FCC Cardio #1 Word Scramble
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| Question | Answer |
| A-fib | absent P, QRS normal; meds are amiodarone, diltiazem, ibutilde, verapamil, hepariv, maybe cardioversion, watch for clots |
| A-flutter | sawtoothe P wave, PR interval not measuable, QRS duration normal, T wave not identifiable, treatment: diltiazem, amiodarone, propranolol, esmolol, ibutilide, Dig, cardioversion |
| V-fib | atrial rythm not determined, vent. no pattern, no p, can'd determine PR interval, QRS not determinedShock em! CPR, meds: vasopressin, epinephrine, amiodarone, magnesium |
| V-tach | atrial rythm cant be determined, vent. rapid (100 - 250 bpm), no P, PR interval not measurable, QRS bizarre, tx: lidocaine, procainamide bolus, amiodarone, magnesium, if unstable synchronized cardioversion, no pulse - shock em |
| ASYSTOLE | no discernible activity, CPR, epinephrine, atropine, pacemaker |
| Bradycardia | no tx, or atropine, pacemaker |
| Tachycardia | corrct underlying problem, beta adrenergic blockade |
| Epiniphrine | MI, V-fib, v-tach, asystole, bradycardia |
| Amiodarone | V-tach, svt, afib, v-fib |
| Right sided HF | edema, jugular vein distention, wt. gain |
| left sided failure | dyspnea, cough, tachycardia, fatigue, weakness, crackles |
| Digoxin Levels | 0.5 - 1.1, toxic over 2 |
| Nitro | every 5 min. x 3 |
| Amiadarone & Lidocaine | slows HR |
| Atropine | increases HR |
| sick sinus syndrome | irregular rythem, alternating rate, P wave varies with rythm, PR interval wnl, QRS wnl, T normal, |
| Cardiogenic shock | Increase HR, Resp, PAP and PAWP; decreased systolic pressure, urine, pulse pressure, O2 sat; cyanosis, metabolic acidosis, cool clammy skin, pulse weak and thready, tx; dopamine, phenylephrine, dobutamin, IABP, heparin |
| Hypovolemic shock | increased HR, Resp, urine specific gravity, K+, creatinine and BUN, decreased: pulse pressure, urine, B/P, CVP, PAP, PAWP, hgB and Hct; cyanosis, metabolic acidosis, cool clammy skin, pulse is weak and thready; tx: replace fluid/blood, O2, dopamine, |
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