Telemetry Test Review Questions and Answers

Telemetry Test Review Sinus Brady - Answer- Intervention: Monitor for symptoms and progression, talk to provider, monitor First Degree Heart Block - Answer- Intervention: Check for symptoms, continue to monitor Second Degree Heart Block Type 1 - Answer- Intervention: Check pt for symptoms, continue to monitor. Symptomatic: atropine 1mg, (max of 3 mg), epinephrine/dopamine drips, TCP Second Degree Heart Block Type 2 - Answer- Intervention: Check pt for symptoms. Symptomatic: Atropine 1mg (max of 3mg), epinephrine/dopamine drips, TCP Third Degree Heart Block - Answer- Intervention: Check pt for symptoms Symptomatic: TCP Junctional - Answer- Rate 40-60, narrow QRS, inverted p wave/absent p wave) Intervention: Check the pt for symptoms, continue to monitor Symptomatic: atropine, epinephrine/dopamine drips, TCP Idioventricular - Answer- Rate 20-40, no p wave, wide QRS Intervention: check pt for symptoms, continue to monitor Symptomatic: Atropine, epinephrine/dopamine drips, TCP Sinus Tachycardia - Answer- Rate 120 Intervention: Check pt for symptoms Treat underlying cause- pain, fever, dehydration Supraventricular Tachycardia (SVT) - Answer- Intervention: Vagal, adenosine (6 mg the 12 mg), BB/CCB Unstable: Cardioversion Atrial Fibrillation - Answer- Intervention: Check pt for symptoms. Possible anticoagulant therapy, possible BB/CCB Atrial Fibrillation with Rapid Ventricular Response - Answer- Intervention: Check pt for symptoms Possible AC/BB/CCB Unstable: Cardioversion Atrial Flutter - Answer- Intervention: Check pt for symptoms. Possible anticoagulant therapy, possible BB/CCB VTACH with a pulse - Answer- Intervention: Check pt for symptoms Asymptomatic: Amiodarone (150 mg over 10 minutes), adenosine (with expert consultation). Symptomatic: cardioversion