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H353 ecg's
signs, symptoms, causes, treatment
60
Nursing
Undergraduate 3
09/10/2012

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Cards

Term
sinus bradycardia(signs and symptoms)
Definition
asymptomatic or syncope,dizziness,weakness,confusion,hypotension,diaphoresis(excessive sweating,shortness of breath,chest pain
Term
sinus bradycardia (causes)
Definition
normal in athletes, carotid sinus massage,valsalva maneuver, hypothermia, admin of parasympathomimetic drugs,vomiting,suctioning,ocular pressure,pain
Term
sinus bradycardia (treatment)
Definition
admin or atropine(anticholinergic),increase IV volume via fluids, apply O2,or pacemaker therapy
Term
Sinus Tachycardia (signs and symptoms)
Definition
fatigue,weakness,SOB,orthopnea,decreased O2 sat,decreased BP,anxiety,restlessness
Term
Sinus Tachycardia (causes)
Definition
anxiety, pain,stress,fear,fever,anemia,hypoxemia,hyperthyroidism,pulmonary embolism;stimulants(epinephrine,atropine,caffeine,etc)exercise,hypotension,hypovolemia,hypoglycemia,MI,HF
Term
Sinus Tachycardia (treatment)
Definition
based on underlying cause (i.e. treat pain)
Term
Sinus Dysrhythmia (signs and symptoms)
Definition
generally no symptoms
Term
Sinus Dysrhythmia (causes)
Definition
heart rate cycles with breathing
Term
Sinus Dysrhythmia (treatment)
Definition
not treatment necessary
Term
Atrial Fibrillation (signs and symptoms)
Definition
fatigue,weakness,SOB,dizziness,anxiety,suncope,palpitations,chest discomfort,pain,hypotension
Term
Atrial Fibrillation (causes)
Definition
HTN,HF,CAD,previous ischemic stroke or attack,rheumatic heart disease,cardiomyopathy, pericarditis,cardiac surgery,electrolyte disturbances,stress,thyrotoxicosis,EtOH,caffiene
Term
Atrial Fibrillation (treatment)
Definition
antidysrhythmic drugs (calcium blockers,beta blockers,anticoagulants, cardioversion or ablation if drugs do not work
Term
Atrial Flutter (signs and symptoms)
Definition
palpitations, SOB,chest pains,lightheadedness,dizziness,nausea,maybe nervousness or feelings of impending doom
Term
Atrial Flutter (causes)
Definition
CAD,HTN, mitral valve disorders, pulm embolus,chronic lung disease, cor pulmonale, cardiomyopathy, hyperthyroidism, use of drugs(digoxin, quinidine, epinephrine)
Term
Atrial Flutter (treatment)
Definition
anticoagulation or anti-platelet, antidysrhythmic drugs(calcium blockers, beta blockers, anticoagulants) cardoversion or ablation if drugs dont work
Term
Premature Atrial Contraction (signs and symptoms)
Definition
usually none except for palpitations
Term
Premature Atrial Contraction (causes)
Definition
emotional stress of physical fatigue, use of caffeine, tobacco, alcohol; hypoxia, electrolyte imbalances, hyperthyroidism, COPD, HD, CAD, valvular disease
Term
Premature Atrial Contraction (treatment)
Definition
depends on cause(eliminate substances), antidysrhythmic drugs, none needed except to treat HF
Term
Junctional Rhythm (signs and symptoms)
Definition
palpitations, fatigue, poor exercise tolerance, dyspnea, presyncope
Term
Junctional Rhythm (causes)
Definition
digoxin toxicity, inflammation, ischemia of AV node
Term
Junctional Rhythm (treatment)
Definition
hold digoxin, observe is asymptomatic
Term
Accelerated Junctional (signs and symptoms)
Definition
palpitations, fatigue, poor exercise tolerance, dyspnea, presyncope
Term
Accelerated Junctional (causes)
Definition
digoxin toxicity, inflammation, ischemia of AV node
Term
Accelerated Junctional (treatment)
Definition
hold digoxin, observe if asymptomatic
Term
Junctional Tachycardia (signs and symptoms)
Definition
palpitations, anxiety
Term
Junctional Tachycardia (causes)
Definition
conduction system disease, CAD, digitalis toxicity
Term
Junctional Tachycardia (treatment)
Definition
beta blockers, calcium channel blockers, adenosine, vagal manuvers
Term
Premature Junctional Tachycardia (signs and symptoms)
Definition
normal variant, hypoxia, ischemia or insult to AV node, electrolyte disturbances, HF, inferior wall MI
Term
Premature Junctional Tachycardia (causes)
Definition
usually asymptomatic
Term
Premature Junctional Tachycardia (treatment)
Definition
decrease stimulants but usually no treatment
Term
First Degree AV Block (signs and symptoms)
Definition
usually asymptomatic
Term
First Degree AV Block (causes)
Definition
AV nodal disease, myocarditis, electrolyte disturbances, medications
Term
First Degree AV Block (treatment)
Definition
correct electrolyte imbalances, withhold causation meds
Term
Second Degree AV Block Type I (signs and symptoms)
Definition
fainting, dizziness, lightheadedness, fatigue, SOB, chest pain
Term
Second Degree AV Block Type I (causes)
Definition
congenital, damage from MI, CAD, myocarditis, HF, rheumatic fever, cardiomyopathy, certain meds
Term
Second Degree AV Block Type I (treatment)
Definition
maybe pacemaker
Term
Second Degree AV Block Type II (signs and symptoms)
Definition
fainting, dizziness, lightheadedness, fatigue, SOB, chest pain
Term
Second Degree AV Block Type II (causes)
Definition
congenital, damage from MI, CAD, myocarditis, HF, rheumatic fever, cardiomyopathy, certain meds
Term
Second Degree AV Block Type II (treatment)
Definition
maybe pacemaker
Term
Third Degree AV Block (signs and sumptoms)
Definition
fainting, dizziness, lightheadedness, fatigue, SOB, chest pain
Term
Third Degree AV Block (causes)
Definition
congenital, damage from MI, CAD, myocarditis, HF, rheumatic fever, cardio myopathy, certain meds
Term
Third Degree AV Block (treatment)
Definition
pacemaker
Term
Idioventricular Rhythm (signs and symptoms)
Definition
hypotension, cool clammy skin, dizziness, syncope, chest pain, SOB
Term
Idioventricular Rhythm (causes)
Definition
myocarditis, digoxin toxicity, buerger disease, congenital heart disease, electrolyte abnormality
Term
Idioventricular Rhythm (treatment)
Definition
ventricular pacing, drug therapy
Term
Ventricular Tachycardia (signs and symptoms)
Definition
angina, fainting, lightheadedness,dizziness, palpitations, SOB
Term
Ventricular Tachycardia (causes)
Definition
MI, CAD, significant electrolyte imbalances, cardiomyopathy, mitral valve prolapse, long QT syndrome, digitalis toxicity, central nervous system disorder
Term
Ventricular Tachycardia (treatment)
Definition
underlying causes must be identified and treated
Term
Torsades de Pointes (signs and symptoms)
Definition
extreme dizziness
Term
Torsades de Pointes (causes)
Definition
diarrhea, hypokalemia, hypomagnesemia drug interactions
Term
Torsades de Pointes (treatment)
Definition
holding the drug causing it, electrical therapy
Term
Ventricular Fibrillation (signs and symptoms)
Definition
unresponsiveness, pulseless, apneic state
Term
Ventricular Fibrillation (causes)
Definition
CAD, MI, hypokalemia, hypomagnesemia, hemorrhage, antidysrhythmic therapy, rapid SVT, shock, myocardial ischemia
Term
Ventricular Fibrillation (treatment)
Definition
immediate initiation of CPR, ACLS measure with defibrillation and definitive drug therapy
Term
Premature Ventricular Contraction (signs and symptoms)
Definition
asymptomatic or palpitations, chest discomfort, peripheral pulses may be diminished or absent
Term
Premature Ventricular Contraction (causes)
Definition
stimulants(caffeine, alcohol, nicotine, aminophylline, epinephrine, isoproterenol, digoxin)elecrolyte imbalances, hypoxia, fever, exercise, emotional stress, MI, mitral valve prolapse, HF, CAD
Term
Premature Ventricular Contraction (treatment)
Definition
based on cause (O2 for hypoxia) B-adrenergic blockers, procainamide, amiodarone, lidocaine
Term
Paroxysmal Supraventricular Tachycardia (PSVT) (signs and symptoms)
Definition
hypotension, dyspnea, angina
Term
Paroxysmal Supraventricular Tachycardia (PSVT)(causes)
Definition
emotional stress, overexertion, deep inspiration, stimulants, rheumatic heart disease, digitalis toxicity, CAD, cor pulmonale
Term
Paroxysmal Supraventricular Tachycardia (PSVT)(treatment)
Definition
vagal stimulation and drug therapy
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