Advanced Cardiac Dysrhythmias solutions with 100 % correct answers
What is the first thing the nurse should check after assessing the patient's heart rhythm? - Correct Answer Check the patient's pulse Frequent PACs can lead to which cardiac dysrhythmia? - Correct Answer A fib What is the half life of adenosine? - Correct Answer 10-15 seconds What are the rules of adenosine dosage and admin? - Correct Answer -1st dose is 6 mg -If first dose does not work after 1-2 minutes, may give second dose of 12 mg -ALWAYS 20 ml flush Why are multifocal PVCs more dangerous than unifocal PVCs? - Correct Answer Multifocal PVCs affect multiple areas of the heart, eventually leading to vtach When are PVCs dangerous? - Correct Answer Frequent PVCs, multifocal, (2 in a row is a couplet) 3+ in a row (run of vtach), R on T Is asystole normal in chemical cardioversion using adenosine? - Correct Answer YES! It resets the heart after temporarily stopping it. What common medication can cause prolonged QT? - Correct Answer Benadryl What dysrhythmias can be cardioverted? - Correct Answer VT with a pulse, A fib, A flutter, SVT How do you treat sinus bradycardia? - Correct Answer If symptomatic, admin atropine, decrease or stop the use of negative chronotropic drugs, maybe a possible transcutaneous pacemaker, epi, dopamine
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