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PVC
PREMATURE VENTRICULAR CONTRACTIONS
| Term | Definition |
|---|---|
| RATE OF PVC? | VARIABLE |
| RHYTHM? | IRREGULAR WITH PVC INTERRUPTING UNDERLYING RHYTHM, FOLLOWED BY A COMPENSATORY PAUSE |
| DESCRIBE THE P: QRS? | NO P WAVE BEFORE THE PVC |
| PR INTERVAL? | ABSENT WITH PVC |
| QRS COMPLEX? | WIDE (>0.12SEC) AND BIZZARE IN APPEARANCE, DIFFERENCE FROM NORMAL QRS COMPLEX |
| WHEN WOULD YOU TREAT PVC?S | IF SYMPTOMATIC, OR IN THE PRESENCE OF SEVERE HEART DISEASE |
| FOR A CLIENT WITH PVC'S YOU WOULD ADVISE THE CLIENT AGAINST THE USE OF WHICH STIMULANTS? | CAFFINE, NICOTINE |
| WHICH CLASSES OF DRUGS WOULD YOU USE TO TREAT PVC'S? | BETA BLOCKERS OR ANTIDYSRHYTHMIC AGENTS |
| PREMATURE VENTRICULAR CONTRACTIONS ARE ALSO REFERRED TO AS ? | PREMATURE ECTOPIC VENTRICULAR BEATS |
| WHAT SPECIFICALLY DEFINES PVC'S? | ECTOPIC VENTRICULAR BEATS THAT OCCUR BEFORE THE NEXT EXPECTED BEAT OF THE UNDERLYING RHYTHM |
| AFTER THE ECTOPIC BEAT- WHAT OCCURS TO THE RHYTHM? | THERE IS A FULL COMPENSATORY PAUSE |
| FREQUENT, RECURRENT PVC'S MAY INDICATE A RISK OF ? | LETHAL DYSRHYTHMIA |
| WHAT THINGS TRIGGER PVC'S? | 1.ANXIETY, STRESS, TOBACCO, ALCOHOL, CAFFINE, HYPOXIA, ACIDOSIS, ELECTROLYTE IMBALANCES, CORONARY HEART DISEASE, HEART FAILURE, MECHANICAL STIMULATION OF THE HEART OR AFTER RE-PERFUSION POST FIBRINOLYTIC THERAPY |
| WHEN IS THE INCIDENCE AND SIGNIFICANCE OF PVC'S THE GREATEST? | POST MI |
| TWO PVC'S IN A ROW ARE CALLED? | COUPLET OR PAIRED PVC'S |
| THREE CONSECUTIVE PVC'S ARE CALLED? AKA? | TRIPLET OR SALVO AKA SHORT RUN OF V-TACH |
| WHAT IS VENTRICULAR BIGEMINY? | PVC FOLLOWING EACH NORMAL BEAT |
| A PVC NOTED EACH THIRD BEAT IS CALLED? | VENTRICULAR TRIGEMINY |
| YOUR CLIENT HAS PVC'S WHAT WOULD BE THE WARNING SIGNS FOR THIS PATIENT WITH ACUTE HEART DISEASE ( IE ACUTE MI)? | 1. PVC'S THAT DEVELOP WITHIN THE FIRST 4 HOURS OF AN MI 2. FREQUENT PVC'S SIX OR MORE/MIN 3. COUPLETS OR TRIPLETS 4. MULTIFOCAL PVC'S 5. RUN ON T PHENOMENON ( PVC'S FALLING ON THE T WAVE. |