AACN Essentials of Critical-Care Nursing Pocket Handbook, by Marianne Chulay
By Marianne Chulay
Crucial info severe Care Nurses needs to recognize counseled via the yankee organization of Critical-Care Nurses, this go-anywhere guide good points tables and figures that encapsulate all of the details required to offer secure and potent care to significantly unwell sufferers. Contents comprise: serious Care Drug Tables • general Values for Laboratory checks and Physiologic Parameters • Lists of review parts • Cardiac Rhythms: ECG features and remedy courses, together with pattern Rhythm Strips • 12-Lead ECG adjustments in Acute Myocardial Ischemia and Infarct • Troubleshooting consultant for Hemodynamic tracking gear • symptoms for Mechanical air flow • Weaning evaluate software • ACLS Algorithms.
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Extra info for AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition
CPR required until deﬁbrillator is available. • Amiodarone, lidocaine, magnesium are commonly used. • After conversion, use IV antiarrhythmic that facilitates conversion to prevent recurrence.
Treatment • None. 12 ᭤ Cardiac Rhythms, ECG Characteristics, and Treatment Guide (continued ) Rhythm Sinus bradycardia ECG Characteristics • • • • • • Rate: Ͻ60 beats/min. Rhythm: Regular. P waves: Precede every QRS; consistent shape. 20 second). 10 second). Conduction: Normal through atria, AV node, bundle branches, and ventricles. Treatment • Treat only if symptomatic. 5 mg IV. 12 ᭤ Cardiac Rhythms, ECG Characteristics, and Treatment Guide (continued ) Rhythm Sinus tachycardia ECG Characteristics Rate: Ͼ100 beats/min.
12 ᭤ Cardiac Rhythms, ECG Characteristics, and Treatment Guide (continued ) Rhythm Ventricular tachycardia ECG Characteristics • Rate: Ventricular rate is faster than 100 beats/min. • Rhythm: Usually regular but may be slightly irregular. • P waves: P waves may be seen but will not be related to QRS complexes (dissociated from QRS complexes). If sinus rhythm is the underlying basic rhythm, regular P waves are often buried within QRS complexes. • PR interval: Not measurable because of dissociation of P waves from QRS complexes.