Question

Please tell me how you would treat each rhythm from oxygen therapy to medication and if the patient will need cauterization and so on.

1. ST Elevation

2. HR 122: Sinus Tach may require rapid response

Is this anxiety? Sepsis? Shock?

3. HR 160+ requires rapid response

Probably not atrial fibrillation …Responsive???

4. PVC runs

5. Accelerated ventricular rhythm

May or may not have a pulse

6 .VTACH >> Flutter probably no pulse

7. VFib

8. 2nd degree Heart block: Wenkebach

9. 2nd degree Heart block: Mobitz 2

10 .Heart block: 3rd degree

Answer 1

Ans) 1) ST Elevation: Primary percutaneous coronary intervention (p-PCI) has become the treatment of choice for patients presenting with ST-segment elevation myocardial infarction (STEMI) when it can be performed expeditiously by an experienced team.

2) Eliminate potential triggers or stimulants in your diet such as caffeine, nicotine, and alcohol.
Take medicine to slow the heart rate such as ivabradine, beta-blockers, or calcium channel blockers.
Exercise to improve quality of life and to maintain a healthy heart.

3) Hospitals using Rapid Response Teams typically observe reductions in the number of cardiac arrests, unplanned transfers to the ICU, and, in some cases, the overall mortality rate. In most hospitals, the Rapid Response Team is different from the Code Blue Team that responds to a patient experiencing a cardiac arrest.

4) Lifestyle changes. Eliminating common PVC triggers — such as caffeine or tobacco — can decrease the frequency and severity of your symptoms.
Medications. Beta blockers — which are often used to treat high blood pressure and heart disease — can suppress premature contractions.
Radiofrequency catheter ablation.