cardiac care flip 1

meds to know:

• oxygen

• asa

• nitroglycerine

• ventolin

• atrivent

• epi

• tylenol

indications, contra, adverse effects, doses, route, how to administer

know heart conduction and circulation

steps to rhythm interpretation

• regularity

• rate (count how many R in 6 seconds x10)

  • dont count PVCs

  • count PJCs and PACs

• P waves

• PRI

• QRS

• QT interval

• interpretation

ectopic beats

PAC: narrow QRS with upright P wave

PJC: narrow QRS with absent or inverted P wave

PVC: wide bizarre QRS no P wave

• unifocal are all similar, multifocal are not

• bigeminy is every second beat trigeminy

if the R is far from P you have a first degree

longer longer longer drop then you have a wenckebach (second degree block type 1)

if some Ps dont get through then you have MOBITZ II

if ps and qs dont agree then you have a third degree

if afib has rate over 100 then it is afib with RVR