Ventricular Rhythms
Atrial Rhythms
Other rhythms
Code Blue
Misc.
100
What anti-arrhythmic medication (and dose) is used in the treatment of pulseless ventricular tachycardia?
Aminodarone 300 mg
100
You should follow each dose of IVP adenosine with what?
normal saline
100
What rhythm is demonstrated if the heart has lost all electrical activity?
Asystole
100
Identify two pulseless ventricular rhythms that may require defibrillation.
Ventricular tachycardia & ventricular fibrillation
100
On the ECG strip, a spike in front of the QRS complex would indicate which type of pacing?
Ventricular
200
Which class of medications block or reduce the movement of sodium ions into the cell?
Class I
Class II
Class III
Class IV
Class 1
200
What drug slows conduction through the AV node and slows the rate in paroxysmal SVT for rhythm determination?
Adenosine
200
An ECG strip that showed a regular atrial and ventricular rate, normal QRS and normal P waves with a PR interval greater than 0.20 seconds would be identified as what rhythm?
Sinus rhythm with 1st degree block
200
How often can epinephrine be administrated during a code blue for a pulseless rhythm?
every 3 - 5 minutes
200
Identify three possible side effects that may occur with nitroglycerine.
Headache, dizziness, hypotension, tachycardia
300
What drug is used for Torsade's de Pointes with hypomagnesaemia?
Magnesium sulfate
300
What class of antiarrhythmics do the following medications belong to: propranolol, metoprolol, atenolol, and sotalol?
Class II
300
The ECG monitor displays a normal appearing rhythm but when you assess the patient they are unresponsive and pulseless. What rhythm would this be?
Pulseless electrical activity (PEA)
300
Place the following interventions in the correct sequence for ventricular fibrillation:
initiate CPR
defibrillate
1 mg epinephrine IVP
Assess the patient
Assess, CPR, defib, and epi
300
What is the least invasive and the initial method of choice for a pacemaker?
Transcutaneous
400
Which class of drug is used to treat atrial and ventricular tachycardia or fibrillation?
Class III (Potassium)
400
Which drug is considered a cardiac glycoside and can increase contractility?
Digoxin
400
What rhythm is characterized by a conduction block between the atria and ventricles resulting in some non-conducted P waves (QRS complex drops) but fixed PR intervals when the P wave and QRS complex appear together?
2nd degree heart block type II
400
a 56 year old patient presents with a HR of 36, sinus bradycardia. Identify 4 signs/symptoms that would indicate the patient is symptomatic.
hypotension, altered mental status, chest pain, SOB, diaphoretic, pale, cool.
400
What pacemaker malfunction shows spikes on an ECG not followed by a P wave or QRS complex?
Failure to capture
500
You are working in the ED. You note a change in a patient's rhythm and rate at the nurses' station cardiac monitor system. Upon entering the room you verify pulseless VT. You and your colleagues begin high quality CPR. What is your initial action?
Shock
500
A patient with newly diagnosed atrial fibrillation is started on Amiodarone for rate control. What additional class of medication would the patient benefit from to avoid the formation of blood clots?
anit-coagulants
500
What type of block does the upper chambers of the heart are beating normally, but the electrical signals are not relayed from the upper chambers of the heart (atria) to the lower chambers (ventricles). No communication exists between the atrium and the ventricle.
3rd degree Heartblock
500
The algorithm for asystole and PEA call for the team lead to identify and explore the "6" H's & T's.
Identify 4 in each category.
hypovolemia, hypoxia, hydrogen ion, hypokalemia, hyperkalemia, hypoglycemia, hypothermia
thrombosis, thrombosis (PE), toxins, trauma, tension pneumothorax, and tamponade
500
What is Polly's favorite NFL team?
