Front | Back |
5 step approach to rhythm analysis
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Look for p waves, qrs width, reg of rhtythm,p-qrs relationship,heart rate
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Which lead do we look at for rhythm analysis?
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Lead II
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Do supraventricle or ventricle origin rhythms have a p wave?
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Supraventricle
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If a rhythm originates in the AV node will it have a P wave? describe the qrs complex
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No; qrs is narrow
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If the rhythm originates in the ventricle, desribe the P wave and QRS complex
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No p wave, wide qrs complex
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Describe rhythm arthyms and PR interval |
A. NSR B. Sinus bradycardia C.sinus tachycardia D. Sinus arrhythmia
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Supraventricular arrhythmias always originate in the
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Atria or av node
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Do A fibs have P waves?
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No
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Describe the rhythm of A fib
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Ireggularly irregular
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Describe the strip and pharm treatment |
A fib IV diltiazem, IV beta blocker(metoprolol or Esmolol), or IV amiodarone;
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Describe the strip and treatment and tx |
A fib IV diltiazem, IV beta blocker(metoprolol or Esmolol), or IV amiodarone;
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Describe the strip |
AFib with RVR;A fib IV diltiazem, IV beta blocker(metoprolol or Esmolol), or IV amiodarone;
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A Fib non-pharm treatment
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Radiofrequency ablation for aberrant pathway, Cardioversion followed by antiarrhythmic.
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If pt has been in Afib for more than 48 hours, what are the risks of restoring sinus rhythm
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Thromboembolism
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How do we prevent left ventricular embolism/stroks in A-fib pts?
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Anticoagulate them
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