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Crit. Care EKG
analysis and tx
29
Nursing
Undergraduate 4
02/27/2012

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Cards

Term
Sx hypocalemia
Definition

prolonged QT int.

T wave flattened & inverted

Term
Sx hypercalemia
Definition
shortened QT int.
Term
Sx hypokalemia
Definition

T wave inverted or flattened

U wave (early sign)

ST depression

Term
Sx Hyperkalemia
Definition

peaked T wave

P wave flat and wide

PR prolongs

QRS widens

Term
Accelerated Idioventricular rhythm Tx
Definition
atropine, atrial pacing
Term
V Fib Tx
Definition
CPR and defribiliation, ICD
Term
Asystole tx
Definition
CPR/ACLS
Term
Idioventricular Rhythm Tx
Definition
atropine 0.5-1mg IVP, pacer
Term
Torsades Des Pointes Tx
Definition
spontaneous termination, cardioversion, defibrillation, overdrive pacing
Term
V Tach Tx
Definition
lidocaine, procanamide, synchr cardioversion, ICD
Term
Premature V Contractions Tx
Definition

-lidocain bolus (0.5-1.5mg/kg) every 5-10 min IVP & drip 2-4 mg/min

-amioderone 360mg IV over 6 hr & drip 540 mg over 18 hr

-procanamide (VT/VF) 50mg/min IV drip

-O2, bedrest, anti-anxiety meds

Term
PVC
Definition
sx of CAD, low K, mechanical irriations, increast catecholamines
Term
PVC Tx
Definition
lidocain, procanamide, quinidine
Term
3 degree heart block tx
Definition
O2, bedrest, anxious, atropine 0.5-1 mg at bedside, pacer
Term
2nd degree Heart block (mobitz II) tx
Definition

pacer, meds check Dig and lytes

 

*cause-ant. wall MI

Term
2nd degree heart block (mobitz 1 wenckebach) tx
Definition

temp pacer, check dig and lytes

 

Term
1st degree heart block tx
Definition
check dig and K
Term
Sx Junctional dysrhthmias
Definition
cause: ischemia, infarction, caffine, heart disease
Term
SVT tx
Definition

vagal manuver, valsalva, carotid massage, adenosine, cardioversion, overdrive pacing, abalation; meds: IV adenosine, IV lopressor, IV Ca Channel blocker, IV procanamide

*causes: caffeine, conduction defect, low BP, dyspnea

Term
A Fib Tx
Definition

meds: quinidine, flecanide, sotolol, beta and Ca channel blocker; cardioversion, ablaion, pacer, ICD

 

*causes: CAD, CM, HTN, cogenital defects

Term
A Flut tx
Definition

meds: quinidine, flecanide, sotolol, beta and Ca channel blocker; cardioversion, ablaion, pacer, ICD

 

*Causes: heart/valve diseas, CAD, Cor pulmonale

Term
Atrial Tach Tx
Definition

calm pt, O2, elevate HOB, spontaneous, valsalva, carotid massage; Meds: adenosine (6/12/12 mg) rapid IVP, pronestyl IV bolus & drip, dig, quinidine, inderal, verapamil

 

*Causes: atrial injury, hypothermia, dig toxic, pericarditis, ischemia

Term
PAC tx
Definition

observation, underlying condition, dig, inderal

 

*causes: emotions, EtOH, caffeine, HF, meds, low K & MG, rheumatic HD, pericarditis, ischemic HD, hypothermia

Term
Sinus arrest tx
Definition
CPR
Term
Sinus exit block tx
Definition
none, check dig
Term
sick sinus syndrome tx
Definition
pacer with very slow rates
Term
sinus tach tx
Definition

underlying condition (keep calm, rest, decrease temp and pain); Meds: anti-anxiety, dig, inderal, diuretics); O2

 

*causes- pain, fever, shock, stimulatns, anemia, hyperthyroidism

Term
sinus bradycardia tx
Definition

pacer, meds: atropine, isoprotenerol

 

 

Term
Sinus Arrythmia Tx
Definition

none

 

*causes- low hr, increased vagal tone

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