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Kaiser Tele Rhythms questions and answers graded A+ 2024/2025
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Kaiser Tele Rhythms questions and answers graded A+ 2024/2025
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Kaiser Tele RhythmsSinus Arrhythmia
Sinus Arrhythmia
Looks nearly regular
Action: none, hold to monitor
First Drug: none
Possible purpose: respiration deviation, peds, ageing coronary heart
Sinus Bradycardia
Action: oxygen, notify MD - if symptomatic, observe AHA pointers. First Drug: Atropine if
symptomatic - low BP
Possible purpose: vagal-stimulation, athlete, sleep, ischemia to SA node, Meds, ↑ ICP
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Sinus Tachycardia
Action: Determine & Treat the reason - that is key
First Drug: None, watch for drugs that can be the motive
Possible reasons: pain, fever, anxiety, exercising, hypoxia, caffeine, sympathetic stimulation.
Premature Atrial Contraction - PAC's
Action: no action wished; if new or common notify MD
First Drug: None
Possible causes: caffeine, fatigue, tobacco, alcohol, stress, atrial growth
, Atrial Flutter
Action: If new, notify MD, O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible reasons: Atrial growth - CHF, HTN, edema submit coronary heart surgical operation,
valve sickness, hyperthyroidism
Atrial Fibrillation
Action: If new, notify MD; O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible reasons: Atrial expansion - CHF, HTN, edema put up coronary heart surgical
procedure, valve disorder, hyperthyroidism
Premature Junctional Contraction - PJC's
Action: If frequent or new notify MD
First Drug: None
Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, pressure, meds
Junctional Rhythm
Actions: If new notify MD, O2 if dyspneic,meds (if excessive Brady, Call RRT) FirstDrug:
Atropine(zero.5mg)ifsymptomatic-BP
Possible reasons: ischemia -SA node, SA node function due to meds - Digoxin tox.
Accelerated Junctional
Actions: If new notify MD, O2 if dyspneic, meds
First Drug: none
Possible reasons: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, pressure, med toxicity
- esp. Dig Toxicity (test potassium)
Junctional Tachycardia
Actions: If new notify MD, O2 if dyspneic, meds
First Drug: none
Possible reasons: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, pressure, med toxicity
- esp. Dig Toxicity (take a look at potassium)
SVT-Supraventricular Tachycardia
Action: Vagal Maneuvers, O2, notify MD - Call RRT if symptomatic
First Drug: Adenosine (6mg, 12mg, 12mg - Rapid IV push)
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