Term
| Which kind of AV block requires immediate pacing? |
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Definition
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Term
| How can you tell the difference between a junctional and ventricular escape rhythm in 3rd degree AV block? |
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Definition
| junctional - narrow QRS, ventricular - wide |
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Term
| When a patient has bradycardia with poor perfusion what should you do? |
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Definition
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Term
| If atropine doesn't work for a patient with bradycardia then what should you go to? |
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Definition
| TCP or dopamine or epinephrine |
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Term
| What is the dose for epinephrine for a patient with symptomatic bradycardia? |
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Definition
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Term
| What is the dose of dopamine for a patient with symptomatic bradycardia? |
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Definition
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Term
| What are the serious sx that show a patient is unstable? |
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Definition
| hypotension, acutely altered mental status, signs of shock, ischemic chest discomfort, and acute heart failure |
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Term
| If a patient comes in with a tachyarrhythmia and they need to be cardioverted what should be the initial dose of electricity? |
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Definition
| 50-100 for narrow regular, 120-200 for biphasic narrow irregular, wide regular should be 100, wide irregular should be defibrillated |
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Term
| If a patient in tachycardia has a regular narrow complex what should we give them? |
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Definition
| adenosine - 6 mg rapid IV push, follow with NS flush, if a second dose is required then give them 12 mg |
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Term
| If the patient knows where they are, blood pressure is normal, not that much chest pain, but tachycardia is present what can you do for them? |
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Definition
procainamide IV dose: 20-50 mg/min
amiodarone IV dose: 150 mg over 10 minutes
sotalol Iv dose: 100 mg over 5 minutes |
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Term
| If a patient has a polymorphic QRS appearance such as Torsades it won't permit synchronization - what should you do? |
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Definition
| treat as VF with high energy synchronized shocks |
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Term
| What dose should be used to cardiovert a patient that's in atrial fibrillation? |
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Definition
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