Understanding EKG -Strips

Asystole

Assess, CPR

Atrial Fibrillation

Digoxin, antithrombotic drugs (heparin), beta blockers, calcium channel blockers

Premature Ventricular Contraction

Assess, give oxy, lidocaine/procainamide

Premature Ventricular Contraction

Assess, give oxy, lidocaine/procainamide

Premature Atrial Contraction

Nothing! Just fix the original cause with beta blockers and calcium channel blockers

Sinus Tachycardia

Nothing! Just fix the original cause with beta blockers and calcium channel blockers

Supraventricular Tachycardia

Vagal maneuver (dip face in ice cold water, hold breath and bear down), adenosine, cardioversion if unstable

Asystole

Assess, CPR

Ventricular Fibrillation

CPR, defibrillate

Sinus Bradycardia

Nothing! Treat original cause.

Normal Sinus Rhythm

Nothing! This is normal.

Sinus Tachycardia

Nothing! Just fix the original cause with beta blockers and calcium channel blockers

Atrial Fibrillation

Digoxin, antithrombotic drugs (heparin), beta blockers, calcium channel blockers

Atrial Flutter

Cardioversion

Premature Atrial Contraction

Nothing! Just fix the original cause with beta blockers and calcium channel blockers

Premature Ventricular Contraction

Assess, give oxy, lidocaine/procainamide

Torsades de Pointes

CPR, Magnesium sulfate

Ventricular Fibrillation

CPR, defibrillate

Ventricular Tachycardia

CPR, amiodorone, lidocaine

Sinus Bradycardia

Nothing! Treat original cause.

Supraventricular Tachycardia

Vagal maneuver (dip face in ice cold water, hold breath and bear down), adenosine, cardioversion if unstable

Premature Ventricular Contraction

Assess, give oxy, lidocaine/procainamide

Premature Ventricular Contraction

Assess, give oxy, lidocaine/procainamide