NURS 443 Lecture Notes - Lecture 2: Perspiration, Shortness Of Breath, Diltiazem
Name
ECG
Character
Cause
S&S
Treat
Intervention
Sinus Tach
HR is greater
than 100
Caffeine, anxiety, fever,
stress, exercise, pain,
hypotension, hypovolemia,
anemia, hyposia,
hypoglycemia, MI, HF,
hyperthyroid, drugs
Diaphoretic, SOB,
palpitation, dizzy,
dyspnea, hypotension,
angina
Beta blocker,
calcium channel
blocker
Treat based on
cause. May need
rest, encourage
cool down period
during workout
Sinus Brad
HR is less
than 60
Vagal stimulation (vomit,
fear/aiet), ↑ K, athletes,
sleep, inactivity,
hypothyroid
Sluggish, syncope,
↓BP, dizz, tired,
pale, cool skin, weak,
angina, confused
Atropine,
isoproterenol,
dopamine, epi
Monitor pt. may
need pacemaker.
Hold drugs if cause
Junctional
dysrhythmia
No P wave
but regular
rhythm
Premature
Atrial
Contraction
Extra P wave,
may be
barried in T
Cause: stress, fatigue, fever,
caffeine, tobacco, alcohol,
hypoxia, electrolyte, CHF,
COPD, CAD, MVD,
hyperthyroid
Hiccup feeling,
palpitations
Based on cause
Provide O2
A flutter
200-350 or
normal bpm.
P wave is
sawtoothed
pattern
CAD/ CHF, hypertension,
MVD, PE, lung disease, cor
pulmonale, hypothyroid, MI,
myocarditis, hyperthyroid
crisis, post heart surgery
SOB, chest pain, dizzy,
faint, anxious,
ineffective central
perfusion, ↓LOC,
hyperthyroid crisis
Beta & calcium
channel blocker,
amiodarone,
diltiazem
Give O2, bolus
fluids, Lasix.
Will have
cardioversion,
ablation, or MAZE
procedure
A fib
350-600
bpm. P wave
will quiver
CAD, valve disease,
cardioopath, ↑BP, HF,
pulm disease, caffeine,
stress, alcohol
Same as above
Same as above
Same as above
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Document Summary
Extra p wave, may be barried in t. Caffeine, anxiety, fever, stress, exercise, pain, hypotension, hypovolemia, anemia, hyposia, hypoglycemia, mi, hf, hyperthyroid, drugs. Vagal stimulation (vomit, fear/a(cid:374)(cid:454)iet(cid:455)), k, athletes, sleep, inactivity, hypothyroid. May need rest, encourage cool down period during workout. Bp, dizz(cid:455), tired, pale, cool skin, weak, angina, confused. Cause: stress, fatigue, fever, caffeine, tobacco, alcohol, hypoxia, electrolyte, chf, Mvd, pe, lung disease, cor pulmonale, hypothyroid, mi, myocarditis, hyperthyroid crisis, post heart surgery. Cad, valve disease, cardio(cid:373)(cid:455)opath(cid:455), bp, hf, pulm disease, caffeine, stress, alcohol. Sob, chest pain, dizzy, faint, anxious, ineffective central perfusion, loc, hyperthyroid crisis. Mi, cad, rheumatic fever, hypothyroid, electrolyte, vagal simulation, drugs. Similar to pac, additional pathway in heart, stress, K, ca, dig to(cid:454)icit(cid:455), anxiety, hypoxia, mi, caffeine, alcohol, tobacco, epi. No connection w/ p wave and qrs at all. Pulm edema, pulse or (cid:374)o pulse, bp, cerebral blood flow. , cardiopul(cid:373)o(cid:374)ar(cid:455) arrest monomorphic: give procainamide, sotalol, and amiodarone.
