Exam 2- Heart rhythyms Flashcards
(23 cards)
Junctional Rhythm
p-wave absent or inverted
treatment of junctional rhythm
atropine
epi
dopamine
Supraventricular tachycardia
fast rate (close to 200)
Supraventricular tachycardia treatment
emergent cardioversion
will sometimes come out of it on own
increased fluids
adenosine
treatment of PVC
beta blocker
holter monitor
V-Tach
tombstone
no regular QRS
increased HR
DEADLY
treatment of V-tach
pulseless- CPR, ACLS, intubation, Epi, Vasopressin, amidarone
pulse- O2, amiodarone, cardioversion
V-Fib
squiggly line
no rate
treatment of V-fib
Epi
lidocane
CPR
O2
Defib
intubation
Idioventricular/ ventricular escape
no p wave
wide and bizarre QRS complex
highest rate 40
Treatment of idioventricular
DEADLY
emergent pacing
PAC
extra heart beat otherwise normal
Afib
no p wave
squiggly line between QRS complexes
irregular
treatment of Afib
O2, betablockers (-lol), calcium channel blockers (-pine)
cardioversion if unstable
Atrial Flutter
saw tooth
regular rhythm
wavy line between QRS complexes
treatment of atrial flutter
calcium channel blockers
anticoagulants
amiodarone
1st Degree Heart block
p’s far from R’s
Second-degree type 1
PR interval gets longer and longer
Second-degree type 2
multiple QRS missing
third degree block
more p’s than QRS
5 Steps in EKG
P waves: present or not
Regular/ irregular rhythm
PR interval
QRS complex
Rate
PR interval
3-5 mini boxes
0.12- 0.20 sec
QRS complex
less than 3 mini boxes
<0.12
