Skip to content
Class Notes

Understanding EKG Rhythms and Pacemaker Care NCLEX

NCLEX High Yield EKG Lecture: Master normal sinus rhythm, bradycardia, tachycardia, A-fib, V-fib, SVT, digoxin, anticoagulants, pacemakers & more! Perfect for nursing board prep. Simplified, high-yield, and test-focused.

Preview 4 of 13 pages

See the first 4 pages exactly as they appear in the document.

  1. Page 1
    Read page 1 as text

    NCLEX HIGH YIELD EKG LECTURE NORMAL SINUS RHYTHM: This is a regular rhythm HR: 60-100bpm ECG of a Normal Sinus Rhythm has a P wave (atrium) followed by a QRST (ventricular) — Atrium is predominately controlled by Calcium Ventricle is predominately controlled by Potassium (K+) —> ASK GRAPH Smus Bradycardia SINUS BRADYCARDIA: HR is less than 60bpm In athletes this is not abnormal, it is expected. Causes include: Medicines (BB, COB, Digoxin), hypothyroidism, SA Node Dysfunction

  2. Page 2
    Read page 2 as text

    Treatment: Asymptomatic - No Treatment Symptomatic - lightheaded, dizzy, SOB, hypotensive, unresponsive, pale, cool, AMS, syncope, we must treat them. Treatment: Administer Atropine (anticholinergic drug) How to admin: IV 0.5mg q 3-5min Up to 3 Omg MAX (6 doses) Contraindications: Glaucoma Gl Obstruction Urinary retention Atropine is contraindicated in pregnancy If atropine does not work, put in a permanent pacemaker: Notice where the pacemaker is placed, underneath the clavicle. Post-op / post-procedure always look for AASH Education: - Don't put arms over head until healed properly (~ 6wks) • Carry Pacemaker ID card •Take pulse daily ■ AVOID MRI NCLEX HIGH YIELD nclexliighyielcl.com

  3. Page 3
    Read page 3 as text

    ■ AVOID carrying cell phones in a pocket near the pacemaker and hold it on the opposite ear of the pacemaker ■ Notify airport security of handheld wands • Keep dressing on for 1 week and dry (showering ok with protective dressing) NO BATHS ■ No driving for a week or until HCP clears • No lifting anything above 5lbs. 4-6 weeks ■ No lifting arm above head for 4-6 weeks *These are the first two pacemakers Dr. Zeeshan did with his attending Dr. Kenneth Shah! Shut Tactiycardia SINUS TACHYCARDIA: Sinus Rhythm with a HR greater than 100bpm Causes include: pain, stress, anxiety, dehydration, caffeine, hyperthyroidism, elicit drugs, amphetamines, the NCLEX, and more Treatment: Administer beta blockers: end in the suffix -lol Ex: metoprolol, atenolol, labetalol Help decrease HR and lower BP SE: bradycardia, bronchoconstriction, bronchospasm

  4. Page 4
    Read page 4 as text

    Contraindicated in Asthma/COPD patients —> ASK GRAPH Treat the underlying cause first ATRIAL FIBRILLATION: This relates to the Atrium quivering or fibrillating , meaning the Atrium iis not beating correctly. Therefore there is no discernible Atrial Fibrillation (AF) L11LI 1 it 1 P wave! There will be an IRREGULARLY IRREGULAR Rhythm Causes: ETOH, Pulm Dz, Ischemia, Thyrotoxicosis, and more. Treatment: There are many different combinations of treatments that can work, we will cover the HIGH YIELD options! We must anti-coagulate along with fix the arrhythmia since they can clot! Administer: Heparin, Warfarin for anti-coagulation. BB : CCB (Diltiazem/Verapamil), or Digoxin for the Arrhythmia. Alternative (used after the above don't work):

9 more pages in the full document

Unlock it once and it stays in your library, ready to chat with or turn into flashcards.

Unlock the full document

More Medicine study materials

See all

Study this document with CramX

Once it is in your library, every tool can work from it.