Term
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Definition
Premature Ventricular Contractions
HR: Variable
Rhythm: Irregular
P wave: Absent before PVC
PR interval: N/A
QRS width: Wide and bizarre
Interventions: IV, O2, Monitor
-Usually not treated unless symptomatic
-If symptomatic = Amiodarone |
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Term
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Definition
Junctional Nodal Rhythm
HR: 40-60bpm
Rhythm: Regular
P waves: Inverted or absent
PR interval: Short or Absent
QRS width: Normal
Interventions: If hemodynamically stable = No tx
-If not stable, tx like sinus brady = Atropine
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Term
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Definition
3rd Degree Heart Block
HR: 20-40bpm
Rhythm: Regular
P waves: Normal
PR interval: Random
QRS width: Wide and bizarre >.12
Interventions: IV, O2, Monitor
-If stable = Monitor
-Unstable = Pacemaker, use atropine if actutely unstable |
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Term
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Definition
2nd Degree Heart Block (Type II)
HR: Normal
Rhythm: Irregular
P wave: Normal, may be more than QRS's
PR interval: Normal when present
QRS width: Normal when present
Interventions: IV, O2, Monitor
- Symptomatic = Atropine, Epi, Dopamine
- TCP |
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Term
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Definition
2nd Degree Heart Block (Type I)
HR: Variable
Rhythm: Irregular
P waves: Normal, may have more than QRS
PR interval: >.20 or absent with blocked beats
QRS width: Normal or absent with blocked beats
Interventions: IV, O2, Monitor
-Symptomatic = Atropine, Epi, Dopamine |
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Term
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Definition
1st Degree Heart Block
HR: 60-100bpm
Rhythm: Regular
P waves: Normal
PR interval: >.20
QRS width: Normal
Interventions: IV, O2, Monitor. No tx |
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Term
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Definition
Premature Junctional Contractions (PJC's)
HR: Variable
Rhythm: Irregular
P waves: Abnormal
PR interval: Short <.12
QRS width: Normal
Interventions: IV, O2, Monitor Treat cause |
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Term
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Definition
Ventricular Tachycardia (VT)
HR: >100bpm
Rhythm: Regular
P waves: Variable
PR interval: Absent
QRS width: >.10
Interventions: O2
-Pulseless = CPR, Epi, Vasopressin,
-Pulse = Amiodarone, Lidocaine, Cardioversion |
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Term
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Definition
Ventricular Fibrillation (VFib)
HR: >100bpm
Rhythm: Irregular
P waves: Absent
PR interval: Absent
QRS width: Absent
Interventions: CPR, O2, D-Fib, Epi, Vasopressin, Amiodarone |
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Term
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Definition
Atrial Fibrillation (AFib)
HR: Variable (Atrial >350bpm)
Rhythm: Irregular
P waves: Absent
PR interval: Absent
QRS width: Normal
Interventions: IV, O2, Monitor
-Unstable(Symptomatic) = Cardioversion, Dig, Cardizem, Amiodarone |
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Term
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Definition
Atrial Flutter (AFlutter)
HR: Variable
Rhythm: Regular
P wave: Flutter wave "Saw-tooth"
PR interval: Absent
QRS width: Normal
Interventions: IV, O2, Monitor
-Unsable(Symptomatic) = Cardioversion, Beta-Blockers (Inderal) |
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Term
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Definition
Supraventricular Tachycardia (SVT)
HR: 100-300bpm
Rhythm: Regular
P wave: Absent
PR interval: Absent
QRS width: Normal
Interventions: IV, O2, Monitor
-Adenosine, Amiodarone, Cardioversion (Use Versaid) |
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Term
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Definition
Sinus Bradycardia (SB)
HR: <60bpm
Rhythm: Regular
P wave: Normal
PR interval: Normal
QRS width: Normal
Interventions: Monitor
-Symptomatic = Atropine, Dopamine, Epinephrine, pacemaker |
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Term
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Definition
Sinus Tachycardia (ST)
HR: >100bpm
Rhythm: Regular
P wave: Normal
PR interval: Normal
QRS width: Normal
Interventions: Beta-blockers, Cardizem, Tx cause |
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Term
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Definition
Premature Atrial Contractions (PAC's)
HR: Variable
Rhythm: Irregular
P wave: Abnormal
PR interval: Variable...depends on P wave
QRS width: Normal
Interventions: Monitor |
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Term
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Definition
Normal Sinus Rhythm (NSR)
HR: 60-100bpm
Rhythm: Regular
P wave: Normal
PR interval: Normal
QRS width: Normal
No Interventions!! |
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Term
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Definition
Asystole
No rate, rhythm, or waves
Interventions: CPR, O2, Epi, Amiodarone |
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Term
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Definition
Pulseless Electrical Activity (PEA)
HR: Appears normal
Rhythm: Appears normal
P wave: Appears normal
PR interval: Appears normal
QRS width: Appears normal
Interventions: CPR, intubation, ACLS drugs
-Tx cause |
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