Medication for SVT
Adenosine
Initial intervention for SVT
"Bear down"
An irregularly regular rhythm
AFIB
What does the nurse say before initiating defibrillation?
CLEAR
For any cardiac dysthymia, what is the key indicator of hemodynamic instability?
HYPOTENSION!
Torsades de points - first medication intervention
Magnesium sulfate
Asystole initial intervention
CPR
Originates from the atrium, early beats
Premature Atrial Contractions (PACs)
Resource used for pediatric codes
Broselow tape
Name 3 causes of sinus tachycardia
Fever, dehydration, anxiety, etc.
Initial medication for asystole
Epinephrine
What is the priority intervention?
Provide oxygen support
Premature Ventricular Contraction (PVCs)
A patient who is normotensive and stable is having a cardioversion.
What type of medications (drug classes) does the nurse expect to give prior to the procedure?
Name two
Sedatives, Narcotics, Hypnotics, Anesthetics
A patient is having intermittent PVCs of unknown cause at this time. What priority labs should the nurse obtain?
What is the interval for epinephrine administration during asystole?
Every 3-5 minutes
A patient in sinus bradycardia has begun to become hypotensive, dizzy, and diaphoretic. Causes are being brainstormed and eliminated.
What is the next best intervention?
External Pacing
VFIB
While cardioverting a patient, what setting on the defibrillator should be initiated?
SYNC
From which point on an EKG does the nurse begin measurement of the ST segment?
Medication for AFIB with an elevated HR and normal BP.
amiodarone
Defibrillation
HR > 150
Normal QRS
Supraventricular Tachycardia
What might happen to a patient who is cardioverted without the 'sync' setting.
It may shock them during depolarization (R on T) and put them in VTACH, VFIB.
What wave on the EKG does the cardioversion setting sync to?
R