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Telemetry Test Review
inus Brady Intervention: Monitor for symptoms and progression, talk to provider, monitor First Degree Heart Block Intervention: Check for symptoms, continue to monitor Second Degree Heart Block Type 1 Intervention: Check pt for symptoms, continue to monitor. Symptomatic: atropine 1mg, (max of 3 mg), epinephrine/dopamine drips, TCP Second Degree Heart Block Type 2 Intervention: Check pt for symptoms. Symptomatic: Atropine 1mg (max of 3mg), epinephrine/dopamine drips, TCP Third Degree Heart Block
Intervention: Check pt for symptoms Symptomatic: TCP Junctional Rate 40-60, narrow QRS, inverted p wave/absent p wave) Intervention: Check the pt for symptoms, continue to monitor Symptomatic: atropine, epinephrine/dopamine drips, TCP Idioventricular Rate 20-40, no p wave, wide QRS Intervention: check pt for symptoms, continue to monitor Symptomatic: Atropine, epinephrine/dopamine drips, TCP Sinus Tachycardia Rate 120 Intervention: Check pt for symptoms Treat underlying cause- pain, fever, dehydration Supraventricular Tachycardia (SVT)
adenosine (with expert consultation). Symptomatic: cardioversion Asystole Intervention: Call code, start CPR, epinephrine 1mg 3-5 min, and consider cause (Hs and Ts) Pulseless Electrical Activity (PEA) Intervention: Call code, initiate CPR, epinephrine 1mg 3-5 min, and consider causes (Hs and Ts) Ventricular Fibrillation, fine Intervention: Call code, initiate CPR, DEFIBRILLATION, epinephrine 1 mg 3-5 min, amiodarone 300 mg for the first dose (if the second dose of amiodarone given dose 150 mg) VTACH no pulse Intervention: Call code, initiate CPR, DEFIBRILLATION, epinephrine 1 mg 3-5 min, amiodarone 300 mg for first dose (if second dose of amiodarone given dose 150 mg)
Tordes de Pointes Intervention: Seek expert consult. In addition to normal treatment of pulseless vtach (Call code, initiate CPR, DEFIBRILLATION, epinephrine 1 mg 3-5 min, amiodarone 300 mg for first dose (if second dose of amiodarone given dose 150 mg)), check/replace magnesium sulfate Ventricular Fibrillation, coarse Intervention: Call code, initiate CPR, DEFIBRILLATION, epinephrine 1 mg 3-5 min, amiodarone 300 mg for first dose (if second dose of amiodarone given dose 150 mg) NSR with unifocal PVCs Intervention: Check pt, continue to monitor, treat underlying cause- electrolytes, O2? NSR with multifocal PVCs Intervention: Check pt, continue to monitor, treat underlying cause- electrolytes, O2?
Intervention: Interrogate pacemaker, increase output/ma ST elevation, possible MI Intervention: Check pt, VS, 12 lead, EKG, cardiac enzymes, possible nitro, O2, morphine, aspirin
