-
What does the P wave represent?
Atrial depoloarization
-
What does the QRS complex represent?
Ventricular depolarization
-
What does the T wave represent?
Ventricular repolarization
-
What does elevated or depressed ST segment signify?
Hallmark sign of ischemia, CAD, or impending MI (STEMI)
-
How is sinus bradycardia treated if patient is symptomatic?
O2, IV, atropine, pacemaker
-
What is the treatment for stable SVT?
- oxygen and IV
- 12 lead EKG
- If narrow QRS- vagal maneuvers (bear down, gag reflex, carotid massage)
- Adenosine 6 mg rapid IV w/ 20 ml NS flush RAPID
- May repeat 12 mg adenosine
- Cardioversion
-
What is the treatment for unstable SVT?
Immediate synchronized cardioversion
-
How is v-tach treated if patient has a pulse?
- Oxygen and IV
- 12 lead EKG
- Amiodarone
- Lidocaine
- Cardioversion
-
How is v-tach treated if patient does not have a pulse?
CPR and immediate DEFIBRILLATION!
-
How is v-fib treated?
- CPR
- Defibrillation
- Epinephrine 1 mg 3-5 minutes
- 1 does of vasopressin may be admin instead of epinephrine
- Antiarrythmics- amiodarone, lidocaine, magnesium, procainamide
-
What is the treatment for asystole? (5 H's and 5 T's)
- Epinephrine 1 mg q 3-5 min (vasopressin)
- IV atropine 1 mg q 3-5 min
-
What is the treatment for 3rd degree AV block?
- Atropine (if QRS is narrow)
- Pacing (transcutaneous)
- Dopamine (narrow QRS)
- Permanent pacemaker
|
|