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1. 9 ECG Strips on the Nclex
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Course
Pathophysiology/Nursing (NUR 3125)
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University
Florida SouthWestern State College
Academic year: 2021/2022
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1. 9 ECG Strips on the Nclex
Course: Pathophysiology/Nursing (NUR 3125)
186 Documents
Students shared 186 documents in this course
University: Florida SouthWestern State College
Was this document helpful?
9 ECG Strips on the NCLEX
1. Normal sinus rhythm
Normal beat - evenly spaced
Memory tricks
Treatment:
None - continue to monitor
Causes:
Being healthy
2. Bradycardia
Memory tricks
BRADYcardia
Below 60/min
<60
BRADY Bunch
old TV show (slow times)
Treatment:
Atropine ONLY if symptomatic
showing low perfusion (pale,
cool, clammy)
Causes:
Vagal maneuver (bearing down),
meds (CCB, Beta Blockers)
ATROPINE
3. Ventricular Fibrillation (V Fib)
Fib is flopping- squiggly line
Memory tricks
Treatment:
Causes:
Untreated V Tach, Post MI,
E+ imbalance, proarrhythmic meds
V Fib - Defib #1 Defibrillation
immediately Stop CPR
to do it & before drugs!
*NO synchronization needed
1.
Drugs: LAP - Lidocaine,
Amiodarone, Procainamide
2.
LIDOCAINE
AMIODARONE
PROCAINAMIDE
L A P
4. Ventricular Tachycardia (V Tach)
V Tach Tombstone pattern
Memory tricks
Treatment:
Causes:
Post MI, Hypoxia,
Low potassium, Low magnesium
Early Defibrillation!
When to Shock?
1.
2.
NCLEX TIP
NCLEX TIP
Apply defibrillator pads
Call out & look for everyone to be
CLEAR!
Shock & IMMEDIATELY continue
chest compressions
V Tach with No pulse = Defibrillation
V Tach with Pulse = Cardioversion
Memory tricks
C - Count a pulse
C - Cardiovert
*Synchronize First
& Sedation
C
D - Dead - NO PULSE
D - DEFIB!!
*NO Synchronize
D - Don't wait
D
