The Electric Company
Plumbers United
Squiggle Town
Just keep breathing
Medication Central
100

This normal rhythm has a prolonged PR interval and is usually just monitored. 

What is a first degree AV block? *Caused by medication, cardiac ischemia, or medication

100
This blockage in the pulmonary arteries will cause difficulty breathing and tachycardia.

What is a pulmonary embolism? * caused by hypercoagulability or clot mobilization from lower extremity. 

100

 This repeated widened QRS complex prompts a very important first question.

What is "does the patient have a pulse?" vtach with a pulse is treated with antiarrhythmic and/or cardioversion. Pulseless VT is cardiac arrest with a first line treatment of CPR and defibrillation

100
This intervention is expected immediately upon the identification of symptoms that might be infectious. 

What are isolation precautions and personal protective equipment? 

100
This medication must be pushed fast with a fast flush and should be accompanied by a physician. 
What is adenosine? -causes slowing or pause in cardiac conduction- helpful in SVT as long as it doesn't cause cardiac arrest. 
200

This rhythm is characterized by disassociated P and QRS complexes.

What is 3rd degree heart block? *Caused by medication, cardiac ischemia, or medication

200
This type of acute coronary syndrome (ACS) will not cause ECG or troponin changes despite cardiac ischemia causing chest pain. 

What is unstable angina? **concerning because it precedes further ischemia 

200

This chaotic non-productive rhythm is not a candidate for defibrillation but requires immediate CPR.

What is asystole? -other treatments include: epi, electrolytes, bicarb
200

These type of precautions are appropriate for patients with the flu or mild covid.

What are droplet precautions?

200

This medication is helpful speeding up symptomatic bradycardic rhythms. 

What is atropine?
300

This rhythm is characterized by irregular QRS complexes and erratic or absent p waves. 

What is atrial fibrillation? 

300
This type of acute coronary syndrome is characterized by increased troponin but no ECG changes.

What is an NSTEMI? *this will be stabilized (anticoagulated and BP treated) before going to cathlab

300

This beautiful looking organized rhythm is not associated with a pulse.

What is pulseless electrical activity? -any rhythm that is not associated with a pulse is cardiac arrest and will degrade quickly. This is treated by CPR and epi (no shock)
300
This classification of TB is contagious and has symptoms. 

What is primary progressive or a symptomatic TB infection?

300

This calcium channel blocker is a go-to treatment for fast rhythms because it slows conduction through the AV node. 

What is diltiazem? -use with caution in patients with heart failure (can affect CO)

400
This rhythm is normal at baseline but demonstrates widened impulses from the ventricles.

What is NSR with premature ventricular contractions (PVC's). *Caused by ischemia or electrolytes.

400

This full blockage of a coronary artery will cause changes in the ST segment of the ECG.

What is an ST elevated myocardial infarction (STEMI) * there will be no delay in treatment of this emergency.

400

These saw-tooth appearing p waves are characteristic of patients with cardiac ischemia.

What is atrial flutter? Caused by M I, severe mitral valve disease, thyrotoxicosis (high thyroid hormone levels), and chronic obstructive pulmonary disease, (patients who have had cardiac surgery are prone to this). It is treated with medications such as beta blockers or antiarrhythmics

400
This medication is the first treatment for patients with a clot causing a VQ mismatch.

What is IV heparin? -for PE

400

this antiarrhythmic is toxic to the thyroid, liver, and lungs with a half life of 58 days.

What is amiodarone? Slows the cardiac action potential. Used in tachycardic dysrhythmias (afiv with RVR, vtach, vfib).

500
Ventricular beats alternate with normal beats for this strange looking rhythm.

What is bigeminy? *Concerning because of lack of perfusion.

500

This procedure will help restore circulation to the cardiac muscle in the case where multiple vessels are compromised or occluded in severe CAD.

What is a coronary artery bypass graft? *This may be scheduled or an emergency procedure 

500

These maneuvers are attempted to slow down an atrial rhythm that is too fast to interpret. 

What are vasovagal maneuvers? (cough, hold breath, bear down) can help slow down SVT to allow us to see what the underlying rhythm is/ know how to treat.
500

This is an indication for the placement of a chest tube. AND these are the items that must be at the bedside.

What is a pnumothorax? What are sterile water, cup, occlusive dressing, and new suction box?
500
This vasopressor is associate with vasoconstriction but can improve coronary circulation provided by coronary pulmonary resucitation.

What is epinephrine? Used in conjunction with CPR. 

M
e
n
u