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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
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, **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)