Kaiser Tele Rhythms 22 Correctly Answered Questions Latest Update

Sinus Arrhythmia {Ans: Sinus Arrhythmia Looks almost normal Action: none, continue to monitor First Drug: none Possible cause: respiratory deviation, peds, aging heart}2nd Degree AV Block Type II {Ans: Action: Notify MD; O2: set-up for temp pacer - Call RRT if symptomatic First Drug: If symptomatic - BP - ACLS recommends Atropine (caution with Dopamine drip for BP Possible causes: AV blocking meds, acute MI, edema post open-heart surgery MI); may use}Premature Junctional Contraction - PJC's {Ans: Action: If frequent or new notify MD First Drug: None Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, stress, meds}3rd Degree AV Block {Ans: Action: Notify MD; O2: set-up for temp pacer (TCP) - If symptomatic call RRT First Drug: If symptomatic -BP - ACLS recommends TCP. Atropine can be administered but should be given cautiously, because it is likely to be ineffective in a wide complex QRS rhythm and can be dangerous if the patient is having a concurrent MI. May consider Dopamine drip for BP Possible causes: AV blocking meds, acute MI, edema post open-heart surgery}Premature Ventricular Contraction - PVC's {Ans: (always note if they are unifocal or multifocal Action: If new, frequent or