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Identify the following rhythms. 1. a. Bradycardia with sinus arrhythmia b. Idioventricular rhythm c. Complete heart block d. Junctional rhythm 2. a. Normal sinus rhythm with 1st degree block b. Sinus bradycardia c. Atrial flutter d. 2nd degree heart block type II 3. a. Atrial flutter with variable rate b. 2nd degree heart block type II c. Atrial fibrillation with slow ventricular response d. Sinus tachycardia with sinus pauses 4. a. Atrial paced b. Ventricular paced c. AV paced d. Biventricular paced 5. a. 3st degree AV block b. Atrial fibrillation with slow ventricular response c. Junctional rhythm d. Idioventricular rhythm 6. a. 3rd degree AV block b. Atrial fibrillation with slow ventricular response c. Junctional rhythm d. Idioventricular rhythm 7. a. Sinus bradycardia with atrial ectopic beats b. Normal sinus rhythm with trigeminal PACs c. Sinus tachycardia with frequent unifocal PV...

Identify the following rhythm strips 1. a. 3rd degree heart block b. Slow ventricular tachycardia c. Agonal rhythm d. Junctional rhythm 2. a. Complete heart block b. Junctional rhythm c. Agonal rhythm d. Atrial fibrillation with slow ventricular response 3. a. Normal sinus rhythm with 1st degree AV block b. Atrial fibrillation with slow ventricular response c. Accelerated junctional rhythm d. Idioventricular rhythm 4. a. Normal sinus rhythm with consecutive PACsb. Sinus arrhythmia c. Atrial fibrillation d. Junctional rhythm with retrograde P waves 5. a. Sinus bradycardia b. Junctional rhythm c. Agonal rhythm d. Atrial fibrillation with slow ventricular response 6. a. Normal sinus rhythm with 1st degree block b. Sinus bradycardia c. Atrial flutter d. 2nd degree heart block type II 7. a. Sinus rhythm with an frequent PVCs b. Sinus arrhythmia c. Sinus rhythm with a bigeminal PACs d. ...

1. Initial rhythm Complete heart block 2. Pacer function activated with sense markers appearing. The default pacing settings on the Lifepak 12 is a rate of 60 beats per minutes and a demand mode. The milliamps are at zero, so no pacer spikes are seen. Complete heart block with sensing markers for external pacing 3. AHA recommends a pacing rate of 100 beats per minute on pediatric patients. The pacing rate has been increased from the default rate of 60 to 100 beats per minute and the milliamps have been increased to maximum output. You want to gain electrical capture as fast as possible with pediatric patients. Recall that pediatric patients can deteriorate to cardiac arrest very quickly. Complete heart block with external pacing 4. The maximum milliamp setting on the Lifepak 12 is 200 milliamps. On this strip I have already begun to decrease the milliamps. The milliamps are now at 155 mA with good electrical captu...

12:05 AM. You are in route to the emergency room with a 12 month old girl with suspected metoprolol overdose. CPR was initiated at the scene and during initial transport. You have given her two fluid boluses and one dose of epinephrine IV. Transcutaneous pacing was initiated in route and is producing a strong brachial pulse. The patient’s skin color is improving and you are now able to obtain a BP and a pulse oximetry reading. She remains unresponsive. Pupils are dilated and nonreactive. Her respirations remain agonal in nature and she continues to require positive pressure ventilations. Her vital signs are BP 66/38. Heart rate 100 (paced). Her skin color has improved as well as her capillary refill. Complete heart block with external pacing and 100% capture 20.   The patients BP is 66/38.   According to the AHA guidelines, is the systolic pressure above or below normal limits for this 12 month old infant? a.  The blood pressure i...

12:00 AM. You have responded to a call regarding a 12 month old female pediatric patient (10kg) with suspected metoprolol overdose. CPR is in progress with positive pressure ventilations. An IO needle has been placed in the proximal right tibia and two fluid boluses at 10ml/kg have been given as well as one round of epinephrine. The toddler’s heart rhythm remained unchanged so transcutaneous pacing has been initiated. You are in the process of adjusting the milliamps downward and the following rhythm is observed. 16.  What are your observations regarding this rhythm a.  The rhythm show good electrical capture so the milliamps can continue to be adjusted downward until the pacing threshold is reached. b.  The rhythm strip show that the milliamps have been decreased below the pacing threshold. c.  Based upon the patients weight, the above milliamp settings are correct for this patient. d.  The pacing spikes indicate a loss of electrical ...