OME-ACLS Easy
Bradycardia is is less than?
*60*
Tachycardia is over what?
*>100*
By rate control, we mean?
*Beta blockers* or *calcium channel blockers* -Verapamil/Diltiazem, Metoprolol
Rhythm is *fast + wide + stable* use?
*amiodarone*
Rhythm is *slow + stable* use?
*atropine*. Epi drips are a new tx that can also be used
When is the patient considered unstable?
*chest pain, shortness of breath, altered mental status* or a *systolic BP<90*
What is the rhythm that everyone should be in?
*normal sinus rhythm*
if the rhythm is *slow and unstable* then do what?
*pace*
Rhythm is *AFIB/Aflutter*, what do you do?
*rate control*
If the rhythm is *fast + unstable* then what do you do?
*shock*
This rhythm may be a normal rhythm in a competitive athlete, though they usually do not appear in a vignette or in the hospital as an arrhythmia
*sinus bradycardia*
What rhythm is a normal, physiologic response to underlying stressor (considered normal rhythm)
*sinus tachycardia*
Name the tachy atrial "narrow" rhythms
-Sinus tachycardia -Supraventricular tachycardia -Multifocal atrial tachycardia -Afib -Aflutter
Name the Brady rhythms
-sinus bradycardia -1 degree block -2nd degree block -3rd degree block -Junctional -Idioventricular
Name the tachy ventricular wide rhythms
-vtach -vfib -torsades
The two simple steps to identify a rhythm?
1) Determine the *rate* 2) Determine the *QRS complex*
The 3 components
1) Rate 2) QRS complex, wide or narrow 3) Regular or irregular?
How many tx options for stable rhythms?
3, maybe 4
If patient doesn't have any sx associated with being unstable, then what do you do?
A patient who is stable has time to fix the rhythm. They are not going to die at this moment; *pharmacotherapy* can be used
Step 4 involves what?
Choosing an intervention
Third and final decision?
If the rhythm is *regular* or *irregular*
QRS complex, narrow is less than? Means what?
Narrow is less than *.12msec* and means that it is an *atrial* rhythm
Arrhythmia without any sx, should you be concerned?
Nope, does not warrant attention
If you have chosen unstable/electricity, what needs to be asked?
Only one question needs to be asked, fast or slow
Simply put, *no symptoms* then *do nothing*. Nothing means?
Routine care: IV, O2, and monitor.
*STEP 2*
START HERE
Step 3 involves?
Stable vs unstable Time to stay and play or if definitive therapy is needed right now
*STEP 1: GENERAL PRINCIPLE*
Start Here
*STEP 3*
Start here
*STEP 4*
Start here
STEP 2 Premise?
Symptoms or no symptoms
rhythm *fast + narrow + stable*, what do you do?
Use *adenosine*
What to do if patient is unstable?
Use *electricity*
QRS complex, wide is greater than? Means what?
greater than *.12msec* Means it is a *ventricular* rhythm
