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Cardiac Dysrhythmias Part 2 Exam Questions and Answers (Latest Update 2024)
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Cardiac Dysrhythmias Part 2 Exam Questions and Answers (Latest Update 2024)
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Cardiac Dysrhythmias Part 2 ExamQuestions and Answers (Latest Update
2024)
Describe treatment of dysrhythmias - Correct Answer ✅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
,Cardiac Dysrhythmias Part 2 Exam
Questions and Answers (Latest Update
2024)
What are the Hs and Ts (potential causes of rhythm issues)? -
Correct Answer ✅Hypovolemia
Hydrogen ions (acidosis)
Hyper/hypokalemia
Hypoxia
Hypothermia
Hypervagal
Hypoglycemia
Malignant Hyperthermia
Tension pneumothorax
Tamponade (cardiac)
Toxins
Thrombosis (cardiac)
Thrombosis/embolus (pulmonary)
Trauma
QT prolongation
,Cardiac Dysrhythmias Part 2 Exam
Questions and Answers (Latest Update
2024)
Pulmonary hypertension
What categories can dysrhythmias be divided into for
determining treatment? - Correct Answer ✅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 Answer ✅Identify and treat underlying cause (might
need to treat emergently if the patient has manifestations of
decreased cardiac output)
, Cardiac Dysrhythmias Part 2 Exam
Questions and Answers (Latest Update
2024)
Maintain airway
Give O2
IV access
12 Lead ECG (but should not delay treatment)
How do you treat bradycardia dysrhythmias? - Correct Answer
✅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)
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