Cardiac Dysrhythmias Part 2 Test Questions with 100% Complete Solutions, Graded to Pass
8 views 0 purchase
Course
Cardiac Dysrhythmias
Institution
Cardiac Dysrhythmias
Describe treatment of dysrhythmias - cORRECT sOLUTION To determine if treatment is necessary, assess the patient. Then ask the following questions:
Is he or she experiencing signs and symptoms of decreased cardiac output?
Is the dysrhythmia potentially life threatening?
If the answer to either o...
Cardiac Dysrhythmias Part 2 Test
Questions with 100% Complete Solutions,
Graded to Pass
Describe treatment of dysrhythmias - cORRECT sOLUTION To determine if
treatment is necessary, assess the patient. Then ask the following questions:
Is he or she experiencing signs and symptoms of decreased cardiac output?
Is the dysrhythmia potentially life threatening?
If the answer to either of these questions is yes, the patient will need to treatment
for the dysrhythmia.
***WE WILL DISCUSS TREATMENTS OF DYSRHYTHMIAS BASED UPON
CURRENT ACLS TREATMENT ALGORITHMS
CLINICAL MANIFESTATIONS OF DECREASED CARDIAC OUTPUT
INCLUDE CHEST PAIN, DYSPNEA, DECREASED LEVEL OF
CONSCIOUSNESS, HYPOTENSION, HEART FAILURE
IF PATIENT IS NOT SHOWING SIGNS OF DECREASED CO THEN SEARCH
FOR CONTRIBUTING CAUSES AND SEEK EXPERT CONSULTATION
POTENTIALLY LIFE THREATENING DYSRHYTHMIAS: SECOND DEGREE
AV BLOCK TYPE II, COMPLETE HEART BLOCK, VENTRICULAR
TACHYCARDIA, VENTRICULAR FIBRILLATION
What are the Hs and Ts (potential causes of rhythm issues)? - cORRECT
sOLUTION Hypovolemia
Hydrogen ions (acidosis)
Hyper/hypokalemia
Hypoxia
What categories can dysrhythmias be divided into for determining treatment? -
cORRECT sOLUTION Bradycardias
Tachycardias
Pulseless arrest
**AS A GENERAL RULE, IF A DYSRHYTHMIA IS CAUSING A DROP IN
CARDIAC OUTPUT AND IT IS TOO FAST, YOU SLOW IT DOWN; IF IT IS
TOO SLOW, YOU SPEED IT UP.
IF ECTOPICS ARE PRESENT, YOU SUPPRESS THEM BY DECREASING
THE IRRITABILITY.
IF CARDIAC ARREST IS PRESENT, YOU GENERATE A MORE VIABLE
RHYTHM.
, What are the steps for treatment of dysrhythmias in general? - cORRECT
sOLUTION Identify and treat underlying cause (might need to treat emergently if
the patient has manifestations of decreased cardiac output)
Maintain airway
Give O2
IV access
12 Lead ECG (but should not delay treatment)
How do you treat bradycardia dysrhythmias? - cORRECT sOLUTION If a patient
is experiencing altered mental status, chest pain, dyspnea, lightheadedness,
hypotension, or ventricular ectopy, treatment should be instituted:
Give O2; give fluids (to normalize BP)
Atropine 0.5 mg IV (drug of choice) (maximum dose 3 mg) (while awaiting
pacemaker)
Transcutaneous pacing (if available)
Prepare for transvenous pacing
Dopamine (2-10 mcg/kg/min), or Epinephrine (0.05-0.1 mcg/kg/min) (if a
transcutaneous pacemaker is unavailable and patient not responsive to atropine)
**THE TREATMENT OF BRADYCARDIAS DEPENDS UPON THE
PATIENT'S ABILITY TO TOLERATE THE DYSRHYTHMIA.
CAN ALSO USE TRANSVENOUS TEMPORARY PACEMAKING
Vasoactive drips=work on the blood vessels- can get necrotic fingers and toes
(dopamine and epinephrine)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TeeGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
