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Dysrhythmias Review

QuestionAnswer
List ten factors for Dysrhythmia CVD, MI, Hypoxia, Acid base imabalance, Electrolyte abnormalities, Chronic renal, heptaic or lung disease, pericarditis, drug use/abuse, hypovolemia, shock.
List 7 signs of decrease CO Hypotension, Irregular Pulse, Fatigue, Dyspnea, Chest Pain, Syncope, Palpitations
Describe how the LPN responsibilities for obtaining an ECG ask the patient to undress down to the waist and lie down. Wash skin to remove excess oils, remove excess hairs where necessary, attach limb leads to flat surfaces above the wrist and ankles and to the chest, ask the pt to relax and breath normally
Describe the LPN responsibilities during and after ECG Mx for chest pain, decreased LOC, SOB and hypoxia, report any signs of potential complications, teach pt and family and reassure pt and family
Which drug is given to prevent clots from forming with atrial fibrillation Coumadin (warfarin)
List the complicatiosn the LPN is watchrful for after cardioversion Pulmonary: dyspnea, chest pain, air hunger, decreasing sats. Stoke: Decreased LOC, slurred speech, muscle weakness/paralysis. MI chest pain, ST depression or elevation.
What is True about defibrillation Defib is used for ventricular tachycardia without a pulse. Defib is done to stop all electrical activity of the heart so the SA node can take over
The P wave Representing the electrical impulse across the atria to the AV nose resulting in atrial contraction
the QRS Representing the electrical impulse a it travels across the ventricles, measures ventricular contraction.
The T-wave representing the electrical repolarization of ventricles and represents ventricular relaxation
Define atrial kick The last part of diastole (when ventricular filling occurs); accounts for 25%-30% of CO
What is the most common cause of dysrhythmias in the client receiving Digoxin? HYPOKALEMIA
When administering amiodarone (Codarone, Pacerone) what is the main adverse effect to watch for ? Hypertension
Created by: starr8904
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