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FCC Cardio #1

for first FCC Cardio test

QuestionAnswer
A-fib absent P, QRS normal; meds are amiodarone, diltiazem, ibutilde, verapamil, hepariv, maybe cardioversion, watch for clots
A-flutter sawtoothe P wave, PR interval not measuable, QRS duration normal, T wave not identifiable, treatment: diltiazem, amiodarone, propranolol, esmolol, ibutilide, Dig, cardioversion
V-fib atrial rythm not determined, vent. no pattern, no p, can'd determine PR interval, QRS not determinedShock em! CPR, meds: vasopressin, epinephrine, amiodarone, magnesium
V-tach atrial rythm cant be determined, vent. rapid (100 - 250 bpm), no P, PR interval not measurable, QRS bizarre, tx: lidocaine, procainamide bolus, amiodarone, magnesium, if unstable synchronized cardioversion, no pulse - shock em
ASYSTOLE no discernible activity, CPR, epinephrine, atropine, pacemaker
Bradycardia no tx, or atropine, pacemaker
Tachycardia corrct underlying problem, beta adrenergic blockade
Epiniphrine MI, V-fib, v-tach, asystole, bradycardia
Amiodarone V-tach, svt, afib, v-fib
Right sided HF edema, jugular vein distention, wt. gain
left sided failure dyspnea, cough, tachycardia, fatigue, weakness, crackles
Digoxin Levels 0.5 - 1.1, toxic over 2
Nitro every 5 min. x 3
Amiadarone & Lidocaine slows HR
Atropine increases HR
sick sinus syndrome irregular rythem, alternating rate, P wave varies with rythm, PR interval wnl, QRS wnl, T normal,
Cardiogenic shock Increase HR, Resp, PAP and PAWP; decreased systolic pressure, urine, pulse pressure, O2 sat; cyanosis, metabolic acidosis, cool clammy skin, pulse weak and thready, tx; dopamine, phenylephrine, dobutamin, IABP, heparin
Hypovolemic shock increased HR, Resp, urine specific gravity, K+, creatinine and BUN, decreased: pulse pressure, urine, B/P, CVP, PAP, PAWP, hgB and Hct; cyanosis, metabolic acidosis, cool clammy skin, pulse is weak and thready; tx: replace fluid/blood, O2, dopamine,
Created by: soapingdiva
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