Cardiac Dysrhythmias

Question	Answer
Image: Pac1 (binary/octet-stream)	3rd degree block
Image: Vtach2 (binary/octet-stream)	V-TAC
Image: Vtac (binary/octet-stream)	V-TAC
Image: Trige (binary/octet-stream)	Trigeminy PVCs that occur every 3rd beat
Image: Supra (binary/octet-stream)	Supraventricular Tachycardia (SVT) With SVT, HR is between 140 to 250 beats/min (average 180) SUSTAINED P-wave may be buried in the T-wave (sometimes looks like a camel’s hump) and difficult to see many times.
Image: Pvc (binary/octet-stream)	PVC
Image: Pac4 (binary/octet-stream)	pac
Image: Pac3 (binary/octet-stream)	pac
Image: Pac2 (binary/octet-stream)	pac
Image: Normal (binary/octet-stream)	normal
Image: Bigemy (binary/octet-stream)	Bigeminy PVCs that occur every other beat
Image: Astoyle (binary/octet-stream)	Asystole TREATMENT: CPR
Image: A+Fib (binary/octet-stream)	A- fibrillation (A-fib)
Image: 3ed+Block (binary/octet-stream)	3rd Degree AV Block
Image: 2nde+De (binary/octet-stream)	2nd degree AV block Type 1 Longer and Longer PR interval until it is completely blocked from reaching the ventricles for a single cycle
Image: 2nd+Type2 (binary/octet-stream)	2nd Degree AV Block—Type 2 NORMAL CONDUCTION and then a DROPPED QRS
Image: Couplets (binary/octet-stream)	Couplets Two PVCs that occur in a row
Image: Eleva (binary/octet-stream)	Myocardial Injury (infarction) ST segment elevation > 1mm
Image: Depres (binary/octet-stream)	Myocardial Ischemia Depression of the ST segment >1mm below the isoelectric line or inversion of T waves No permanent damage to the heart
Image: Flutter (binary/octet-stream)	Atrial Flutter
Image: Ido (binary/octet-stream)	Idioventricular Rhythm
Image: Ido2 (binary/octet-stream)	Idioventricular Rhythm
Image: Juct5 (binary/octet-stream)	Junctional Rhythm (HR 40-60) P wave is INVERTED and located AFTER the QRS
Image: Brady+Cardia (binary/octet-stream)	Bradycardia
Image: 3 Bd3 A8 C3 6957 4 Dfc A617 E880 E079 Ea53 (binary/octet-stream)	V fib
Image: Pea (binary/octet-stream)	Pulseless electrical activity PEA
Image: 95 F80 Fdc 3652 40 C1 Ab66 Fb1301 C3 Afd7 (binary/octet-stream)	Paroxysmal Atrial Tachycardia (PAT)
Image: 40 E73251 C768 420 E A923 4 Bcf153 D9 A60 (binary/octet-stream)	(A-fib)
Image: Dc54 D906 1 Af5 46 Af Ad46 2 A38 Ca325 B99 (binary/octet-stream)	Sinus Tachycardia 100-150 beats
Goal of Anti-dysrhythmics:	Slow Down the HR Convert to NSR Suppress further ECTOPY (with a maintenance drug)
what drugs treat this Image: Flutter (binary/octet-stream)	A-flutter If stable (B-C-D) --try to slow the rate and let the SA node take over If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine
What drugs are used to treat Image: 40 E73251 C768 420 E A923 4 Bcf153 D9 A60 (binary/octet-stream)	A-fib If stable (B-C-D) UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. If UNSTABLE Management for maintenance Amiodarone Procainamide Quinidine
WHAT DRUGS ARE USED TO TREAT THIS Image: Supra (binary/octet-stream)	SVT If stable: Slow rate with ADENOSINE If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine
WHAT DRUGS ARE USED TO TREAT THIS Image: 95 F80 Fdc 3652 40 C1 Ab66 Fb1301 C3 Afd7 (binary/octet-stream)	PAT If stable: Slow rate with ADENOSINE If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine
WHAT DRUGS ARE USED TO TREAT THIS Image: Brady+Cardia (binary/octet-stream)	Acute: Atropine OR Epinephrine If symptoms are significant or 2nd or 3rd degree block: PACE. Management pacemaker
WHAT DRUGS ARE USED TO TREAT THIS Image: Pvc (binary/octet-stream)	IF STABLE: Amiodarone Lidocaine procainamide beta blockers IF UNSTABLE: Synchronized CARDIOVERSION (120-200J, ↑as needed) Management for maintenance Amiodarone Lidocaine procainamide beta blockers
(WITH A PULSE) WHAT DRUGS ARE USED TO TREAT THIS Image: Vtach2 (binary/octet-stream)	IF STABLE: Amiodarone Lidocaine procainamide beta blockers IF UNSTABLE: Synchronized CARDIOVERSION (120-200J, ↑as needed) Management for maintenance Amiodarone Lidocaine procainamide beta blockers
WITH OUT A PULSE Image: Vtac (binary/octet-stream)	CPR Defibrillation 120-200J (stepwise ↑ to 360J as needed) Epinephrine every 3-5 min Amiodarone or lidocaine
WITHOUT A PULSE Image: V+Fib+2 (binary/octet-stream)	CPR Defibrillation 120-200J (stepwise ↑ to 360J as needed) Epinephrine every 3-5 min Amiodarone or lidocaine
WHAT DRUGS ARE USED TO TREAT THIS Image: Pea (binary/octet-stream)	PEA: Pulseless Electrical Activity CPR Pharmacologics Epinephrine every 3-5 min
what drugs are used to treat this Image: Astoyle (binary/octet-stream)	Asystole CPR Pharmacologics Epinephrine ever

Image: Pac1 (binary/octet-stream)

3rd degree block

Image: Vtach2 (binary/octet-stream)

V-TAC

Image: Vtac (binary/octet-stream)

V-TAC

Image: Trige (binary/octet-stream)

Trigeminy PVCs that occur every 3rd beat

Image: Supra (binary/octet-stream)

Supraventricular Tachycardia (SVT) With SVT, HR is between 140 to 250 beats/min (average 180) SUSTAINED P-wave may be buried in the T-wave (sometimes looks like a camel’s hump) and difficult to see many times.

Image: Pvc (binary/octet-stream)

PVC

Image: Pac4 (binary/octet-stream)

pac

Image: Pac3 (binary/octet-stream)

pac

Image: Pac2 (binary/octet-stream)

pac

Image: Normal (binary/octet-stream)

normal

Image: Bigemy (binary/octet-stream)

Bigeminy PVCs that occur every other beat

Image: Astoyle (binary/octet-stream)

Asystole TREATMENT: CPR

Image: A+Fib (binary/octet-stream)

A- fibrillation (A-fib)

Image: 3ed+Block (binary/octet-stream)

3rd Degree AV Block

Image: 2nde+De (binary/octet-stream)

2nd degree AV block Type 1 Longer and Longer PR interval until it is completely blocked from reaching the ventricles for a single cycle

Image: 2nd+Type2 (binary/octet-stream)

2nd Degree AV Block—Type 2 NORMAL CONDUCTION and then a DROPPED QRS

Image: Couplets (binary/octet-stream)

Couplets Two PVCs that occur in a row

Image: Eleva (binary/octet-stream)

Myocardial Injury (infarction) ST segment elevation > 1mm

Image: Depres (binary/octet-stream)

Myocardial Ischemia Depression of the ST segment >1mm below the isoelectric line or inversion of T waves No permanent damage to the heart

Image: Flutter (binary/octet-stream)

Atrial Flutter

Image: Ido (binary/octet-stream)

Idioventricular Rhythm

Image: Ido2 (binary/octet-stream)

Idioventricular Rhythm

Image: Juct5 (binary/octet-stream)

Junctional Rhythm (HR 40-60) P wave is INVERTED and located AFTER the QRS

Image: Brady+Cardia (binary/octet-stream)

Bradycardia

Image: 3 Bd3 A8 C3 6957 4 Dfc A617 E880 E079 Ea53 (binary/octet-stream)

V fib

Image: Pea (binary/octet-stream)

Pulseless electrical activity PEA

Image: 95 F80 Fdc 3652 40 C1 Ab66 Fb1301 C3 Afd7 (binary/octet-stream)

Paroxysmal Atrial Tachycardia (PAT)

Image: 40 E73251 C768 420 E A923 4 Bcf153 D9 A60 (binary/octet-stream)

(A-fib)

Image: Dc54 D906 1 Af5 46 Af Ad46 2 A38 Ca325 B99 (binary/octet-stream)

Sinus Tachycardia 100-150 beats

Goal of Anti-dysrhythmics:

Slow Down the HR Convert to NSR Suppress further ECTOPY (with a maintenance drug)

what drugs treat this

Image: Flutter (binary/octet-stream)

A-flutter If stable (B-C-D) --try to slow the rate and let the SA node take over If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine

What drugs are used to treat

Image: 40 E73251 C768 420 E A923 4 Bcf153 D9 A60 (binary/octet-stream)

A-fib If stable (B-C-D) UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. If UNSTABLE Management for maintenance Amiodarone Procainamide Quinidine

WHAT DRUGS ARE USED TO TREAT THIS

Image: Supra (binary/octet-stream)

SVT If stable: Slow rate with ADENOSINE If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine

WHAT DRUGS ARE USED TO TREAT THIS

Image: 95 F80 Fdc 3652 40 C1 Ab66 Fb1301 C3 Afd7 (binary/octet-stream)

PAT If stable: Slow rate with ADENOSINE If UNSTABLE Synchronized CARDIOVERSION - (50-200J, ↑as needed) - conscious sedation. Management for maintenance Amiodarone Procainamide Quinidine

WHAT DRUGS ARE USED TO TREAT THIS

Image: Brady+Cardia (binary/octet-stream)

Acute: Atropine OR Epinephrine If symptoms are significant or 2nd or 3rd degree block: PACE. Management pacemaker

WHAT DRUGS ARE USED TO TREAT THIS

Image: Pvc (binary/octet-stream)

IF STABLE: Amiodarone Lidocaine procainamide beta blockers IF UNSTABLE: Synchronized CARDIOVERSION (120-200J, ↑as needed) Management for maintenance Amiodarone Lidocaine procainamide beta blockers

(WITH A PULSE) WHAT DRUGS ARE USED TO TREAT THIS

Image: Vtach2 (binary/octet-stream)

IF STABLE: Amiodarone Lidocaine procainamide beta blockers IF UNSTABLE: Synchronized CARDIOVERSION (120-200J, ↑as needed) Management for maintenance Amiodarone Lidocaine procainamide beta blockers

WITH OUT A PULSE

Image: Vtac (binary/octet-stream)

CPR Defibrillation 120-200J (stepwise ↑ to 360J as needed) Epinephrine every 3-5 min Amiodarone or lidocaine

WITHOUT A PULSE

Image: V+Fib+2 (binary/octet-stream)

CPR Defibrillation 120-200J (stepwise ↑ to 360J as needed) Epinephrine every 3-5 min Amiodarone or lidocaine

WHAT DRUGS ARE USED TO TREAT THIS

Image: Pea (binary/octet-stream)

PEA: Pulseless Electrical Activity CPR Pharmacologics Epinephrine every 3-5 min

what drugs are used to treat this

Image: Astoyle (binary/octet-stream)

Asystole CPR Pharmacologics Epinephrine ever