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Kaiser Tele Rhythms
22 Correct terms
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Definition
Pacing Spikes occurring without QRS complex Action: O2;
set-up for TCP pacing; notify MD, or call RRT for M/S/T
unit.
If new Pacer: Turn patient to Left side; notify MD
If Temporary Pacer-Check battery; check connections;
increase MA
First Drug: usually none
Possible causes: Electrolyte, metabolic abnormalities;
medication toxicity; inadequate voltage (MA); battery
,failure; loose connections; lead fracture or dislodgement,
Tissue inflammation or necrosis
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Premature Junctional Contraction -
Pacemaker - Failure to Capture
PJC's
Premature Ventricular Contraction -
Junctional Tachycardia
PVC's
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2 of 22
Definition
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
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, Premature Junctional Contraction -
Atrial Flutter
PJC's
Premature Atrial Contraction - PAC's Ventricular Tachycardia - VT
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3 of 22
Definition
Sinus Arrhythmia
Looks almost normal
Action: none, continue to monitor
First Drug: none
Possible cause: respiratory deviation, peds, aging heart
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Sinus Bradycardia Ventricular Tachycardia
Ventricular Fibrillation Sinus Arrhythmia
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