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Worksheetsmust k 2
Total questions: 28
Worksheet time: 14mins
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.
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
What are some interventions the nurse would do for a patient with
Junctional rhythm?
Stable…contact physician, assess cause; unstable…atropine
Amiodarone
Same as junctional, plus TCP, dopamine drip as needed
Non-sustained…magnesium; sustained…same, but may need defib
What are some interventions the nurse would do for a patient with Ventricular rhythm?
Same as junctional, plus TCP, dopamine drip as needed
Coce, defib
Synchronized cardioversion
None
What are some interventions the nurse would do for a patient with
VT, no pulse?
Code, defib
Stable…contact physician, assess cause; unstable…atropine
Amiodarone
Notify physician
What are some interventions the nurse would do for a patient with
VT, stable?
Amiodarone
Code, defib
Code
Notify physician
What are some interventions the nurse would do for a patient with
VT – Torsades de point?
Code
Non-sustained…magnesium; sustained…same, but may need defib
None
Notify physician
What are some interventions the nurse would do for a patient with
Ventricular Fibrillation?
None
Code, defib
Code
Amiodarone
What are some interventions the nurse would do for a patient with
Asystole?
Code
Non-sustained…magnesium; sustained…same, but may need defib
Amiodarone
Code, defib
What are some interventions the nurse would do for a patient with pulseless electrical activity (PEA)?
Code
Non-sustained…magnesium; sustained…same, but may need defib
Stable, contact physician, none…unstable, TCP
Continue meds to control rate
What intervention nurse would implement for a patient with
atrioventricular block (HVB)?
Stable, contact physician, none…unstable, atropine
None
Stable, contact physician, none…unstable, atropine, TCP
Notify physician
What are some interventions the nurse would do for a patient with 20 AVB, Type 1?
Stable, contact physician, none…unstable, atropine, TCP
Stable, contact physician, none…unstable, TCP
Stable, contact physician, none…unstable, atropine
Stable, contact physician
What are some interventions the nurse would do for a patient with 2_degree AVB, Type 2?
None
Stable, contact physician, none…unstable, atropine, TCP
Unstable, contact physician, stable, TCP
Same as atrial fib without BBB
What are some interventions the nurse would do for a patient with Sinus rhythm with BBB?
Code
None
Stable, contact physician, none…unstable, atropine
Notify physician, TCP
Atrial fibrillation with bundle branch block (BBB) is the same as what?
Atrial fib without BBB
V fib without BBB
Atrial fib with BBB
V fib with BBB
What are some interventions the nurse would do for a patient with Normal pacing, and ventricular?
None
Notify physician, TCP
Notify physician
Atropine
What are some interventions the nurse would do for a patient with Normal pacing, dual-chamber?
None
Notify physician, TCP
Synchronized cardioversion
Synchronized cardioversion
What are some interventions the nurse would do for a patient with Failure to pace?
Code, defib
Notify the physician, Transcutaneous pacing (TCP)
Synchronized Cardioversion
Amiodarone
What are some interventions the nurse would implement for a patient with Failure to capture?
Code, defib
Notify the physician, Transcutaneous pacing (TCP)
Notify physician
Stable, contact physician, none…unstable, Transcutaneous pacing (TCP)
What are some interventions the nurse would do for a patient with a Failure to sense?
Amiodarone
Synchronized cardioversion
Notify physician
None
