▪ What must we do to get them out of that state? - Answer✔✔-▪ unconscious, pulseless
▪ shock them with the AED!
If you walk into a room and a patient is alert and oriented, speaking to you, has a pulse, but
their cardiac monitor shows they are in *ventricular tachycardia*
▪ What are you going to do? - Answer✔✔-▪ make them bear down (valsalva maneuver)
▪ make them cough (vagal maneuver)
Which cardiac rhythm requires the patient to take *adenosine*? - Answer✔✔-Supraventricular
Tachycardia (SVT)
What is our priority concern for a patient in *atrial fibrillation (a-fib)*? - Answer✔✔-▪ they may
end up with a *blood clot* because the blood is pooling in the atria
Nursing Interventions: *A-fib RVR* - Answer✔✔-*control RVR for patient:*
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
▪ if meds don't work...cardioversion (synchronized shock to re-start the rhythm)
▪ if cardioversion doesn't work...ablation
If you have a patient who comes into the ED and they are having an MI, what are the
signs/symptoms? lab values to confirm this? - Answer✔✔-▪ chest pain
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