Slide 1

Basic Arrhythmias

12543Identify the parts of the hearts conduction system

abc6. What is letter A?7. What is letter B?8. What is letter C?9. What is the normal duration of A?10 . What is the normal duration of B?3Match the placement of leads to the chest of the manikin11.________12.________13._________14. Lead I provides view of the heart from_____ to _____15. Lead II provides view of the heart from _____ to _____

16. This rhythm shows________________17. What is the rate?________18. Regular or irregular?___________19. Treatment?__________20. P wave to QRS ratio?____________

212223Identify the rhythm

Identify the rhythm 2425

2627Identify the rhythm

2829Identify the rhythm

3031Identify the rhythm

32. What is this this rhythm?Aside from immediate shocks, what are your other treatments?33.______ 34._______ 35.______For questions 36-41, read the scenario You are called to the home of a 48 y/o woman whose chief complain is "I almost fainted when I got out of bed." She has been ill for 2 days with nausea, vomiting and diarrhea. She had a temperature until this am when it finally broke. She feels dizzy when she sits or stands up. Her skin is cool and clammy. Her color is pale. Her pulse is 130. Her BP is 88/64 and her Respirations are 18. Pulse Ox reading is 96% on roomair. She has no medical history.36. She is placed on the cardiac monitor which reveals the following rhythm. This rhythm is

Ventricular TachycardiaAtrial FibrillationAtrial TachycardiaSinus Tachycardia

37. This rhythm is treated byVagal maneuversFinding the underlying cause and correcting it.Administering adenosine 6mg IV fast push.Synchronized cardioversion 50 joules.

38. Based on this patient's history her tachycardia is most likely caused byHeart diseaseVertigoDehydrationUnderlying arrhythmia.

39. The next step in her treatment should beDextrose 50%OxygenTranscutanous pacemakerNormal saline solution bolus.

Which of the following is TRUE regarding Sinus Tachycardia.Sinus tachycardia often presents with heart rates above 200 bpmAlways requires the administration of AdenosineIt is always compensating for an underlying issueIt is always a life threatening arrhythmia

In what way does Sinus Tachycardia differ from Normal Sinus Rhythm?The PR interval is longerThe QRS is widerThe rhythm is irregularThe heart rate is above 100 bpm.

For questions 36-37, read the scenario You are working in the Coronary Care Unit taking care of an elderly female patient who was admitted 48 hours earlier with the diagnosis of acute anterior wall infarction. She had a stent placed but has not done well. Her husband runs out of the room and tells you that "my wife doesn't look so good." You find her to be lethargic, pale and diaphoretic. Her BP is 60/42 and her pulse is 30.36. The monitor reveals the following rhythm. You correctly interpret the above rhythm asSecond Degree AV Block Type I Second Degree AV Block Type IISinus BradycardiaThird (Complete) Degree Heart Block

While you were treating your patient you forgot about her husband who was standing in the room watching. He now says he is dizzy and falls to the floor. He is breathing spontaneously at a rate of 18/minute. You quickly check him and find that his skin is cool and clammy, his pulse is 39. You quickly put him on a portable monitor and it reveals the following rhythm.37. This rhythm is:Sinus tachycardiaSinus bradycardiaAtrial fibrillationComplete heart block

For questions 38-41, read the scenario You respond to a 911 call at a local grocery store where an elderly female has suddenly collapsed. She was shopping alone, so past medical history is not obtainable. Bystanders say she started to turn around and suddenly fell straight forward. A worker is doing chest compressions, but there is no AED on site. You quickly assess that she is not breathing and place pads on her chest.38. The monitor reveals the following rhythm. This rhythm isIn this scenario, probably artifactAtrial fibrillationVentricular fibrillationVentricular tachycardia.

39. High quality CPR is in progress and IV access has been established. The first medication administered to this patient should be

EpinephrineLidocaineAmiodaroneAdenosine

Identify the types of maneuver for opening the airway?40._______(A)__________ 41.________(B)________

AB42. The patient has suspected Spinal Cord Injury, to open the airway, which maneuver are you going to use?

ABIdentify the following airway adjuncts

43.________(A)___________44. ________(B)__________ 45. Which of the following airway adjuncts are you going to use with this type of patient?46. Which of the following airway adjuncts are you going to use with this type of patient?47. The patient has suspect Basilar Skull Fracture. Which of the following airway adjuncts are you going to use?Identify the following advanced airway adjuncts

48.________(A)__________49._______(B)___________ 50. BONUS!