ge 1
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of 3310/13/2026,
1
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of 3310/13/2026,
1 of 3310/13/2026,
1:58:15
1:58:15
AMNSG4330
1:58:15
AMNSG4330
AMNSG4330
Week Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWU
NSG4330 Week 2: Dysrhythmias
NSG4330 Week 2: Dysrhythmias
Study online at https://quizlet.com/_fok5zz
1. What is a dysrhythmia? any disturbance or abnormality in the regular
rhythmic pattern
2. When do dysrhythmias occur? when the primary pacemaker (SA node) is not
working correctly and/or is overridden by a sec-
ondary stimuli
3. What are the nursing responsibilities as- preventing, recognizing, and facilitating the
sociated with dysrhythmias? treatment of abnormal cardiac rhythms
4. What is of priority with dysrhythmias? assessment of patient's hemodynamic re-
sponse + determination of the cause
5. What are brady dysrhythmias? < 60BPM
6. What are tachy dysrhytmias? > 100 BPM
7. What are irregular rhythms? Rhythms that lack a constant duration between
paced cycles; can be bradycardic or tachycardic
8. What is sinus bradycardia? the conduction pathway is the same as that in
sinus rhythm, but the SA node fires at a rate less
than 60 beats/minute
9. Who can tolerate bradycardia? athletes and those with a normal BP
10. What does bradycardia look like on an everything is normal, except that the HR is less
ECG? than 60BPM
11. What are the consequences of bradycar- decreased CO > impacts perfusion > hypoten-
dia? sion > tissue hypoxia and myocardial ischemia
(if their BP is not adequate)
ge 1
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of 3310/13/2026,
1
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of 3310/13/2026,
1Page 11:58:15
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AMNSG4330
AMNSG4330
1:58:15
WeekAMNSG4330
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week 2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWR
,ge 2
Page
of 3310/13/2026,
2
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of 3310/13/2026,
2 of 3310/13/2026,
1:58:15
1:58:15
AMNSG4330
1:58:15
AMNSG4330
AMNSG4330
Week Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWU
NSG4330 Week 2: Dysrhythmias
NSG4330 Week 2: Dysrhythmias
Study online at https://quizlet.com/_fok5zz
12. What are the signs of bradycardia? - Pale and cool skin, diminished pulses
- Weakness, angina
- Dizziness, syncope, confusion or disorienta-
tion
- Possible shortness of breath (breathing faster
to compensate for lack of oxygen)
13. What interventions are associated with - Stop medications that lower HR
bradycardia? - Flat in bed
- IV access for fluids
- Supplemental O2 (for SOB and perfusion is-
sues)
- Atropine Sulfate
- Pacemaker therapy may be required to keep
HR above 60BPM (if meds not working)
14. What is atropine sulfate? How is it ad- - drug used to treat bradycardia
ministered? - 0.5mg IV can be repeated every 3-5 mins
- max dose of 0.04mg/Kg
15. When administering atropine sulfate, - Monitor heart rate and rhythm
what should you be monitoring for? - Assess for chest pain, dry mouth and urinary
retention after administration
16. What outcome are we looking for out of Increased heart rate, skin warm, dry and WNL,
bradycardia treatment? cap refill < 3 seconds - reduction in pain/angina
17. Why should you be making the bed flat HOB up > heart has to work against more pres-
for those who are bradycardic? sure
Flat > eases pressure, easier for heart to beat
18.
ge 2
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of 3310/13/2026,
2
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of 3310/13/2026,
2Page 21:58:15
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AMNSG4330
AMNSG4330
1:58:15
WeekAMNSG4330
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week 2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWR
,ge 3
Page
of 3310/13/2026,
3
Page
of 3310/13/2026,
3 of 3310/13/2026,
1:58:15
1:58:15
AMNSG4330
1:58:15
AMNSG4330
AMNSG4330
Week Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWU
NSG4330 Week 2: Dysrhythmias
NSG4330 Week 2: Dysrhythmias
Study online at https://quizlet.com/_fok5zz
What are the types of pacing interven- - transcutaneous pacing
tions for bradycardia? - temporary pacing
- permanent pacemaker
19. When is transcutaneous pacing used? as a temporary emergent**** solution, when
meds are not resolving bradycardia or the pa-
tient is becoming hemodynamically unstable
20. What is transcutaneous pacing? Two large external electrodes are connected to
an external pulse generator - which emits an
electrical pulse through the skin to stimulate the
heart to contract ; rate is set to 60
21. What nursing responsibilities are asso- - Monitor patient's vital signs and for signs of
ciated with transcutaneous pacing? poor perfusion
- Consider: is it working? are they perfusing
well?
22. Why is transcutaneous pacing a tempo- its VERY painful
rary solution?
23. What do spikes on an ECG indicate? pacemaker is driving the rate
24. How can you ensure a patient's pulse do NOT use the ECG, check one of their central
when they are on transcutaneous pac- pulses
ing?
25. What is temporary pacing? How does it - The cardiologist will thread a pacing wire to
work? the heart by accessing the large veins (femoral,
subclavian or brachial), which will then be con-
nected to a generator; temporary
- The pulse generator sends an impulse along
the wire to the heart muscle (right atrium
ge 3
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of 3310/13/2026,
3
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of 3310/13/2026,
3Page 31:58:15
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1:58:15
AMNSG4330
AMNSG4330
1:58:15
WeekAMNSG4330
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week 2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWR
,ge 4
Page
of 3310/13/2026,
4
Page
of 3310/13/2026,
4 of 3310/13/2026,
1:58:15
1:58:15
AMNSG4330
1:58:15
AMNSG4330
AMNSG4330
Week Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWU
NSG4330 Week 2: Dysrhythmias
NSG4330 Week 2: Dysrhythmias
Study online at https://quizlet.com/_fok5zz
and/or right ventricle); the electricity travels
throughout the heart to charge the cells, caus-
ing the atrium and ventricles to contract. (de-
polarize).
26. What is a temporary pacemaker set to? however much energy it takes to keep them at
60BPM
27. How long can one be on a temporary 48-72 hours; more permanent than transcuta-
pacemaker? neous pacing
28. When is a temporary pacemaker re- they are weaned off when we think they can
moved? tolerate it
29. Is a temporary pacemaker painful? no
30. What nursing roles are associated with - ensure nobody messes with the generator, so
temporary pacemakers? that it stays at the rhythm and output set by the
physician
- watch perfusion
- VS
31. When are permanent pacemakers in patients with conduction disorders
used?
32. Where/how is a permanent pacemaker - The generator is placed in a subcutaneous
placed? pocket near the right or left subclavian site
- Leads follow the cephalic or subclavian veins
to the endocardium on the right side of the
heart
33. How does a permanent pacemaker - Pulse sent via leads to heart to stimulate cells
work? for depolarization
- Primarily demand based; senses the heart's
ge 4
Page
of 3310/13/2026,
4
Page
of 3310/13/2026,
4Page 41:58:15
of 3310/13/2026,
1:58:15
AMNSG4330
AMNSG4330
1:58:15
WeekAMNSG4330
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week 2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWR
Page
of 3310/13/2026,
1
Page
of 3310/13/2026,
1 of 3310/13/2026,
1:58:15
1:58:15
AMNSG4330
1:58:15
AMNSG4330
AMNSG4330
Week Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWU
NSG4330 Week 2: Dysrhythmias
NSG4330 Week 2: Dysrhythmias
Study online at https://quizlet.com/_fok5zz
1. What is a dysrhythmia? any disturbance or abnormality in the regular
rhythmic pattern
2. When do dysrhythmias occur? when the primary pacemaker (SA node) is not
working correctly and/or is overridden by a sec-
ondary stimuli
3. What are the nursing responsibilities as- preventing, recognizing, and facilitating the
sociated with dysrhythmias? treatment of abnormal cardiac rhythms
4. What is of priority with dysrhythmias? assessment of patient's hemodynamic re-
sponse + determination of the cause
5. What are brady dysrhythmias? < 60BPM
6. What are tachy dysrhytmias? > 100 BPM
7. What are irregular rhythms? Rhythms that lack a constant duration between
paced cycles; can be bradycardic or tachycardic
8. What is sinus bradycardia? the conduction pathway is the same as that in
sinus rhythm, but the SA node fires at a rate less
than 60 beats/minute
9. Who can tolerate bradycardia? athletes and those with a normal BP
10. What does bradycardia look like on an everything is normal, except that the HR is less
ECG? than 60BPM
11. What are the consequences of bradycar- decreased CO > impacts perfusion > hypoten-
dia? sion > tissue hypoxia and myocardial ischemia
(if their BP is not adequate)
ge 1
Page
of 3310/13/2026,
1
Page
of 3310/13/2026,
1Page 11:58:15
of 3310/13/2026,
1:58:15
AMNSG4330
AMNSG4330
1:58:15
WeekAMNSG4330
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week 2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWR
,ge 2
Page
of 3310/13/2026,
2
Page
of 3310/13/2026,
2 of 3310/13/2026,
1:58:15
1:58:15
AMNSG4330
1:58:15
AMNSG4330
AMNSG4330
Week Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWU
NSG4330 Week 2: Dysrhythmias
NSG4330 Week 2: Dysrhythmias
Study online at https://quizlet.com/_fok5zz
12. What are the signs of bradycardia? - Pale and cool skin, diminished pulses
- Weakness, angina
- Dizziness, syncope, confusion or disorienta-
tion
- Possible shortness of breath (breathing faster
to compensate for lack of oxygen)
13. What interventions are associated with - Stop medications that lower HR
bradycardia? - Flat in bed
- IV access for fluids
- Supplemental O2 (for SOB and perfusion is-
sues)
- Atropine Sulfate
- Pacemaker therapy may be required to keep
HR above 60BPM (if meds not working)
14. What is atropine sulfate? How is it ad- - drug used to treat bradycardia
ministered? - 0.5mg IV can be repeated every 3-5 mins
- max dose of 0.04mg/Kg
15. When administering atropine sulfate, - Monitor heart rate and rhythm
what should you be monitoring for? - Assess for chest pain, dry mouth and urinary
retention after administration
16. What outcome are we looking for out of Increased heart rate, skin warm, dry and WNL,
bradycardia treatment? cap refill < 3 seconds - reduction in pain/angina
17. Why should you be making the bed flat HOB up > heart has to work against more pres-
for those who are bradycardic? sure
Flat > eases pressure, easier for heart to beat
18.
ge 2
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of 3310/13/2026,
2
Page
of 3310/13/2026,
2Page 21:58:15
of 3310/13/2026,
1:58:15
AMNSG4330
AMNSG4330
1:58:15
WeekAMNSG4330
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week 2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWR
,ge 3
Page
of 3310/13/2026,
3
Page
of 3310/13/2026,
3 of 3310/13/2026,
1:58:15
1:58:15
AMNSG4330
1:58:15
AMNSG4330
AMNSG4330
Week Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWU
NSG4330 Week 2: Dysrhythmias
NSG4330 Week 2: Dysrhythmias
Study online at https://quizlet.com/_fok5zz
What are the types of pacing interven- - transcutaneous pacing
tions for bradycardia? - temporary pacing
- permanent pacemaker
19. When is transcutaneous pacing used? as a temporary emergent**** solution, when
meds are not resolving bradycardia or the pa-
tient is becoming hemodynamically unstable
20. What is transcutaneous pacing? Two large external electrodes are connected to
an external pulse generator - which emits an
electrical pulse through the skin to stimulate the
heart to contract ; rate is set to 60
21. What nursing responsibilities are asso- - Monitor patient's vital signs and for signs of
ciated with transcutaneous pacing? poor perfusion
- Consider: is it working? are they perfusing
well?
22. Why is transcutaneous pacing a tempo- its VERY painful
rary solution?
23. What do spikes on an ECG indicate? pacemaker is driving the rate
24. How can you ensure a patient's pulse do NOT use the ECG, check one of their central
when they are on transcutaneous pac- pulses
ing?
25. What is temporary pacing? How does it - The cardiologist will thread a pacing wire to
work? the heart by accessing the large veins (femoral,
subclavian or brachial), which will then be con-
nected to a generator; temporary
- The pulse generator sends an impulse along
the wire to the heart muscle (right atrium
ge 3
Page
of 3310/13/2026,
3
Page
of 3310/13/2026,
3Page 31:58:15
of 3310/13/2026,
1:58:15
AMNSG4330
AMNSG4330
1:58:15
WeekAMNSG4330
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week 2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWR
,ge 4
Page
of 3310/13/2026,
4
Page
of 3310/13/2026,
4 of 3310/13/2026,
1:58:15
1:58:15
AMNSG4330
1:58:15
AMNSG4330
AMNSG4330
Week Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWU
NSG4330 Week 2: Dysrhythmias
NSG4330 Week 2: Dysrhythmias
Study online at https://quizlet.com/_fok5zz
and/or right ventricle); the electricity travels
throughout the heart to charge the cells, caus-
ing the atrium and ventricles to contract. (de-
polarize).
26. What is a temporary pacemaker set to? however much energy it takes to keep them at
60BPM
27. How long can one be on a temporary 48-72 hours; more permanent than transcuta-
pacemaker? neous pacing
28. When is a temporary pacemaker re- they are weaned off when we think they can
moved? tolerate it
29. Is a temporary pacemaker painful? no
30. What nursing roles are associated with - ensure nobody messes with the generator, so
temporary pacemakers? that it stays at the rhythm and output set by the
physician
- watch perfusion
- VS
31. When are permanent pacemakers in patients with conduction disorders
used?
32. Where/how is a permanent pacemaker - The generator is placed in a subcutaneous
placed? pocket near the right or left subclavian site
- Leads follow the cephalic or subclavian veins
to the endocardium on the right side of the
heart
33. How does a permanent pacemaker - Pulse sent via leads to heart to stimulate cells
work? for depolarization
- Primarily demand based; senses the heart's
ge 4
Page
of 3310/13/2026,
4
Page
of 3310/13/2026,
4Page 41:58:15
of 3310/13/2026,
1:58:15
AMNSG4330
AMNSG4330
1:58:15
WeekAMNSG4330
Week
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
Week 2 Dysrhythmias(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
(&*$ **F
(&*$VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
**F VJyvhjbnoP+_IREOLKDJ(UWRORWUOI
(&*$ **F VJyvhjbnoP+_IREOLKDJ(UWR
