ECG ORIENTATION KAISER
Questions & Revised Correct
Detailed Answers
Guaranteed Pass
PAC - ANSWER often regular, when P waves present
SVT - ANSWER 150-250 bpm. P waves hidden by QRS
Non symptomatic tachycardia - ANSWER vagal maneuvers, adenosine, BB,
CCB,
Treatment of tachycardia - ANSWER adenosine 6mg rapid IVP. Second dose;
12mg IVP
amiodarone 150mg IV infusion over 10 min
procainamide 20-50mg /min IV infusion
Inverted P wave - ANSWER impulse formed in or near AV junction toward
atria
Causes of vfib - ANSWER Acute MI, myocardial ischemia, drug toxicity or
overdose, hypoxia, and other causes
,Causes of VT - ANSWER •Myocardial ischemia
•Cardiomyopathy
•Cardiac cath
•Dig toxicity
•Electrolyte/acid-base imbalance
•Side effect of drugs
H's and T's of ACLS - ANSWER H(6) T(5)
H hypovolemia
H hypoxia
H hypoglycemia
H hypothermia
H hypo/hyperkalemia
H hydrogen ions (acidosis)
T tension pneumo
T tamponade
T toxins
T2 thrombosis PE/Cardiac
T Trauma
SHOCKABLE RHYTHMS - ANSWER Ventricular Fibrillation & pulseless
Ventricular Tachycardia
, Vfib and Vtach treatment - ANSWER CPR x2 min
shockable?
CPR x2min + epinephrine
shockable?
CPR x2min + amiodarone
shockable? YES - repeat cycle
shockable? NO - if no signs of ROSC, > > asystole, PEA regulations
Pulseless vtach and vfib - ANSWER Defib then epi. Epi 1mg q 3-5 min.
Amiodarone 300mg bolus, > 2nd dose 150mg bolus
Asystole/ PEA treatment - ANSWER CPR 2min and epinephrine. CPR until
shockable rhythm or ROSC
Asystole, PEA meds - ANSWER epinephrine 1mg q3-5min
1 AVB - ANSWER 60-100bpm
2nd degree Type 1 - ANSWER longer longer longer drop
2nd degree type 2 - ANSWER PR constant
QRS dropped
irregular
Questions & Revised Correct
Detailed Answers
Guaranteed Pass
PAC - ANSWER often regular, when P waves present
SVT - ANSWER 150-250 bpm. P waves hidden by QRS
Non symptomatic tachycardia - ANSWER vagal maneuvers, adenosine, BB,
CCB,
Treatment of tachycardia - ANSWER adenosine 6mg rapid IVP. Second dose;
12mg IVP
amiodarone 150mg IV infusion over 10 min
procainamide 20-50mg /min IV infusion
Inverted P wave - ANSWER impulse formed in or near AV junction toward
atria
Causes of vfib - ANSWER Acute MI, myocardial ischemia, drug toxicity or
overdose, hypoxia, and other causes
,Causes of VT - ANSWER •Myocardial ischemia
•Cardiomyopathy
•Cardiac cath
•Dig toxicity
•Electrolyte/acid-base imbalance
•Side effect of drugs
H's and T's of ACLS - ANSWER H(6) T(5)
H hypovolemia
H hypoxia
H hypoglycemia
H hypothermia
H hypo/hyperkalemia
H hydrogen ions (acidosis)
T tension pneumo
T tamponade
T toxins
T2 thrombosis PE/Cardiac
T Trauma
SHOCKABLE RHYTHMS - ANSWER Ventricular Fibrillation & pulseless
Ventricular Tachycardia
, Vfib and Vtach treatment - ANSWER CPR x2 min
shockable?
CPR x2min + epinephrine
shockable?
CPR x2min + amiodarone
shockable? YES - repeat cycle
shockable? NO - if no signs of ROSC, > > asystole, PEA regulations
Pulseless vtach and vfib - ANSWER Defib then epi. Epi 1mg q 3-5 min.
Amiodarone 300mg bolus, > 2nd dose 150mg bolus
Asystole/ PEA treatment - ANSWER CPR 2min and epinephrine. CPR until
shockable rhythm or ROSC
Asystole, PEA meds - ANSWER epinephrine 1mg q3-5min
1 AVB - ANSWER 60-100bpm
2nd degree Type 1 - ANSWER longer longer longer drop
2nd degree type 2 - ANSWER PR constant
QRS dropped
irregular
