Show:
Supraventricular
Ventricular
Blocks
Algorhythm Names
ACLS potpouri
100
Irregularly irregular
What is Atrial Fibrillation
100
HR greater than 100 with a regular wide QRS complex of same size and uniformity
What is Monomorphic Ventricular Tachycardia
100
Consistant PR interval greater than 0.20 msec
What is First degree AV block
100
1. Establish unresponsiveness 2. Call for help 3. Start compression first CPR 4. Verify in two leads 5. Epinephrine IV every 3 minutes 6. Consider the causes
What is the Asystole/PEA algorhythm
100
The rigidness that occurs in the body typically a few hours after death at normal envirnomental temperatures
What is Rigor Mortis
200
A regular HR greater than 100 and 1 p wave per QRS
What is Sinus Tachycardia
200
Regular wide QRS complex with HR less than 40 without any p waves
What is a Ventricular Rhythm
200
PR interval gradually widens until a QRS complex is dropped. R to R interval shortens until a QRS is dropped.
What is 2nd degree type 1 AV block. (Wenkebach) (Mobitz type 1)
200
1. Establish unresponsiveness 2. Call for help 3. Start compression first CPR 4. Defibrillate at 200 joules 5. Resume compression first CPR for 2 min. 6. Defibrillate at 360 joules 7. Vasopressin 40 units IV or 1 mg epinephrine every 3 min 8. Resume compression first CPR for two min 9. Defibrillate at 360 joules 10. Amiodarone 300 mg IV push 11. Resume compression first CPR for two min Defibrillate 360 joules Amiodarone 150 mg IV push Compression first CPR 2 min
What is the VFib/Pulseless VTach algorhythm
200
A theraputic intervention on patients that qualify after cardiac arrest that can double the chances of survival and significantly improve chances of discharge neurolgically intact
What is Therapeutic Hypothermia
300
With a HR greater than 100 it displays at least 3 different shaped p waves
What is Mixed Atrial Tachycardia (MAT)
300
Wide QRS complex with HR greater than 100 with changing QRS amplitude (Height)
What is Polymorphic Ventricular Tachycardia
300
Consistent PR interval with a consistent p wave but occasional dropped QRS complex.
What is 2nd degree type 2 AV block. (Mobitz type 2)
300
1. Assess patient 2. Determine if symptoms are coming from rhythm 3. Atropine 0.5 to 1 mg IV every 3 min. max 3-4 mg 4. consider equally: Dopamine gtt, Epinephrine gtt, Transcutaneous pacing
What is the Bradycardia algorhythm
300
Measuring this allows you to: Confirm placement for intubation, Determine quickly ROSC (return of spontaneous circulation), Determine if CPR is effective (ETCO2 > 10) Normal ranges are 35 - 45
What is monitoring PETCO2, Continous Capnography, expiratory capnography, or Quanitative waveform capnography
400
Displays a varible conduction of typically 2, 3, or 4 p waves to each QRS complex
What is Atrial Flutter
400
Unorganized small coarse to fine waves that do not generate a pulse
What is Ventricular Fibrillation
400
No relationship between p waves and QRS complexes. Typically has a regular wide complex QRS with hr less than 40.
What is 3rd degree AV block
400
1. Assess patient 2. Determine if symptoms are coming from arrythmia 3. Inform patient of pending syncronized cardioversion 4. Consider sedation 5. Syncronized cardioversion @ 100 joules - If necessary then Syncronized cardioversion @ 200 joules - If necessary then Syncronzed cardioversion @ 300 joules
What is the Unstable Tachycardia algorhythm
400
Prompt high quality CPR without pausing > 10 seconds, Prompt Defibrillation, and Therapeutic Hypothermia
What are the only interventions that have proven to increase chances of survival to discharge after cardiac arrest
500
HR typically 150 to 200 with a narrow QRS complex that starts and stops on its own
What is Paroxismal Supraventricular Tachycardia (PSVT)
500
Regular wide QRS complex with HR 60 to 100 and no p waves present
What is Accelerated Idioventricular Rhythm
500
This causes a widening of the QRS complex to greater than 0.12 msec but does not cause a dropped beat and the p wave and QRS maintain a 1 to 1 relationship
What is a Bundle Branch Block
500
1. Assess patient 2. Determine patient is stable - O2, IV, Monitor 3. Attempt vagal maneuvers 4. Adenosine IV 6mg, then 12mg, then 12mg 5. Attempt to control HR with medicine: Cardizem 15 mg IV 6. Set up for synchronied cardioversion @ 100 joules
What is Stable Narrow complex tachycardia algorhythm
500
Defibrillation within 3 minutes of witnessed cardiac arrest
What is the AHA goal for defibrillation of in-hospital patients