What are some interventions the nurse would do for a patient with Sinus tachycardia?

• None

• Stable, chronic…none; new onset, assess patient, unstable…atropine.

• Identify cause and treat

• None…assess electrolytes, oxygenation.

 

What are some interventions the nurse would do for a patient with Sinus bradycardia?

• Stable, chronic…none; new onset, assess patient, unstable…atropine.

• Identify cause and treat

• None

• Assess electrolytes, oxygenation.

What interventions the nurse would implement for a patient with sinus premature atrial contractions (PACs)?

• None

• Vagal, adenosine, calcium blockers, beta blockers

• Synchronized cardioversion

• Continue meds to control rate

What are some interventions the nurse would do for a patient with Sinus with premature ventricular contractions (PVCs)?

• Synchronized cardioversion

• Vagal, adenosine, calcium blockers, beta blockers

• Notify physician, persistent…Trans Cutaneous Pace (TCP)

• None…assess electrolytes, and oxygenation.

What are some interventions the nurse would do for a patient with Sinus exit block/arrest?

• Notify physician, persistent…Trans Cutaneous Pace (TCP)

• Vagal, adenosine, calcium blockers, beta blockers

• Synchronized cardioversion

• Continue meds to control rate

What are some interventions the nurse would do for a patient with

Paroxysmal supraventricular tachycardia (psvt), stable?

• Continue meds to control rate

• Synchronized cardioversion

• Vagal, adenosine, calcium blockers, beta-blockers

• Unstable…SC; stable…calcium blockers, beta blockers, dig, amiod.

What are some interventions the nurse would do for a patient with

Paroxysmal supraventricular tachycardia (psvt), unstable?

• Synchronized cardioversion

• Same as junctional, plus TCP, dopamine drip as needed

• Code, defib

• Amiodarone

 

What are some interventions the nurse would do for a patient with

Atrial fib with controlled Ventricular Response (VR)?

• Calcium blockers, and beta blockers

• Synchronized cardioversion

• Continue meds to control rate

• Same as junctional, plus TCP, dopamine drip as needed

What are some interventions the nurse would do for a patient with

Atrial fib with a rapid ventricular response (RVR)?

• Vagal, adenosine, calcium blockers, beta blockers

• Synchronized cardioversion

• All will need meds to control rate, elective SC if persistent

• Unstable…Synchronize Cardioversion ; stable…calcium blockers, beta-blockers, dig, amiodarone.

Answer explanation

Amiodarone is an antiarrhythmic medication used to treat and prevent a number of types of cardiac dysrhythmias. This includes ventricular tachycardia, ventricular fibrillation, and wide complex tachycardia, as well as atrial fibrillation and paroxysmal supraventricular tachycardia

What are some interventions the nurse would do for a patient with

Atrial flutter?

• Synchronized cardioversion

• Stable…contact physician, assess cause; unstable…atropine

• All will need meds (Amiodarone) to control rate, elective cardioversion if persistent

• Code, defib