Ventricular fibrillation. Always pulseless. CPR & Defibrillate (shock) immediately " Vfib- Defib", asystole, check for pulse, start CPR, epi Q3-5 mins, STEMI, apply oxygen, give nitro & aspirin, morphine if pain unrelieved, with a pulse - Ventricular tachycardia. If pulse, administer amiodarone to slow-da-run and possibly cardiovert, Symptomatic Bradycardia - atropine--> Transcutaneous pacing --> epinephrine/dopamine gtt until pacemaker can be placed., Pacemaker teaching points - Teaching: limit arm movement, NO MRI's, watch for infection, wear ID bracelet, notify MD if HR is less than set rate, Aneurysm rupture: nursing priorities & actions - Risk of hemorrhage/hypovolemia, requires immediate surgery, Signs poor perfusion to organs and limbs,, Pulseless electrical activity (PEA), treated like asystole, check pulse, begin CPR, epi Q3-5 mins, Random P's & QRS's - 3rd degree block, atropine--> Transcutaneous pacing --> epinephrine/dopamine gtt until pacemaker can be placed., Only shockable rhythms - V-fib, pulseless V-tach,

22 Lethal rythms and interventions WK1 /Final

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