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NUR 217-218 Exam 2 Questions and Answers
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Sinus Bradycardia Treatments - Answer-Atropine 0.5mg rapid IV bolus until a max of 3mg given Transcutaneous pacing, epi, or dopamine given in emergencies Sinus Tachycardia Treatments - Answer-Vagal maneuvers Synchronized cardioversion Adenosine -- emergencies Beta-Blockers Calcium-Channel B...

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  • October 20, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 217 218 exam 2 questions and answers
  • sinus bradycardia treatments answer atropine 05

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NUR 217-218 Exam 2 Questions and
Answers
Sinus Bradycardia Treatments - Answer-Atropine 0.5mg rapid IV bolus until a max of
3mg given
Transcutaneous pacing, epi, or dopamine given in emergencies

Sinus Tachycardia Treatments - Answer-Vagal maneuvers
Synchronized cardioversion
Adenosine -- emergencies
Beta-Blockers
Calcium-Channel Blockers
Catheter Ablation

PAC Treatments - Answer-No treatment if they are infrequent
Treat underlying cause if they are frequent

Afib treatment - Answer-Warfarin/ Coumadin (blood thinner) to prevent clots in atria +
Digoxin to slow heart ... may be cardioverted to return to normal sinus rhythm (NSR) if
rapid ventricular response (RVR)

Xarelto
Beta-Blockers
Calcium-Channel blockers
Flecainide

Catheter Ablation

Atrial Flutter Treatments - Answer-antiarrhythmic (amiodarone)
b-blockers
CCB
anticoagulation
catheter ablation
electrical cardioversion
Adenosine Rapid IV push with arm elevated followed by 20mL saline flush

First Degree Heart Block Treatments - Answer-None because symptoms are rare

Second Degree Heart Block Type I Treatments - Answer-Atropine or Isoproteronol if
symptomatic
Generally no treatment

Second Degree Heart Block Type II Treatments - Answer-Atropine
Transcutaneous Pacing

, Transvenous Pacing

third degree heart block treatment - Answer-External pacemaker
Atropine (not typically helpful because it will increase sinus node firing (p waves) but not
ventricular firing
Epinephrine

Ventricular Tachycardia Treatments - Answer--Stable sustained: Amiodarone
-Unstable w/ pulse: synchronized cardioversion
-No pulse: defibrillation + CPR

Torsades De Pointes Treatment - Answer-IV magnesium sulfate

V-fib treatment - Answer-CPR and defibrillation

SVT treatment - Answer--vagal stimulation: Valsalva maneuver
-IV adenosine is drug of choice, 6mg initially, 12mg second dose if unsuccessful. Rapid
push w/ arm elevated followed by 20mL saline flush
-IV beta blockers, CCB, amiodarone also used
-if none of that works, cardioversion

PVC treatment - Answer-asymptomatic: observation

symptomatic:
1) *beta blockers*
2) amiodarone = second line

Asystole treatment - Answer-CPR IMMEDIATELY
Epinephrine 1mg q3-5min
Amiodarone 150mg first then 300mg
This is NOT a shockable rhythm

PEA treatment - Answer-CPR, Epi and check for shockable rhythm every 2 minutes
This is NOT a shockable rhythm

5 H's - Answer-hypoxia
hypovolemia
hydrogen ions (acidosis)
hypothermia
hypo/hyper kalemia

5 T's - Answer-Tension pneumothorax
Tamponade, cardiac
Toxins
Thrombosis, pulmonary
Thrombosis, coronary

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