox
Persantine

24
Q

What class of anti-arrythmic is lidocaine?

Study These Flashcards
A

1b (sodium channel blocker.)

25
How does Lidocaine work?
Increases the time for myocyte to reach threshhold potential Decreases ventricular irritability Terminates reentry pathways
26
What dose of adenosine is given for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
6mg then 12 mg
27
How often is adenosine given for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
2 minute interval
28
How many doses of adenosine is given for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
2
29
When must we patch for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
To give amiodarone, lidocaine, or cardiovert
30
What is the first dose of lidocaine for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
150mg
31
How many doses of lidocaine is given for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
2
32
What is the interval to given lidocaine for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
10 minutes
33
What is the ONLY route for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
IV
34
What is the first dose of lidocaine for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
1.5mg/kg up to 150
35
What is the second dose of lidocaine for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
0.75mg/kg up to 150mg
36
How often can lidocaine be given for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
Every 10 minutes
37
How many doses of lidocaine do we have for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
3
38
What are the joule settings for synchronized carioversion for the TACHYDYSRYTHMIA MEDICAL DIRECTIVE?
100 200 Max
39
What is phase 2 called of the cardiac cycle?
Plateau phase
40
What is phase 3 called of the cardiac cycle?
Repolarization phase
41
What is phase 4 called of the cardiac cycle?
Resting potential
42
What happens in phase 0 of the cardiac action potential cycle?
Fast sodium channels open Rapid sodium in
43
What happens in phase 1 of the cardiac action potential cycle?
Potassium channels open Potassium out, chloride out
44
What happens in phase 2 of the cardiac action potential cycle?
Calcium in Potassium out
45
What happens in phase 3 of the cardiac action potential cycle?
Caclium channels close Potassium out
46
What happens in phase 4 of the cardiac action potential cycle?
Sodium slow in Potassium out
47
What treatments can be done in the TACHYDYSRTHYHTMIA MEDICAL DIRECTIVE prior to a treat and release?
Valsalva Adenosine

EMT (34 decks)

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