Know your Zoll Tachycardia

ALS Insights: Micro-Learning Education Sessions.

​Session Two:​ Know Your Zoll
By: Courtney Nowlin BSN, RN, SCRN

Tachycardia Zoll

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Multiple Choice

Which arrhythmias are an appropriate indication for synchronized cardioversion in an unstable patient?

• Sinus tachycardia

• Ventricular fibrilllation

• Atrial fibrillation with rapid ventricular response

• First-degree AV block.

Multiple Choice

What is the primary purpose of synchronizing the cardioversion shock with the R-wave of the patient's ECG?

• To reduce the risk of skin burns

• To synchronize breathing with the shock delivery

• To prevent delivering the shock during the T-wave

• To ensure the shock is delivered at the correct energy level.

Fill in the Blanks

Cardioversion is contraindicated in

arrhythmias, which require immediate defibrillation instead.

Cardioversion

​When to consider Cardioverting your Patient.

1. Hemodynamically Unstable Tachyarrhythmias:

   • Signs of instability: Hypotension, altered mental status, signs of shock, chest pain, or heart failure.

   • Arrhythmias: These include supraventricular tachycardia (SVT), atrial fibrillation (AF) with rapid ventricular response, atrial flutter, and certain types of ventricular tachycardia (VT) with a pulse.

2. Symptomatic Tachyarrhythmias:

   • When tachyarrhythmias cause significant symptoms but are not immediately life-threatening.

   • Symptoms can include palpitations, shortness of breath, lightheadedness, syncope, or significant fatigue.

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References

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​American Heart Association (n.d.) AHA RQI program: Program overview.
https://cpr.heart.org/-/media/CPR-Files/Courses-and-Kits/RQI/RQI-Program-Overview.pdf

American Heart Association (2020). ACLS Handout.
Novant Health (2022a) NH ALS Mega Code: Unstable Bradycardia Scenario

Novant Health ( 2022b) NH ALS Mega Code: Tachy Arrhythmia Scenario

Novant Health (2022c) NH ALS Mega Code: V Fib

Novant Health ( 2022d) NH ALS Mega Code: Zoll Teaching Scenario

Novant Health (2022e) ALS Mega Code: Pre and Post Test Questions

ZOLL. (n.d.). How to use the R Series® defibrillator [Video]. ZOLL.
https://www.zoll.com/contact/elearning/videos/r-series/how-to-use