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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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Normal Sinus Rhythm (NSR)
HR: 60-100bpm Rhythm: Regular P wave: Normal PR interval: Normal QRS width: Normal
No Interventions!! |
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Asystole
No rate, rhythm, or waves
Interventions: CPR, O2, Epi, Amiodarone |
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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 |