NEWEST QUESTIONS AND ANSWERS VERIFIED NEW!!

EXAM 1 – DYSRHYTHMIAS advanced topic Actual /

NEWEST QUESTIONS AND ANSWERS (VERIFIED ) | NEW!!

• dangerous PVCs

•Bigeminy •Trigeminy •Multifocal •Short run of V-tach •Greater than 6/ minute

PVC Treatment Lidocaine, Amiodarone

Idioventricular rhythms SA node and AV junction fail- ventricles depolarize at their own rate (20-40bpm). Wide QRS

Idioventricular rhythms Prognosis lethal

Accelerated idioventricular rhythm rate greater than 40 but less than 100. Wide QRS. (Has the best correlation with reperfusion after MI intervention) 1 / 3

Idioventricular rhythm treatment amiodarone, pacing

What med should you not give to idioventricular rhythm?lidocaine

Ventricular tachycardia prognosis lethal

Pulseless V-tach CPR

V-tach w/ pulse cardioversion

Torsades de Pointes •QRS complexes appear to twist in a spiral pattern 2 / 3

•Causes hemodynamic instability Lethal

Torsades de Pointes Treatment

• Infusion of magnesium sulfate (treatment of choice)
• pacemaker

Ventricular Fibrillation 1.Defibrillate if shockable and do CPR- shock at least twice before epi 2.Next Epi is given (1 mg) every 3-5 minutes 3.Amiodarone 300 mg w/ first dose and 150 mg on second dose 4.If still pulseless, repeat cycle- start CPR and defibrillating again

Defib what rhythms Pulseless v-tach and v-fib

Defib Shock Voltages 1st- 200 joules 2nd- 300 joules 3rd- 360 joules

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