Show:
Sinus Rhythms
Atrial Rhythms
Ventricular Rhythms
Heart Block
100

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

100

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.

100

What do PVCs entail?

Treatment:

Lifestyle changes, beta-blockers, etc.


100

What does first degree heart block entail?

PR interval is long, but consistently long.

Treatment for this is not usually needed. 

200

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

200

What does A-flutter entail?

Treatment:

  1. Diltiazem

  2. Amiodarone

    • Try to get back into regular rhythm

  3. Digoxin

  4. Anticoagulation

  5. Cardioversion

  6. Surgical ablation

200

What does V-tach entail?

Ventricular tachycardia treatment may include medicines, procedures and devices to control or reset the heart rhythm, and heart surgery.

200

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.

300

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

300

What does A-fib entail?

Treatment:

  1. Diltiazem

  2. Amiodarone

    • Try to get back into regular rhythm

  3. Digoxin

  4. Anticoagulation

  5. Cardioversion

  6. Surgical ablation

300

What does V-fib entail?

Treatment:

CPR (cardiopulmonary resuscitation), Defibrillation, Medicines, Implantable cardioverter defibrillator (ICD), Catheter ablation, Left cardiac sympathetic denervation.



300

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.

400
What does supraventricular tachycardia entail?

  1. Comes from above the ventricles

  2. Treatment

    • Vagal stimulation

    • Correct underlying problem: stress, drugs

    • Diltiazem

    • Adenosine

    • Digitalis

    • Amiodarone

    • Synchronized cardioversion

    • Biggest thing= VAC

      • Vagal stimulation, adenosine, cardioversion

400

What does Asystole entail?

  1. 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

400

What does 3rd degree heart block entail?

Treatment: NO lidocaine, treatment is usually a pacemaker

500

What does PEA entail?

Have a rhythm but no pulse.

Treatment: CPR and ACLS protocol