Cardiac Rhythms and Treatments

Question 1

Treatment for PJC

Answer 1

Treat Underlying Rhythm

Question 2

Junctional Escape

Answer 2

O2
IV Fluids
Atropine .5 mg
Epinephrine 1:10000 1 mg
Pace

Question 3

Accelerated Junctional Rhythm

Answer 3

O2, Fluids

Question 4

Junctional Tachycardia

Answer 4

02
Fluids
Vagal
Amiodarone 150 mg/10 min with pulse or 300 mg over 10 without pulse
Lidocain 1-15 mg/kg followed by .5-.75 mg/kg
Synchronized Cardioversion 50-100j

Question 5

V-fib

Answer 5

Defibrillation 120-200j
Vasopressin 40 units
Epinephrine 1 mg 1:10,000
Amiodarone 300 mg followed by 150 mg

Question 6

V-tach

Answer 6

Pulseless defib 120, 150, 200j
02
Fluids
Vagal
Amiodarone 150 mg/10 min with pulse or 300 mg over 10 without pulse
Lidocain 1-15 mg/kg followed by .5-.75 mg/kg
Synchronized Cardioversion 50-100j

Question 7

PVC

Answer 7

02

Fluids

Question 8

Sinus Bradycardia

Answer 8

02
Fluids
Atropine .5 mg
Epinephrine 1 mg 1:10000
Pacing

Question 9

Sinus Tachycardia

Answer 9

Fix underlying rhythm
02
Fluids
Pain Management

Question 10

AV Block 1rst Degree

Answer 10

O2

Fluids

Question 11

AV Block 2nd Degree

Answer 11

O2
Fluids
12 Lead
Atropine .5 mg
Dopamine 2-20 mg/kg/min
Pace

Question 12

AV Block 3rd Degree

Answer 12

O2
Fluids
12 Lead
Atropine .5 mg
Pacing

Question 13

A-fib/A-Flutter

Answer 13

O2
IV
Vagal
Cardizem .25 mg/kg over 2 min followed by .35 mg/kg over 15 minutes
Amiodarone 150 mg/10 min
Lopressor 5 mg
Cardioversion 120-200j
A-flutter 50-100j
A-fib- ty verapamil

Question 14

Wandering Pacemaker

Answer 14

O2

Fluids

Question 15

SVT

Answer 15

O2
Fluids
Vagal
Adenosine 6mg, 12 mg, 12 mg
Amiodarone 150mg over 10 min
Synchronized Cardioversion 50-100j

Question 16

A-Tach, PAC

Answer 16

O2
IV Fluids
Vagal
Treat Underlying Issue