Sinus Arrhythmia
Sinus Arrhythmia
Looks almost normal
Action: none, continue to monitor
First Drug: none
Possible cause: respiratory deviation,
... [Show More] peds, aging heart
Sinus Bradycardia
Action: oxygen, notify MD - if symptomatic, follow AHA guidelines. First Drug: Atropine if symptomatic - low BP
Possible cause: vagal-stimulation, athlete, sleep, ischemia to SA node, Meds, ↑ ICP
Sinus Tachycardia
Action: Determine & Treat the cause - this is key
First Drug: None, watch for drugs that may be the cause
Possible causes: pain, fever, anxiety, exercise, hypoxia, caffeine, sympathetic stimulation.
Premature Atrial Contraction - PAC's
Action: no action needed; if new or frequent notify MD
First Drug: None
Possible causes: caffeine, fatigue, tobacco, alcohol, stress, atrial enlargement
Atrial Flutter
Action: If new, notify MD, O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema post heart surgery, valve disease, hyperthyroidism
Atrial Fibrillation
Action: If new, notify MD; O2 if dyspneic
First Drug: Digoxin, beta blockers, amiodarone, Cardizem
Possible causes: Atrial enlargement - CHF, HTN, edema post heart surgery, valve disease, hyperthyroidism
Premature Junctional Contraction - PJC's
Action: If frequent or new notify MD
First Drug: None
Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, stress, meds
Junctional Rhythm
Actions: If new notify MD, O2 if dyspneic,meds (if extreme Brady, Call RRT) FirstDrug: Atropine(0.5mg)ifsymptomatic-BP
Possible causes: ischemia -SA node, SA node function due to meds - Digoxin tox.
Accelerated Junctional
Actions: If new notify MD, O2 if dyspneic, meds
First Drug: none
Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, stress, med toxicity - esp. Dig Toxicity (check potassium)
Junctional Tachycardia
Actions: If new notify MD, O2 if dyspneic, meds
First Drug: none
Possible causes: AV Node Irritability - caffeine, fatigue, tobacco, alcohol, stress, med toxicity - esp. Dig Toxicity (check potassium)
SVT-Supraventricular Tachycardia
Action: Vagal Maneuvers, O2, notify MD - Call RRT if symptomatic
First Drug: Adenosine (6mg, 12mg, 12mg - Rapid IV push)
Possible causes: stimulants, CHF, thyroid, med toxicity
(Could be Sinus Tach; Atrial Tach; Atrial Flutter; or Junctional Tach - cannot determine!) [Show Less]