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ACLS Rhythms (EKG (Slow (QRS (Narrow (1º AV Block (prolonged PR no…

- - - - Wide
        
        3º AV block
        
        combination of P waves and idioventricular rhythm
        
        Idioventricular Rhythm (IV)
        
        wide complex rhythm, slow
        
        no P waves
      - Narrow
        
        Sinus Brady
        
        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
  - - - Narrow <3 sm box
        
        SVT
        
        Tx: Adenosine :man_dancing::skin-tone-2: 6mg
        
        then 12 mg
        
        then 12 mg
        
        Unstable? Cardiovert :zap:
        
        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:
        
        Unstable? Cardiovert :zap:
        :pencil2: Uworld says synchronized :lightning:
        
        :warning: Pulseless Electrical Activity (PEA) is not shockable! :forbidden:
        
        Tx: CPR
        
        no P waves
        
        irregularly irregular
        
        HR generally not >150
        RVR not as common as SVT
        
        Afib: Chaotic flutter
        
        Flutter: sawtooth
        
        Afib Management w/ RVR
        
        Stability?
        
        Unstable: Cardiovert :zap:
        
        Stable: Rate control
        CCB (verapamil diltiazem) :icecream: = BBs :trumpet:
        
        2 more items...
        
        Thought: Abandon all hope, ye who manage Afib
      - Wide >3 sm box (120ms)
        
        Torsades
        
        Obgyn patients
        
        Tx: Mg :battery: and Cardiovert :zap:
        
        :pencil2:Uworld: if Tdp due to quinidine: NaBicarb
        
        changing amp of wave
        
        Vtach
        
        Tx:
        
        Amioderone :guitar::musical_note::dancer::skin-tone-5:
        
        Second line: Lidocaine 1 mg q5min
        
        Unstable: Cardiovert :zap:
        
        :pencil2:(Uworld)
        
        Monomorphic Rhythm : synchronized :lightning:
        
        Pulseless VT : defibrillator :lightning:
        
        monomorphic wide complex
- - - - :shrug::skin-tone-2: Maybe
        
        :forbidden:
        
        :forbidden:
        
        can cause 3º AVB