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P WAVE PR INTERVAL QRS RHYTHM RATE CHARACTERISTI MANAGEMENT

ATRIAL ARYTHMIAS ( P WAVE)

Narrowed ABCD
ATRIAL FIBRILLATION absent (-) irregular Slow-rapid (Never adenosine)
ATRIAL FLUTTER flutter (-) Regular- Rapid SAW TOOTH on ABCD
Irregular P waves
PREMATURE Present Irregular Variable Monitoring
ATRIAL 1 Premature P
CONTRACTION/COMPLEX wave

SUPRAVENTRICULAR Present (-) Narrowed Regular 150-250 STABLE: vagal Maneuver,


TACHYCARDIA (buried ) Adenosine, Procainamide,
Amipdarone, B,C.

UNSTABLE: CardioVersion

VENTRICULAR ARYTHMIAS (QRS wave)---ANY TACHYCARDIA ASSESS PULSE/BP for mgt.


PREMATURE Absent (-) Widened/weird Irregular variable 1/2/3 Premature Stable: Monitoring
VENTRICULAR QRS wave
CONTRACTION Unstable: ABCD- PALS
(has 4 types and 2
morphologies)

VENTRICULAR Absent (-) Widened/weird Variable rapid


TACHYCARDIA – Mono or
Poly
( simply unresolve PVC)

1 or 2 QRS Stable:
TORSADES DE POINTES twisted MONOMORPHIC:
(form of polymorphic isometric line Cardioversion
PVC)
POLYMORPHIC: Defibrillation

ABC-PALS
UNSTABLE: defibrillation, CPR ,
medication ABC - PALS
Absent (-) Fibrillatory Extreme Extreme
VENTRICULAR irregular Rapid UNSTABLE: defibrillation, CPR ,
FIBRILLATION medication ABC - PALS
(Course , fine)
(most fatal)

ATRIOVENTRICULAR BLOCK

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