EKG Nursing Interventions – Flashcards
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Sinus Tachycardia
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Airway, O2, IV, Cardiac Monitor, 12 Lead EKG Antianxiety Measures Antipyretics Sedatives Fluid Bolus (Hypovolemia) CCBs Beta-Blockers Vagal Nerve Stimulus (Cough/Bear Down)
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Sinus Bradycardia
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Atropine Dopamine Transvenous Pacing
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Supraventricular Tachycardia
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Adenosine - GIVE RAPID IVP because of short half-life Synchronized Cardioversion Defibrillation if QRS irregular and wide Valsalva Maneuver
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Atrial Flutter
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Synchronized Cardioversion Beta Blockers Digoxin
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Atrial Fibrillation
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Digoxin! Amiodarone Cardioversion WARFARIN THERAPY!
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Premature Ventricular Contraction
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Amiodarone Not treated if asymptomatic
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Ventricular Tachycardia
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Synchronized Cardioversion Magnesium Sulfate Start CPR!! Defibrillation Amiodarone Bolus IV
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Ventricular Fibrillation (Fatal rhythm)
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Defibrillation Start CPR
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1st Degree Heart Block
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Usually not treated
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Mobitz Type I
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Atropine Dopamine Epinephrine Transcutaneous pacemaker
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Mobitz Type II
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Pacemaker Atropine Dopamine Temporary then Permanent pacemaker
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3rd Degree Heart Block
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Transcutaneous Pacemaker Atropine Dopamine
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Aystole
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Start CPR Oxygen Epinephrine
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Pulseless Electrical Activity
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Electrical activity present but no pulse! Start CPR Epinephrine
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Junctional Dysrhythmias
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Atropine if symptomatic
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Bundle Branch Block
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No treatment unless new onset
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Torsades de Pointes
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Give Magnesium!
