During a code arrest where compressions and defibrillation are utilized, a
"normal" rhythm appears on the cardiac monitor, what should the next step be
to determine if ACLS measures should be continued or have been effective?
Answer - check pulse and assess patient
Review supraventricular tachycardia Answer - is a rapid dysrhythmia that
originates above the ventricles in either the atria or the AV junction
What interventions should be done for a patient experiencing SVT? Answer -
Oxygen
Vagal Maneuver
Adenosine
Synchronized cardioversion
Calcium Channel Blockers
Beat Blockers
Review the steps for interpreting a cardiac rhythm Answer - 1. Determine the
heart rhythm.
2. Measure the heart rate.
3. Examine the P waves.
4. Examine the P to QRS ratio.
5. Measure the PR interval.
6. Examine the QRS complex.
, 7. Measure QT interval
8. Interpret the rhythm.
Be able to identify v-tach, v-fib and aystole Answer - .....
What should be initiated for a patient who is pulseless and apneic first?
Answer - chest compressions
Review a-fib presentation, causes, risks, and management Answer - ➔ In
general, for AF the ECG interpretation will be as follows:
1. Heart rhythm—ventricular rhythm is usually consistently irregular
2. Heart rate—atrial rate is 350 to 600 beats per minute; the ventricular rate is
variable
3. P waves—no consistently identifiable P wave, fibrillatory waves
4. P to QRS ratio—more fibrillatory waves than QRSs
5. PR interval—not measurable
6. QRS complex—usually normal but may appear wider if there is a conduction
delay
➔ Occurs from the rapid firing of multiple irritable foci in the atria, resulting in
no effective atrial contraction because there is no uniform wave of
depolarization.
➔ Interventions: Cardioversion, Anticoagulants
➔ Risks: Stroke or thromboemboism
Digoxin Answer - cardiac glycoside; is used to treat congestive heart failure and
heart rhythm problems. It increases the strength of the heart muscle, helps to
maintain a normal heart rhythm, and helps to remove excess water from the
body
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