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Nurse 1 > Cardiology > Flashcards

Cardiology Flashcards

1
Q

What is the treatment pathway for patients with SVT?

A

Vagal manouveres - valsalva
Adenosine - 6mg, 12mg 18mg followed by 20ml flush
Metoprolol or verapamil
Cardioversion

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2
Q

How does SVT appear on an ECG?

A

Regular narrow complex tachycardia, p waves may not be visible

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3
Q

What is required for a synchronised DC cardioversion?

A

Senior Dr review
Procedural sedation - doesn’t need RSI
Shock - 150J biphasic

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4
Q

When would a STEMI be diagnosed?

A

ST elevation or new LBBB in ECG

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5
Q

What is the management of a STEMI?

A

Aspirin 300mg
GTN (unless hypotensive)
Clopidogrel 600mg
Fondaparinux
Oxygen
Analgesia

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6
Q

What is the patient pathway if they have a confirmed STEMI?

A

Move patient to resus
Senior resus Dr to communicate with SBH to see if accepted for PCI
Facilitate transfer - critical care ambulance transfer
Complete STEMI documentation to give to LAS

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7
Q

What does PCI stand for?

A

Percutaneous coronary intervention

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Nurse 1 (24 decks)

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