Varies REG Present, PATIENT IS UNRESPONSIVE, WITH NO PULSE Or Variable IMPORTANT: THIS RHYTHM MAY LOOK LIKE ANY IRREG RHYTHM THAT SHOULD HAVE A PULSE ! The IF RHYTHM ON MONITOR IS ASYSTOLE, VENTRICULAR Variable approach in treatment of PEA is to treat the underlying cause. FIBRILLATION, OR VENTRICULAR TACHYCARDIA, THEN (BY and 6Ts”: “6Hs DEFINITION) THEY CANNOT BE PEA, BECAUSE THESE RHYTHMS ARE NOT (USUALLY) ASSOCIATED WITH A PULSE.. ions () or Treated as Asystole: Search for Source or () Epinephrine IV , Cardiac Atropine IV (Possible) () () (Hypovolemia from blood loss) Polymorphic Ventricular Tachycardia (Toursades des Pointes) Around the Point” “Twist > 100- IRREG N/A N/A >0.12 200 sec medications for “Typical Ventricular Tachycardia (Monomorphic V-Tach) will make it worse. --DEFIBRILLATE --Magnesium IV Strip Rate Rhythm P Waves PRI QRS Discussion Junctional Rhythms AV Node or AV Junctional Varies REG Absent, 0 – area has taken over as Inverted, (AV < < 0.12
IMPORTANT: THIS RHYTHM MAY LOOK LIKE ANY RHYTHM THAT SHOULD HAVE A PULSE ! The approach in treatment of PEA is to treat the underlying cause. “6Hs and 6Ts”: ions () or or () , Cardiac () () (Hypovolemia from blood loss) Varies REG Or IRREG Present, Variable Variable PATIENT IS UNRESPONSIVE, WITH NO PULSE IF RHYTHM ON MONITOR IS ASYSTOLE, VENTRICULAR FIBRILLATION, OR VENTRICULAR TACHYCARDIA, THEN (BY DEFINITION) THEY CANNOT BE PEA, BECAUSE THESE RHYTHMS ARE NOT (USUALLY) ASSOCIATED WITH A PULSE.. Treated as Asystole: Search for Source Epinephrine IV Atropine IV (Possible) Polymorphic Ventricular Tachycardia (Toursades des Pointes) > 100- 200 IRREG N/A N/A >0.12 sec “Twist Around the Point” “Typical medications for Ventricular Tachycardia (Monomorphic V-Tach) will make it worse. --DEFIBRILLATE --Magnesium IV Strip Rate Rhythm P Waves PRI QRS Discussion Junctional Rhythms Varies (AV REG Absent, Inverted, 0 – < < 0.12 AV Node or AV Junctional area has taken over as
EKG+RHYTHMS--From+Order+to+Chaos.docx