Exam (elaborations)
Dysrhythmias-Notes - for medical surgical nursing.
- Course
- Institution
- Book
Dysrhythmias-Notes - for medical surgical nursing.
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
More summaries for
-
Relias Dysrhythmia Basic A Test 55 Questions and Answers 2024 (Basic A Dysrhythmia) ||A+ GRADED
-
Relias Dysrhythmia Basic Test Answers 2023 Dysrhythmia – Basic A -35 QA
-
Relias Dysrhythmia Basic Test Answers Solution guide 2023
Seller
Follow
HIGHSCORE
Reviews received
Content preview
Dysrhythmias-Notes - This are notes for medicalsurgical nursing in 3rd year
Downloaded by Quiz Grade
, KVSRHVHHMI6S YentricГler Techycerdie
VENTRICULAR DYSRHYTHMIAS
100 – 200 bpm, regular
3 or more PVC IN A ROW @ 100 bpm ±
Associated w/ CARD & MI
PREMATURE YENTRICULAR COMPLEZ May precede VFib
EMERGENCY
pt unresponsive and pulseless
PVC VTach VFib Asystole
FACTORS TO DETERMINE INITIAL TREATMENT
Identifying the rhythm as monomorphic or polymorphic
Existence if a prolonged QT interval before the initiation of VT
Any comorbidities
Ascertaining the heart
function MANAGEMENT
If stable: Continue assessment (ECG)
Monomorphic stable VT (no MI or severe HF)
o Procainamide
o Sotalol
IV amiodarone (medication of choice) - if impaired
impulse that starts in a ventricle and is conducted through cardiac function or MI
the ventricles before the next normal sinus impulse. Lidocaine - most commonly used for immediate, short-term
extra heartbeats that begin in one of the heart's two lower therapy
pumping chambers (ventricles). These extra beats disrupt Cardioversion (treatment of choice) - monophasic,
the regular heart rhythm, sometimes causing a fluttering symptomatic VT
sensation or a skipped chest beat.
Defibrillation (treatment of choice) - pulseless VT
CAUSES: Long-term management:
o <35% ejection fraction - implantable
cardiac ischemia/ infarction cardioverter defibrillator (ICD)
increased workload on the heart
digitalis toxicity
o B - brady/tachycardia
o A - anorexia
o N - nausea
o D - dysrhythmia/diarrhea
o A - abdominal pain
o G - green halo vision
hypoxia
acidosis – ABG result
electrolyte imbalances
o hypokalemia (³ potassium) N=3.5-5 mEq/L
TYPES OF PVC
Unifocal PVC
Bigeminy– every other complex is PVC
Trigeminy – every third complex is PVC
Quadrigeminy – every fourth complex is a PVC
Torsedes de Pointes
a polymorphic VT preceded by a prolonged QT interval
Requires immediate treatment
o Correct electrolyte imbalance
IV magnesium
IV isoproterenol (Isuprel)
Pacing (if with bradycardia)
MANAGEMENT
Usually not seriosus
If frequent: Amiodarone or Sotalol – antiarrhythmics
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76710 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now