Dysrhythmia management

Question 1

Normal Sinus Rhythm

Answer 1

Monitor the patient

Question 2

Sinus Bradycardia

Answer 2

Treat only if symptomatic
ATROPINE (1st drug of choice)
Transcutaneous Pacemaker (TCP) and Vasopressors

Question 3

Sinus Tach

Answer 3

Treat the etiology/cause

Question 4

Sick Sinus Syndrome/ Sinus Arrest

Answer 4

Needs a pacemaker

Question 5

Explain “R on T phenomena”

Answer 5

Stimulus to the heart lands on T wave (Relative Refractory Period) where it is possible to cause another Action Potential. Ventricular Tachycardia can occur

Question 6

Premature Atrial Contractions (PAC)

Answer 6

Monitor pt.
Avoid caffeine, stressors
MEDS: Beta-Blockers; Digoxin