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Exam (elaborations)

CRITICAL CARE CARDIAC DYSRHYTHMIAS

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CRITICAL CARE CARDIAC DYSRHYTHMIAS 1. 0.5 mg IVP atropine: This refers to the administration of 0.5 mg of atropine intravenously, commonly used as a first-line treatment for symptomatic bradycardia to increase heart rate by blocking vagal input to the heart. 2. First-line treatment for symptomatic bradycardia: The first-line treatment is typically pacing, which involves delivering electrical stimulation to the heart to increase the heart rate when bradycardia is symptomatic and not responding to atropine. 3. Second-line treatment for symptomatic bradycardia: Sedative medications are not typically used as second-line treatment for bradycardia. Instead, if a patient has stable blood pressure and pacing is not immediately indicated, the administration of a continuous intravenous infusion of epinephrine (Epi) or dopamine may be considered to support heart rate and blood pressure. 4. Anticipation of administration prior to pacing a patient with stable BP: Before pacing a patient with stable blood pressure, preparation may include setting up equipment for transcutaneous pacing, transvenous pacing, or epicardial pacing, depending on the clinical situation and available resources. 5. Third-line treatment for symptomatic bradycardia: Third-line treatments refer to different methods of pacing: transcutaneous pacing (external pacing through electrodes placed on the skin), transvenous pacing (placing a pacing wire through a vein into the heart), or epicardial pacing (placing a pacing wire on the surface of the heart). 6. Types of pacing: Sinus bradycardia is a specific EKG rhythm where the heart rate is slower than normal due to activity from the sinus node. If you have more questions or need further clarification on any of these topics, feel free to ask! normal sinus rhythm, heart rate less than 60h How do you identify sinus bradycardia on an EKG strip? normal sinus rhythm, heart rate greater than 100 how do you identify sinus tachycardia on an EKG strip? vagal maneuvers what is a non-pharmacological intervention that can treat sinus tachycardia? beta blockers and calcium channel blockers what are 2 medications that can be used to treat sinus tachycardia? 60 don't give your patient a beta blocker if their heart rate is less than ______ hypoglycemia what can beta blockers mask the symptoms of? asthma beta blockers should be used cautiously in patients with ________ sinus tachycardia what is the EKG rhythm? premature atrial contractions dysrhythmia in which a pacemaker cell close to the SA node fires earlier than expected true premature atrial contractions are non-life threatening and can be seen in NSR true/false P wave occurs earlier than expected with a brief compensatory paus

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CRITICAL CARE CARDIAC DYSRHYTHMIAS
1. 0.5 mg IVP atropine: This refers to the administration of 0.5 mg of atropine intravenously, commonly

used as a first-line treatment for symptomatic bradycardia to increase heart rate by blocking vagal input

to the heart.




2. First-line treatment for symptomatic bradycardia: The first-line treatment is typically pacing, which

involves delivering electrical stimulation to the heart to increase the heart rate when bradycardia is

symptomatic and not responding to atropine.




3. Second-line treatment for symptomatic bradycardia: Sedative medications are not typically used as

second-line treatment for bradycardia. Instead, if a patient has stable blood pressure and pacing is not

immediately indicated, the administration of a continuous intravenous infusion of epinephrine (Epi) or

dopamine may be considered to support heart rate and blood pressure.




4. Anticipation of administration prior to pacing a patient with stable BP: Before pacing a patient with

stable blood pressure, preparation may include setting up equipment for transcutaneous pacing,

transvenous pacing, or epicardial pacing, depending on the clinical situation and available resources.




5. Third-line treatment for symptomatic bradycardia: Third-line treatments refer to different methods of

pacing: transcutaneous pacing (external pacing through electrodes placed on the skin), transvenous

pacing (placing a pacing wire through a vein into the heart), or epicardial pacing (placing a pacing wire

on the surface of the heart).

, 6. Types of pacing: Sinus bradycardia is a specific EKG rhythm where the heart rate is slower than normal

due to activity from the sinus node.




If you have more questions or need further clarification on any of these topics, feel free to ask!




normal sinus rhythm, heart rate less than 60h


How do you identify sinus bradycardia on an EKG strip?


normal sinus rhythm, heart rate greater than 100


how do you identify sinus tachycardia on an EKG strip?


vagal maneuvers


what is a non-pharmacological intervention that can treat sinus tachycardia?


beta blockers and calcium channel blockers


what are 2 medications that can be used to treat sinus tachycardia?


60


don't give your patient a beta blocker if their heart rate is less than ______


hypoglycemia

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