Kaiser EKG Exam

EKG Exam for Kaiser's New Grad RN Residency Exam

PEA

1. CPR

2. Epi

3. Consider H/T

Asystole

1. CPR

2. Epi

3. H/T

PVC

In isolation, not dangerous

Frequency=loss of CO

1. Cause (MI, electrolyte imbalance, acidosis, hypoxemia, stress, stimmys, dig toxicity, antiarrhythmic

2. Amio

3. Lidocaine

4. Pronestyl

Stable VT with a pulse

1. Amio

2. Lido

3. if unresponsive, cardiovert

VT w/ pulse (unstable hemodynamically)

1. Cardiovert

2. Amio

VF

1. call code

2. CPR

3. Defib

4. Epi

IVR: only tx if symptomatic

1. Atropine

2. Epi

3. Transcut. pace until perm. pace

1st degree HB, stable vs unstable

If stable: nothing

Unstable: Atropine

2nd degree type 1, tx if sx (3)

Sx: atropine

epi

temp pace

2nd degree type 2, (4) (2 are pressors)

1. atropine

2. epi

3. dopamine

4. transcut. pace → perm pace

3rd degree HB (4, 2 being pressors)

1. transcut. pace → perm pace

2. Atropine

3. Epi

4. Dopamine

PJC: what does the EKG look like

1. narrow QRS, no P wave b4 QRS or abnormal PRI that’s shorter than normal

2. If sx: tx BB, CCB

SVT aka ?, stable vs unstable

Narrow complex tachycardia

1. stable: vagal or adenosine

2. unstable: cardiovert

A Fib, stable (3) rate, rhythm, anticoag, unstable

stable: BB, diltilazem, verapamil, Dig

amio

Coumadin, Lovenox

unstable: cardiovert 120-200 J

A flutter, stable (3) rate, rhythm, anticoag, unstable

stable

1. BB, diltiazem, verapamil, digoxin

2. amiodarone

3. lovenox, coumadin

Unstable: cardiovert 50-100 J

PAC-nothing usually

Rarely tx, observe and doc

Sick Sinus Syndrome, asx=?, sx=?

Asx= none

Sx= tx the cause, pace, atropine