EKG Treatment

Question 1

Sinus Bradycardia

Answer 1

No Tx unless symptomatic, then give atropine or pacemaker

Question 2

Sinus Tachycardia

Answer 2

Eliminate cause, give BB

Question 3

Supraventricular Tachycardia

Answer 3

Vagal Maneuver (Anything to stimulate PNS, Carotid massage, valsalva, adensoine, ice bath)

Question 4

Paroxysmal Supraventricular Tachycardia

Answer 4

Nothing, document

Question 5

Premature Atrial Contraction

Answer 5

• None if frequency is low and no drop in BP
• If Sx present, decrease stimulant

Question 6

Atrial Flutter

Answer 6

Digoxin, Diltazem, BB, Anticoagulant, Cardioversion

Question 7

Atrial Fibrillation

Answer 7

Calcium Channel Blocker, Anticoagulation, Digoxin, Anti-arrythmic, Caridoverison

Question 8

First Degree Heart Block

Answer 8

None unless from medication (change dosage)

Question 9

Second Degree Type 1/ Mobitz 1/Wenkebach

Answer 9

None unless from meds

Question 10

Second degree Type 2/ Mobitz 2

Answer 10

Immediate relief given by atriopine or pacemaker

Question 11

Third degree heart block

Answer 11

Pacemaker, need to assess pt.

Question 12

Premature Venticular Contraction

Answer 12

Depends on the cause, frequency, severity of Sx

can progress into V tach or V Fib

Question 13

Ventricular Tachycardia

Answer 13

• Asymptomatic: Check leads and pulse (if fast get help)
• Symptomatic: Holding chest, lightheaded, syncope, weak rapid pulse
• Pulseless V Tach: Feel no pulse (means no CO, SV); GET HELP
• Tx: Anti-arrhythmic drugs or oral drugs, ACLS meds, defibrillation if pulseless

Can progress to V Fib

Question 14

Ventricular Fibrillation

Answer 14

• CPR/AED
• Supplemental O2
• Inject anti-arrythmic drugs
• Defibrillation