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Cardiac Dysrhythmias Part 2 – 2025/2026 ACLS & ECG Mastery | 100+ Verified Q&A | Bradycardia, Tachycardia, VT/VF Arrest, Pacemakers, PEA, ACLS Algorithms, Torsades, Defibrillation

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This premium-level study guide offers over 100 verified exam questions and expertly explained answers, based on the latest 2025/2026 ACLS treatment protocols, ideal for nursing, medical, and paramedic students mastering Cardiac Dysrhythmias – Part 2. Aligned with real-world Advanced Cardiovascular Life Support (ACLS) algorithms, this document breaks down critical cardiac rhythms, causes, treatments, and emergency interventions in clinical cardiac emergencies. Key coverage includes: Evaluation and treatment principles for dysrhythmias based on symptoms and cardiac output status Classification of rhythms: bradycardia, tachycardia (with/without pulse), pulseless arrest (VT/VF) Treatment strategies including oxygenation, ECG, pacing, vasopressors, antiarrhythmics (amiodarone, lidocaine), cardioversion, defibrillation Step-by-step management of stable and unstable tachycardia, with emphasis on wide vs. narrow QRS, SVT, and VT with a pulse Recognition and urgent treatment of Torsades de Pointes, including magnesium administration Deep dive into pacemakers: temporary, transcutaneous, epicardial, and permanent Pacemaker coding systems (e.g., VVIR, AAI, DDDR), failure modes (failure to sense/capture/pace), nursing management, and patient teaching Implantable cardioverter defibrillators (ICDs): indications, education, function, and safety precautions ACLS interventions for VF/VT, asystole, and PEA, including energy settings for shocks, medication dosages, airway management, and when to call for expert consultation Radiofrequency ablation, mapping, and post-procedural care for treating atrial dysrhythmias Recommended for: ACLS-certified providers (RNs, EMTs, Paramedics, ICU/ED clinicians) Nursing students (ADN/BSN/MSN) preparing for cardiac and advanced med-surg exams Cardiac step-down, telemetry, and critical care staff Medical students and residents in emergency or cardiology rotations Educators and clinical instructors developing ACLS-aligned materials Any healthcare provider requiring deep competency in rhythm interpretation and dysrhythmia management Packed with real-life clinical applications, evidence-based interventions, and tested ACLS knowledge, this is your go-to document for excelling in high-stakes cardiac care exams and scenarios. Keywords: ACLS dysrhythmia questions 2025, bradycardia treatment algorithm, unstable tachycardia ACLS, synchronized cardioversion joules, pulseless VT/VF shock sequence, Torsades de Pointes magnesium, pacemaker codes AAI VVI DDDR, failure to capture pacing, ICD patient education, PEA asystole ACLS drugs, cardiac arrest epinephrine dose, lidocaine amiodarone protocol, nursing management of pacemaker, cardiac output rhythm assessment

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Cardiac Dysrhythmias
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Institution
Cardiac Dysrhythmias
Course
Cardiac Dysrhythmias

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Uploaded on
August 14, 2025
Number of pages
34
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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Cardiac Dysrhythmias Part 2 2025/2026
Exam Questions and Correct Answers |
New Update



Describe treatment of dysrhythmias - 🧠 ANSWER ✔✔To determine if treatment is

necessary, assess the patient. Then ask the following questions:

Is he or she experiencing signs and symptoms of decreased cardiac output?

Is the dysrhythmia potentially life threatening?

If the answer to either of these questions is yes, the patient will need to treatment

for the dysrhythmia.

,***WE WILL DISCUSS TREATMENTS OF DYSRHYTHMIAS BASED UPON

CURRENT ACLS TREATMENT ALGORITHMS

CLINICAL MANIFESTATIONS OF DECREASED CARDIAC OUTPUT

INCLUDE CHEST PAIN, DYSPNEA, DECREASED LEVEL OF

CONSCIOUSNESS, HYPOTENSION, HEART FAILURE

IF PATIENT IS NOT SHOWING SIGNS OF DECREASED CO THEN SEARCH

FOR CONTRIBUTING CAUSES AND SEEK EXPERT CONSULTATION

POTENTIALLY LIFE THREATENING DYSRHYTHMIAS: SECOND DEGREE

AV BLOCK TYPE II, COMPLETE HEART BLOCK, VENTRICULAR

TACHYCARDIA, VENTRICULAR FIBRILLATION

What are the Hs and Ts (potential causes of rhythm issues)? - 🧠 ANSWER

✔✔Hypovolemia


Hydrogen ions (acidosis)

Hyper/hypokalemia

Hypoxia

Hypothermia

Hypervagal

,Hypoglycemia

Malignant Hyperthermia




Tension pneumothorax

Tamponade (cardiac)

Toxins

Thrombosis (cardiac)

Thrombosis/embolus (pulmonary)

Trauma

QT prolongation

Pulmonary hypertension

What categories can dysrhythmias be divided into for determining treatment? - 🧠

ANSWER ✔✔Bradycardias


Tachycardias

Pulseless arrest




COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED


3

, **AS A GENERAL RULE, IF A DYSRHYTHMIA IS CAUSING A DROP IN

CARDIAC OUTPUT AND IT IS TOO FAST, YOU SLOW IT DOWN; IF IT IS

TOO SLOW, YOU SPEED IT UP.

IF ECTOPICS ARE PRESENT, YOU SUPPRESS THEM BY DECREASING

THE IRRITABILITY.

IF CARDIAC ARREST IS PRESENT, YOU GENERATE A MORE VIABLE

RHYTHM.

What are the steps for treatment of dysrhythmias in general? - 🧠 ANSWER

✔✔Identify and treat underlying cause (might need to treat emergently if the

patient has manifestations of decreased cardiac output)

Maintain airway

Give O2

IV access

12 Lead ECG (but should not delay treatment)

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