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KAISER TELE RHYTHMS EXAM
BRAND NEW OFFICIAL QUESTIONS
WITH ANSWERS.
SVT-Supraventricular Tachycardia
Action: Vagal Maneuvers, O2, notify MD - Call RRT if
symptomatic
First Drug: Adenosine (6mg, 12mg, 12mg - Rapid IV push)
Possible causes: stimulants, CHF, thyroid, med toxicity
(Could be Sinus Tach; Atrial Tach; Atrial Flutter; or Junctional
Tach - cannot determine!)
1st Degree AV Block
Action: observe for further PR prolongation; meds; if new notify
MD First Drug: None
Possible causes: heart disease or meds
2nd Degree AV Block Wenckebach-Type I
Action: meds; O2 if dyspneic; If new notify MD
First Drug: Atropine if symptomatic -BP
Possible causes: AV blocking meds, acute MI, edema post open-
heart surgery
2nd Degree AV Block Type II
Action: Notify MD; O2: set-up for temp pacer - Call RRT if
symptomatic
First Drug: If symptomatic - BP - ACLS recommends Atropine
(caution with Dopamine drip for BP
Possible causes: AV blocking meds, acute MI, edema post open-
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heart surgery
MI); may use
3rd Degree AV Block
Action: Notify MD; O2: set-up for temp pacer (TCP) - If
symptomatic call RRT
First Drug: If symptomatic -BP - ACLS recommends TCP.
Atropine can be administered but should be given cautiously,
because it is likely to be ineffective in a wide complex QRS
rhythm and can be dangerous if the patient is having a concurrent
MI.
May consider Dopamine drip for BP
Possible causes: AV blocking meds, acute MI, edema post open-
heart surgery
Premature Ventricular Contraction - PVC's
(always note if they are unifocal or multifocal Action: If new,
frequent or multifocal notify MD, O2, standing orders for treatment
- determine the cause
First Drug: Amiodarone, Lidocaine, K+, Mg++
Possible causes:K or Mg, hypoxia, ischemia, MI, med toxicity
Ventricular Tachycardia - VT
Action: With a pulse: Call RRT (unless ICU/PACU), O2, prepare
for synchronized cardioversion. Without a pulse: call Code;
immediate defibrillation.
First Drug: With a pulse: Amiodarone, Lidocaine. Without a pulse:
Defibrillate first. Then: Epinephrine 1 mg IV/IO, Amiodarone 300
mg IV/IO then any additional doses are 150 mg* IV/IO.
Possible causes: K or Mg, hypoxia, ischemia, MI, med toxicity
*= adult dosing
Ventricular Fibrillation- VF
KAISER TELE RHYTHMS EXAM
BRAND NEW OFFICIAL QUESTIONS
WITH ANSWERS.
SVT-Supraventricular Tachycardia
Action: Vagal Maneuvers, O2, notify MD - Call RRT if
symptomatic
First Drug: Adenosine (6mg, 12mg, 12mg - Rapid IV push)
Possible causes: stimulants, CHF, thyroid, med toxicity
(Could be Sinus Tach; Atrial Tach; Atrial Flutter; or Junctional
Tach - cannot determine!)
1st Degree AV Block
Action: observe for further PR prolongation; meds; if new notify
MD First Drug: None
Possible causes: heart disease or meds
2nd Degree AV Block Wenckebach-Type I
Action: meds; O2 if dyspneic; If new notify MD
First Drug: Atropine if symptomatic -BP
Possible causes: AV blocking meds, acute MI, edema post open-
heart surgery
2nd Degree AV Block Type II
Action: Notify MD; O2: set-up for temp pacer - Call RRT if
symptomatic
First Drug: If symptomatic - BP - ACLS recommends Atropine
(caution with Dopamine drip for BP
Possible causes: AV blocking meds, acute MI, edema post open-
, Page | 2
heart surgery
MI); may use
3rd Degree AV Block
Action: Notify MD; O2: set-up for temp pacer (TCP) - If
symptomatic call RRT
First Drug: If symptomatic -BP - ACLS recommends TCP.
Atropine can be administered but should be given cautiously,
because it is likely to be ineffective in a wide complex QRS
rhythm and can be dangerous if the patient is having a concurrent
MI.
May consider Dopamine drip for BP
Possible causes: AV blocking meds, acute MI, edema post open-
heart surgery
Premature Ventricular Contraction - PVC's
(always note if they are unifocal or multifocal Action: If new,
frequent or multifocal notify MD, O2, standing orders for treatment
- determine the cause
First Drug: Amiodarone, Lidocaine, K+, Mg++
Possible causes:K or Mg, hypoxia, ischemia, MI, med toxicity
Ventricular Tachycardia - VT
Action: With a pulse: Call RRT (unless ICU/PACU), O2, prepare
for synchronized cardioversion. Without a pulse: call Code;
immediate defibrillation.
First Drug: With a pulse: Amiodarone, Lidocaine. Without a pulse:
Defibrillate first. Then: Epinephrine 1 mg IV/IO, Amiodarone 300
mg IV/IO then any additional doses are 150 mg* IV/IO.
Possible causes: K or Mg, hypoxia, ischemia, MI, med toxicity
*= adult dosing
Ventricular Fibrillation- VF
