what are PVC?
when ventricles fire early
one extra heart beat that begin in the lower chambers
What causes PVCs?
Remember 3s
Stimulant
Sepsis
Stress
low electrolyte imbalance
S/S of PVCs?
skipped heart beat
chest pain
Hypotension
Decrease pulse
what are nursing intervention for PVCs?
ASSESS FIRST
tx cause
educate pt
correct imbalance
adjust medications
what meds should you adjust while having PVCs?
Digoxin
what meds should you give for symptomatic PVCs?
Amiodarone (-Sotalol orally)
IV amiodarone, procainamide, lidocaine numbs)
what are the 4 PVC morphology?
Unifocal
multifocal
couplet
R/T phenomena (upside down)
on a cardiac rhythm strip what does the QRS look like?
WIDE and bizarre