Heart Rhythms
A flutter interpretation
saw tooth
f waves
A flutter Signs and Symptoms
decreased co; tired, sob, flushed, cool to touch, palpitations
A flutter interventions
Ca channel blockers, warfarin, beta-blockers
A-Fib interpretation
quivering
no p wave
loss of atrial kick= decreased CO BY 25%
Afib signs and symptoms
jittery, anxious, tired, flutter in my chest, confused, disoriented
Afib interventions
beta-blockers, ca channel blockers, heparin
V Fib interpretation
Rapid incoordinate, unpredictable, chaotic quivering of ventricles
Fine vs course
Acid base
Vfib s/s
Hypoxemia, pt looks dead, no pulse or respirations
V fib interventions
Asses patient,
No Pulse? CPR and early defibrillation
ALM; amiodarone, lidocaine, magnesium
Epi 1 mg IV every 3-5 minutes
v-tach interpretation
Irregular
No p waves
Hr > 100 , > 3 PVCs
vtach s/s
A flutter interpretation
saw tooth
f waves
A flutter Signs and Symptoms
decreased co; tired, sob, flushed, cool to touch, palpitations
A flutter interventions
Ca channel blockers, warfarin, beta-blockers
A-Fib interpretation
quivering
no p wave
loss of atrial kick= decreased CO BY 25%
Afib signs and symptoms
jittery, anxious, tired, flutter in my chest, confused, disoriented
Afib interventions
beta-blockers, ca channel blockers, heparin
V Fib interpretation
Rapid incoordinate, unpredictable, chaotic quivering of ventricles
Fine vs course
Acid base
Vfib s/s
Hypoxemia, pt looks dead, no pulse or respirations
V fib interventions
Asses patient,
No Pulse? CPR and early defibrillation
ALM; amiodarone, lidocaine, magnesium
Epi 1 mg IV every 3-5 minutes
v-tach interpretation
Irregular
No p waves
Hr > 100 , > 3 PVCs
vtach s/s
