Cardiac Dysrhythmias Pt. 2 Questions with 100% Verified Answers

Cardiac Dysrhythmias Pt. 2 Questions with 100% Verified Answers What dysrhythmia may artifact mimic? - Correct Answer V-Fib What should you be aware of when placing pads on the chest for defibrillation? - Correct Answer location of the pacemaker - never place a pad directly over a pacemaker implanted pulse generator that continuously monitors rhythm and gives a SHOCK when patient is in V-tach or V-fib - Correct Answer Implantable Cardio Converter What should you educate your patient of if they have an implanted cardio converter? - Correct Answer pain of shock, will shock others if in contact with them (not lethal) What is PEA? - Correct Answer pulseless electrical activity - a dysrhythmia where this is electrical activity but NO mechanical activity With PEA, the monitor will show a ______, but the patient will have no _______. - Correct Answer rhythm, pulse Two priority nursing interventions for PEA - Correct Answer start CPR, administer EPI What should the treatment of PEA be based on? - Correct Answer underlying cause - treat the cause Causes of PEA - Correct Answer H's and T's: H's: hypovolemia, hypoxia, metabolic acidosis, hyperkalemia, hypokalemia, hypothermia, hypoglycemia T's: tension pneumo, toxins (overdose), trauma, thrombosis, MI, tamponade, PE 1st degree heart block - Correct Answer 1st degree heart block Dysrhythmia where the PR interval is CONSISTENTLY prolonged 0.20 seconds - Correct Answer 1st degree heart block True or false: 1st degree heart blocks are serious and cause many symptoms in patients - Correct Answer FALSE - 1st degree heart blocks are usually asymptomatic Nursing intervention for 1st degree heart blocks - Correct Answer continue to monitor - not serious Dysrhythmia where there is a gradual lengthening in the PR interval until one P wave is unable to contract through to the ventricle (P wave w/out QRS) & the cycle repeats itself - Correct Answer 2nd degree heart block type 1 (Wenckebach)