Dysrhythmias Treatments Exam Questions With Accurate
Answers.
Sinus Arrhythmia - accurate answers-None, unless related to Dig toxicity
Sinus Bradycardia (Adults) - accurate answers-No sx = No treat
Adults: O2, Atropine [reduces vagal stim -> increases HR]
Children: O2, Epinephrine, *UNLESS* it is from vagal stimulation in which case
give atropine
Sinus Tachycardia - accurate answers-Treat cause
Sinus arrest - accurate answers-Correct the problem, support CO
Premature Atrial contraction - accurate answers-Usually no treatment,
monitor bc it could lead to A flutter, fib, or tachycardia
Meds: B blockers, CCBs, antianxiety
Supraventricular Tachycardia - accurate answers-1. Vagal Maneuvers
2. Adenosine (narrow QRS)
Symptomatic = *cardiovert*
A flutter and A fib *ACUTE* - accurate answers-A. Amiodarone (K Channel
blocker)
B. Diltiazem (CCB)
Symptomatic = *cardiovert*
A flutter and A fib *Long term s/s* - accurate answers-Anticoagulate!!
A flutter and A fib with rapid ventricular rate requires - accurate answers-
BETA BLOCKER
1st and 2nd degree type I AV block - accurate answers-Usually none, support
patient with O2 and IV fluids as needed. Continue to monitor and try to find
underlying cause
2nd degree type II AV block and 3rd degree AV block - accurate answers-
Pacemaker is definitive treatment
Answers.
Sinus Arrhythmia - accurate answers-None, unless related to Dig toxicity
Sinus Bradycardia (Adults) - accurate answers-No sx = No treat
Adults: O2, Atropine [reduces vagal stim -> increases HR]
Children: O2, Epinephrine, *UNLESS* it is from vagal stimulation in which case
give atropine
Sinus Tachycardia - accurate answers-Treat cause
Sinus arrest - accurate answers-Correct the problem, support CO
Premature Atrial contraction - accurate answers-Usually no treatment,
monitor bc it could lead to A flutter, fib, or tachycardia
Meds: B blockers, CCBs, antianxiety
Supraventricular Tachycardia - accurate answers-1. Vagal Maneuvers
2. Adenosine (narrow QRS)
Symptomatic = *cardiovert*
A flutter and A fib *ACUTE* - accurate answers-A. Amiodarone (K Channel
blocker)
B. Diltiazem (CCB)
Symptomatic = *cardiovert*
A flutter and A fib *Long term s/s* - accurate answers-Anticoagulate!!
A flutter and A fib with rapid ventricular rate requires - accurate answers-
BETA BLOCKER
1st and 2nd degree type I AV block - accurate answers-Usually none, support
patient with O2 and IV fluids as needed. Continue to monitor and try to find
underlying cause
2nd degree type II AV block and 3rd degree AV block - accurate answers-
Pacemaker is definitive treatment
