Cardiac Rhythms NCLEX what to DO!! UWROLDD

Cardiac Rhythms NCLEX what to DO!! UWROLDD 5.0 (1 review) Students also studied Terms in this set (42) Science MedicineCardiology Save

EKG Rhythms: Practice Strips

35 terms kppascualPreview NCLEX LAB VALUES (from UWorld) 77 terms T1time22Preview Arrhythmia NCLEX-style questions 26 terms Alix_VanderWiele Preview NCLEX

• terms

dee Practice questions for this set Learn1 / 5Study using Learn tx?Choose an answer 1Sinus Bradycardia23rd degree block 3Sinus Rhythm with PAC4 1st= give EPI 2nd ATROPINE Don't know?

Sinus Bradycardia Sinus Rhythm Normal p before each qrs then a t wave makes it normal + peaks of p waves are EQUALLY DISTANT!! if UNEQUAL= arrhythmia *must know by sight!* Sinus Pause/ Arrest Sinus Tachycardia Sinus Rhythm with PAC Atrial Tachycardia Atrial Fibrillation must cardioversion Supraventricular Tachycardia

TX:

-STIMULATE A VAGAL RESPONSE BY COUGHING!!

• adenosine

Atrial Flutter saw tooth Accelerated Junctional

Junctional Escape 1st degree block 3rd degree block 2nd degree block; type 2 2nd degree block; type 1 Sinus with Premature Ventricular Contraction Ventricular Fibrillation chaotic scribble line

FOR V FIB YOU? DEFIB!! SHOCK EM!

Treatment must be aggressive and immediate • Start CPR/ACLS • Call a Code Blue • Defibrillate ASAP *must know by sight!* Bigeminal PVCs

Ventricular tachycardia

characterized by: SHARP PEAKS and jags

must determine if STABLE or unstable before deciding anything!!

1st: is there a pulse?--> YES--> is it stable or unstable?

UNSTABLE VT= SIGNS of instability: hypotension, alt

mental, shock, chest pain, acute heart failure --> synchronize cardioversion STABLE V T= no se of instability? --> give them an arrhythmic medication (amioderone/lidocaine) NO PULSE --> START CPR AND PREPARE TO DEFIB *must know by sight!* Accelerated Idioventricular Idioventricular Torsades de Pointe AM!!caused by PROLONGED QT interval usually due to HYPOMAGNESIUM or meds

TX:

• IV Magnesium
• defibrillation
• d/c qt-prolonging meds

rash with honey colored crustimpetigo very contagious infection who can care for a pt receiving chemo??- MED SURG NURSE CAN

• pregnant nurse (wont be administering chemo and chemi is not radioactive so

preg pt is good)

• nurse who got flu vaccine!

CHF patients s/sright sided (systemic):

JVD, elevated CVP, dependent pitting edema of extremities

left sided (pulmonary): CRACKLES