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Normal sinus
continue to monitor
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Sinus tach
Assess patient's stability, look for cause; fever, pain, and hypoxemia anything that would increase the metabolic rate; rate control (slow down); beta blockers, CA channel blockers, Digoxin, treat the cause and continue to monitor
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Sinus w/ PAC
Assess patient's stability, look for cause of irritability; electrolytes, hypoxemia...
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Atrial Flutter
Assess vital signs, rate control, anticoagulation, cardioversion
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Atrial Fib
Assess vital signs, rate control, anticoagulation, cardioversion
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Sinus arrhythmia
Assess patient stability, and continue to monitor
-
SR-SVT
Assess vital signs, vagal maneuvers, and rate control medication; Beta blocker, Ca Channel blockers, Dig, anticoagulation, cardioversion if unstable
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Sinus brady
Assess patient's stability, look for cause, rate stimulate if needed; atropine pacemaker and continue to monitor
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Afib w/RVR
Assess vital signs, rate control, Beta blocker, Ca Channel blocker, Dig, anticoagulation, cardioversion
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2nd Degree AV Block (type I)
Rate stimulate if unstable
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Sinus w/ PJC
Continue to monitor, assess for possible cause
-
SR w/ 1st Degree AV Block
Continue to monitor, assess for possible cause; potential fatal
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Accelerated junctional
Continue to monitor, assess for possible cause
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Idioventricular
Assess vital signs, rate stimulate, unstable, ACLS
-
SR w/IVCD
Continue to monitor, assess for possible cause
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3rd Degree AV Block
Rate stimulate if unstable
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Junctional
Assess patient tolerance of the rhythm and for any causes, Atropine, pacer, treat cause
-
Junctional tach
Continue to monitor, assess for possible cause, treat for tachycardia
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SR PJB
Assess patient for any cause of cardiac irritability, electrolytes, hypoxemia.. and treat
-
2nd Degree AV Block (type II)
Assess vital signs, rate stimulate, unstable pacemaker indicated
-
Junctional w/PVBs
assess patient for any cause of cardiac irritability; electrolytes, hypoxemia... and treat
-
SR w/multifocal PVBs to VFib
Assess patient for any cause of cardiac irritability; electrolytes, hypoxemia... and treat
-
SR run of non sustained VT
Assess patient for any cause of cardiac irritability, electrolytes, hypoxemia... and treat, possible antiarrhythmics
-
Ventricular tach
Assess patient, stable verse unstable, unstable with and without a pulse
Stable: rate control; antiarrhythmices (amiodarone, procainamide)
Unstable with a pulse: sedate and cardiovert, without a pulse defibrillate/ACLS
-
100% ventricular paced
Continue to monitor
-
Idioventr. Rhythm
Assess vital signs, rate stimulate, unstable ACLS
-
100% Artial Paced
Continue to monitor
-
Intermittently V paced
Continue to monitor
-
Ventricular fibrillation
Determine if rhythm is valid and defibrillate
-
Agonal
Determine code status and act accordingly
-
Torasades de pointes
Assess patient; MagSO4if appropriate to decrease QT interval, ACLS
-
Paced non capture or nonsense
Notify MD, assess patient, pacer may need adjustment
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V Fib with shock spike
ACLS
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100% non capture
ACLS, until cause is determined, check pacer connections, and battery
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SR w/V trigeminy
Assess vital signs
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Fib w/ PVCs
Assess vital signs, rate control, Beta blocker, Ca Channel blockers, Dig, anticoagulation, cardioversion
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