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What does the P wave represent?
What does the QRS complex represent?
What does the T wave represent?
What does elevated or depressed ST segment signify?
Hallmark sign of ischemia, CAD, or impending MI (STEMI)
How is sinus bradycardia treated if patient is symptomatic?
O2, IV, atropine, pacemaker
What is the treatment for stable SVT?
- oxygen and IV
- 12 lead EKG
- If narrow QRS- vagal maneuvers (bear down, gag reflex, carotid massage)
- Adenosine 6 mg rapid IV w/ 20 ml NS flush RAPID
- May repeat 12 mg adenosine
What is the treatment for unstable SVT?
Immediate synchronized cardioversion
How is v-tach treated if patient has a pulse?
- Oxygen and IV
- 12 lead EKG
How is v-tach treated if patient does not have a pulse?
CPR and immediate DEFIBRILLATION!
How is v-fib treated?
- Epinephrine 1 mg 3-5 minutes
- 1 does of vasopressin may be admin instead of epinephrine
- Antiarrythmics- amiodarone, lidocaine, magnesium, procainamide
What is the treatment for asystole? (5 H's and 5 T's)
- Epinephrine 1 mg q 3-5 min (vasopressin)
- IV atropine 1 mg q 3-5 min
What is the treatment for 3rd degree AV block?
- Atropine (if QRS is narrow)
- Pacing (transcutaneous)
- Dopamine (narrow QRS)
- Permanent pacemaker
What would you like to do?
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