Kaiser Tele Rhythms
Study online at https://quizlet.com/_6uk46b
1. Sinus Arrhyth- Sinus Arrhythmia
mia
Looks almost normal
Action: none, continue to monitor
First Drug: none
Possible cause: respiratory deviation, peds, aging heart
2. Sinus Bradycar- Action: oxygen, notify MD - if symptomatic, follow AHA
dia guidelines. First Drug: Atropine if symptomatic - low BP
Possible cause: vagal-stimulation, athlete, sleep, ischemia
to SA node, Meds, ‘ ICP
3. Sinus Tachycar- Action: Determine & Treat the cause - this is key
dia First Drug: None, watch for drugs that may be the cause
Possible causes: pain, fever, anxiety, exercise, hypoxia,
caffeine, sympathetic stimulation.
4. Premature Atri- Action: no action needed; if new or frequent notify MD
al Contraction - First Drug: None
PAC's Possible causes: caffeine, fatigue, tobacco, alcohol,
stress, atrial enlargement
5. Atrial Flutter Action: If new, notify MD, O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema
post heart surgery, valve disease, hyperthyroidism
6. Atrial Fibrillation
1/6
, Kaiser Tele Rhythms
Study online at https://quizlet.com/_6uk46b
Action: If new, notify MD; O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema
post heart surgery, valve disease, hyperthyroidism
7. Premature Junc- Action: If frequent or new notify MD
tional Contrac- First Drug: None
tion - PJC's Possible causes: AV Node Irritability - caffeine, fatigue,
tobacco, alcohol, stress, meds
8. Junctional Actions: If new notify MD, O2 if dyspneic,meds (if ex-
Rhythm treme Brady, Call RRT) FirstDrug: Atropine(0.5mg)ifsymp-
tomatic-BP
Possible causes: ischemia -SA node, SA node function
due to meds - Digoxin tox.
9. Accelerated Actions: If new notify MD, O2 if dyspneic, meds
Junctional First Drug: none
Possible causes: AV Node Irritability - caffeine, fatigue,
tobacco, alcohol, stress, med toxicity - esp. Dig Toxicity
(check potassium)
10. Junctional Tachy- Actions: If new notify MD, O2 if dyspneic, meds
cardia First Drug: none
Possible causes: AV Node Irritability - caffeine, fatigue,
tobacco, alcohol, stress, med toxicity - esp. Dig Toxicity
(check potassium)
11.
2/6
Study online at https://quizlet.com/_6uk46b
1. Sinus Arrhyth- Sinus Arrhythmia
mia
Looks almost normal
Action: none, continue to monitor
First Drug: none
Possible cause: respiratory deviation, peds, aging heart
2. Sinus Bradycar- Action: oxygen, notify MD - if symptomatic, follow AHA
dia guidelines. First Drug: Atropine if symptomatic - low BP
Possible cause: vagal-stimulation, athlete, sleep, ischemia
to SA node, Meds, ‘ ICP
3. Sinus Tachycar- Action: Determine & Treat the cause - this is key
dia First Drug: None, watch for drugs that may be the cause
Possible causes: pain, fever, anxiety, exercise, hypoxia,
caffeine, sympathetic stimulation.
4. Premature Atri- Action: no action needed; if new or frequent notify MD
al Contraction - First Drug: None
PAC's Possible causes: caffeine, fatigue, tobacco, alcohol,
stress, atrial enlargement
5. Atrial Flutter Action: If new, notify MD, O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema
post heart surgery, valve disease, hyperthyroidism
6. Atrial Fibrillation
1/6
, Kaiser Tele Rhythms
Study online at https://quizlet.com/_6uk46b
Action: If new, notify MD; O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema
post heart surgery, valve disease, hyperthyroidism
7. Premature Junc- Action: If frequent or new notify MD
tional Contrac- First Drug: None
tion - PJC's Possible causes: AV Node Irritability - caffeine, fatigue,
tobacco, alcohol, stress, meds
8. Junctional Actions: If new notify MD, O2 if dyspneic,meds (if ex-
Rhythm treme Brady, Call RRT) FirstDrug: Atropine(0.5mg)ifsymp-
tomatic-BP
Possible causes: ischemia -SA node, SA node function
due to meds - Digoxin tox.
9. Accelerated Actions: If new notify MD, O2 if dyspneic, meds
Junctional First Drug: none
Possible causes: AV Node Irritability - caffeine, fatigue,
tobacco, alcohol, stress, med toxicity - esp. Dig Toxicity
(check potassium)
10. Junctional Tachy- Actions: If new notify MD, O2 if dyspneic, meds
cardia First Drug: none
Possible causes: AV Node Irritability - caffeine, fatigue,
tobacco, alcohol, stress, med toxicity - esp. Dig Toxicity
(check potassium)
11.
2/6
