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CC test 1
| Question | Answer |
|---|---|
| Rate is <60 | Sinus Bradycardia |
| Rate is 100-150 | Sinus Tachycardia |
| R-R & P-P irregular; Irregularity coincides with resp | Sinus Arrythmia |
| Lacks clearly defined p waves, R-R irregular, Rate can be controlled or uncontrolled | A Fib |
| Sawtooth atrial pattern, F waves or flutter waves, R-R regular or irregular, Rate depends | Atrial Flutter |
| Tx for A fib | Digoxin 6mg then another after 6 hours |
| 15-20% cardiac output is lost without using | SA Node |
| Rate >150m R-R regular, P wave for every QRS, P wave may be hidden in T wave, PRI & QRS normal | SVT |
| Rate >150, R-R regular, if you can see all your p waves | Atrial Tachycardia |
| Rate >150, R-R regular, if p waves get hidden in T wave | PSVT (Paroxysmal Supraventricular Tachycardia |
| Maintenance drug for SVT | Amiodarone |
| To reset SA node give this drug | Adenosine 6 mg lowest port, Flush 20 mg NS in next port. If returns try 12 mg. |
| 40-60 _________ Rhythm Impulse started in __________ | Junctional AV node |
| 60-100 ________________ | Accelerated Junctional |
| > 100 ________________ | Junctional Tachycardia |
| PRI <.12, QRS <.12 R-R & P-P regular, P waves may be present or hidden (inverted or hidden--not upright) | Junctional Rhythm; specific name depends on HR |
| Early beat-p wave hidden or inverted | Premature junctional |
| Precursor to A fib | PAC |
| Early beat coming from ventricles, no p wave with ectopic beat, NO PRI, QRS wide and bizarre, Weird V | PVC |
| PVCs same place in heart | unifocal |
| Rate 20-40, R-R regular, P wave absent, No PRI, QRS wide & bizarre, T wave directly opposite of last part of QRS complex | Idioventricular |
| Lethal Arrhythmias | V Fib, Pulseless V tachy, Asystole, Pulseless Electrical Activity (PEA) |
| Tx for V Fib | Defib |
| Wavy lines | V Fib |
| Ventricular rate 150-250 Very wavy | Pulseless V tach |
| Tx for V Tach | Check for a pulse, not present--defib, With a pulse cardioversion |
| Party streamer | Torsades de Pointes |
| Tx for Torsades | Magnesium |
| Straight line | Asystole |
| Tx for asystole | Check monitor could be fine V fib, Asystole: CPR, epi, and atropine |
| Electrical activity with no pulse | Pulseless Electrical activity |
| Tx for PEA | CPR, Give epi, only give atropine if slow rhythm, possible OD, pneumo |
| PRI > .2 | 1st degree AVB |
| IVCD QRS >.12 and constant | Bundle Branch Block |
| More ps than qs, PRI progressively lengthens until a QRS is dropped, QRS within normal range (one QRS dropped) | 2nd AVB Type I |
| More ps than qs, atrial rate reg, PRI on conducted beats will be fixed across strip, QRS usually <.12 (mult QRS dropped) | 2nd AVB Type II |
| P-P, R-R regular rates but different, more ps than qs, QRS >.12, PRI varies | 3rd AVB Complete HB |
Created by:
ldeaton
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