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TACHYARRHYTHMIAS

Total questions: 7

Worksheet time: 2mins

Name
Class
Date
1.

The healthcare provider is performing an assessment on a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug?

a)

Paresthesia

b)

bradycardia

c)

urinary retention

d)

dry mouth

2.

A patient who has a heart rate of 152 beats per minute. The healthcare provider should assess for which of these problems related to the dysrhythmia?choose 4 answers that apply :

a)

chest pain

b)

dizziness

c)

pulse deficit

d)

hypotension

e)

headache

3.

The healthcare provider respond for ambulance call. The patient loses consciousness, and the healthcare provider notes this waveform on the patient’s cardiac monitor. Which intervention should the healthcare provider do first?

a)

Begin cardiopulmonary resuscitation (CPR) and call for a defibrillator.

b)

administer 100% oxygen via facemask at 8L/min

c)

document the finding and continue to monitor

d)

call operator and refer cardiologist

4.

What criteria will the healthcare provider use to identify atrial flutter for a patient on a cardiac monitor?choose 3 correct answer.

a)

P:QRS ration is 1;1

b)

PR interval is not measurable

c)

irregular R-R interval

d)

QRS complex is normal

e)

presence of saw-tooth wave pattern

5.

A 21 year-old male, previously healthy apart from a history of intermittent palpitation, presents to the A&E Department complaining of palpitation present for 6 hours. He is in no distress and has no other symptoms. Examination discloses a regular heart rate of approximately 150 per minute. The venous pressure is normal and the blood pressure is 140/90. The most likely diagnosis is:

a)

atrial fibrillation

b)

supraventricular tachycardia

c)

atrial flutter

d)

sinus tachycardia

6.

continue from question 5, what is the most appropriate management for that patient?

a)

IV adenosine 6mg stat

b)

give Beta Blocker

c)

synchronised cardioversion 50J

d)

iv amiodarone 300mg bolus

7.

after giving IV adenosine 6mg . followed by 12mg. You noted patient become restless and tacypneic. Sn hajar did ECG and shows to you. what is your next step?

a)

ask to repeat ECG

b)

Synchronized cardioversion 100J

c)

IV amiodarone 150mg/10min

d)

Beta-blocker