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ACLS Rhythms (EKG (Slow (QRS (Narrow (1º AV Block (prolonged PR
no…
ACLS Rhythms
EKG
Slow
QRS
Wide
3º AV block
- combination of P waves and idioventricular rhythm
-
Narrow
-
1º AV Block
- prolonged PR
- no dropped beats
2º AV Block Type 2
- prolonged PR
- Random dropped beats
2º AV Block Type 1
- prolonging PR
- dropped beats in recurrent beat
Fast
QRS width
Narrow <3 sm box
SVT
Tx: Adenosine :man_dancing::skin-tone-2: 6mg
-
- no P waves
- HR > 150
- Regular
Pt: Young, abrupt onset.
also called "Paroxysmal SVT" PSVT
Afib/flutter
Tx: Rate control = rhythm control
- ß blockers and CCBs :icecream:
-
- no P waves
- irregularly irregular
- HR generally not >150
RVR not as common as SVT
- Afib: Chaotic flutter
- Flutter: sawtooth
Afib Management w/ RVR
-
Thought: Abandon all hope, ye who manage Afib
Wide >3 sm box (120ms)
-
Vtach
Tx:
- Amioderone :guitar::musical_note::dancer::skin-tone-5:
- Second line: Lidocaine 1 mg q5min
-
-
ACS Recap: Shock fast :zap:, Pace slow rhythms
- Advanced Cardiovascular Life Support
-
:warning: If severe bradycardia or hemodynamically unstable, PACE them!