Rhythms
This life-threatening condition occurs when an organized electrical rhythm is present on the monitor, but the patient has no palpable pulse. Immediate CPR and identification of the underlying cause are required for treatment
What is pulseless electrical activity (PEA)
this medication is used as an adjunct to antihypertensive medications to control edema and some require electrolyte replacement
What are diuretics?
this inotropic agent increases contractility and is used in left ventricular failure to slow the heart rate
What is digoxin?
First line drug for symptomatic bradycardia
What is Atropine
0.5mg IV q3-5 minutes as needed for a total not to exceed 0.04mg/kg (total of 3mg)
A lactic acid greater than this value will require a repeat lactic acid in two hours
What is 2.0
What rhythm is described as irregularly irregular?
What is atrial fibrillation
this classification is often the first line of antihypertensive therapy because they have a cardioprotective effect preventing ventricular remodeling and slowing the progression of heart failure
What are ACE inhibitors?
The amount of blood pumped from the left ventricle is called what
What is ejection fraction
This is given every cardiac arrest as the first drug
What is Epinephrine
1mg q3-5 minutes
This is the reason that lactic acid elevates in sepsis.
What is tissue hypoperfusion
When you can see an organized rhythm but feel no pulse
What is PEA
A patient has a Mg level of 1.1. What arrhythmia are they at risk for?
What is torsades de pointes
this medication used in heart failure patients with hypertension requires the monitoring of the patient's pulse as well as the BP. Withhold for pulse<60 bpm
What are Beta Blockers? (lol's)
This drug is pushed rapidly over 1-3 seconds, first dose being 6mg followed by second dose 12mg if necessary
What is Adenosine
What is the best way RN's can affect sepsis mortality?
What is early recognition
What is atrial flutter
this classification of antihypertensive medication decreases the myocardial oxygen demand and the workload of the heart lowering the heart rate and are therefore contraindicated in the patient with AV heart block or bradyarrhythmias and require careful monitoring of the pulse. Hold med if HR<50
What are Beta Blockers?
this potassium sparing diuretic relieves edema and ascites that do not respond to usual diuretics
What is spironolactone?
What medication is recommended for a patient in refractory vfib
What is Amiodarone
300mg
What is vasopressors
Described as narrow complex, typically with a HR of 150 bpm or greater
What is SVT
this antihypertensive classification is also used in the prevention of angina because it dilates the coronary arteries and inhibits coronary artery spasm
What are Calcium Channel Blockers?
Name a vasodilator hormone and why it is measured in heart failure.
What is ANP or BNP? released from monocytes in the heart, increased volume in the heart (fluid) stimulates the release of these hormones that stimulate the kidneys to excrete more sodium and water
Mottled and cyanotic skin is a sign of what stage on shock?
What is refractory
What type of antibiotic is recommended with the onset of sepsis
What is broad spectrum antibiotics
Covering both gram positive and gram negative organisms