What does a normal sinus rhythm entail?
Normal Sinus
Rate= 60-100 bpm
Regular rhythm
P wave before QRS
P wave upright and uniform
PR interval < or = 0.20
QRS < or = 0.12
What does premature atrial contraction entail?
A common type of irregular heartbeat that occurs when the atria, the upper chambers of the heart, contract before they should.
Usually idiopathic in nature and require no treatment.
What do PVCs entail?
Treatment:
Lifestyle changes, beta-blockers, etc.
What does first degree heart block entail?
PR interval is long, but consistently long.
Treatment for this is not usually needed.
What does sinus bradycardia entail?
Sinus Bradycardia
Rate < 60 bpm
Regular rhythm
P wave before QRS
P wave upright and uniform
PR interval < or = 0.20
QRS < or = 0.12
Treatment
Avoid parasympathetic stim
EX: coughing, gagging, etc.
Atropine
Pacemaker
What does A-flutter entail?
Treatment:
Diltiazem
Amiodarone
Try to get back into regular rhythm
Digoxin
Anticoagulation
Cardioversion
Surgical ablation
What does V-tach entail?
Ventricular tachycardia treatment may include medicines, procedures and devices to control or reset the heart rhythm, and heart surgery.
What does 2nd degree AV Block type 1 entail?
Treatment: A temporary or permanent pacemaker may be place, medication usage also will be looked at.
What does sinus tachycardia entail?
Sinus Tachycardia
Rate > 100 bpm
Regular rhythm
P wave before QRS
P wave upright and uniform
PR interval < or = 0.20
QRS < or = 0.12
Treatment
Correction of underlying problem
What does A-fib entail?
Treatment:
Diltiazem
Amiodarone
Try to get back into regular rhythm
Digoxin
Anticoagulation
Cardioversion
Surgical ablation
What does V-fib entail?
Treatment:
CPR (cardiopulmonary resuscitation), Defibrillation, Medicines, Implantable cardioverter defibrillator (ICD), Catheter ablation, Left cardiac sympathetic denervation.
What does 2nd degree AV Block type 2 entail?
P wave for every QRS, but not a QRS for every p wave.
Treatment: Immediate transcutaneous pacing or transvenous pacing.
Comes from above the ventricles
Treatment
Vagal stimulation
Correct underlying problem: stress, drugs
Diltiazem
Adenosine
Digitalis
Amiodarone
Synchronized cardioversion
Biggest thing= VAC
Vagal stimulation, adenosine, cardioversion
What does Asystole entail?
Treatment:
Check patient/leads
CPR
Airway/IV
Epi
Atropine
Same treatment as pulseless electrical activity
PATCH(4) MDS
Pulmonary embolis
Acidosis
Tension pneumo
Cardiac tamponade
Hyperkalemia
Hypokalemia
Hypovolemia
Hypoxia
Myocardial Infarct
Drugs
Shivering
What does 3rd degree heart block entail?
Treatment: NO lidocaine, treatment is usually a pacemaker
What does PEA entail?
Have a rhythm but no pulse.
Treatment: CPR and ACLS protocol