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TELEMETRY EXAM WITH
COMPLETE SOLUTIONS.
Question : Sinus Brady
CORRECT ANSWER : Intervention: Monitor for symptoms and progression, talk to provider, monitor
Question : First Degree Heart Block
CORRECT ANSWER : Intervention: Check for symptoms, continue to monitor
Question : Second Degree Heart Block Type 1
CORRECT ANSWER : Intervention: Check pt for symptoms, continue to monitor.
Symptomatic: atropine 1mg, (max of 3 mg),
epinephrine/dopamine drips, TCP
Question : Second Degree Heart Block Type 2
CORRECT ANSWER : Intervention: Check pt for symptoms.
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Symptomatic: Atropine 1mg (max of 3mg),
epinephrine/dopamine drips, TCP
Question : Third Degree Heart Block
CORRECT ANSWER : Intervention: Check pt for symptoms
Symptomatic: TCP
Question : Junctional
Rate 40-60, narrow QRS, inverted p wave/absent p wave) CORRECT ANSWER : Intervention: Check the pt for symptoms, continue to monitor
Symptomatic: atropine, epinephrine/dopamine drips, TCP
Question : Idioventricular
Rate 20-40, no p wave, wide QRS CORRECT ANSWER : Intervention: check pt for symptoms, continue to monitor
Symptomatic: Atropine, epinephrine/dopamine drips,
TCP
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Question : Sinus Tachycardia
Rate 120 CORRECT ANSWER : Intervention: Check pt for symptoms Treat underlying cause- pain, fever, dehydration
Question : Supraventricular Tachycardia (SVT)
CORRECT ANSWER: Intervention: Vagal, adenosine (6 mg the 12 mg), BB/CCB
Unstable: Cardioversion
Question : Atrial Fibrillation
CORRECT ANSWER : Intervention: Check pt for symptoms. Possible anticoagulant therapy, possible
BB/CCB
Question : Atrial Fibrillation with Rapid Ventricular
Response
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CORRECT ANSWER : Intervention: Check pt for symptoms Possible AC/BB/CCB
Unstable: Cardioversion
Question : Atrial Flutter
CORRECT ANSWER : Intervention: Check pt for symptoms.Possible anticoagulant therapy, possible BB/CCB
Question : VTACH with a pulse
CORRECT ANSWER : Intervention: Check pt for symptoms
Asymptomatic: Amiodarone (150 mg over 10 minutes),
adenosine (with expert consultation).