Arrhythmia
On Call: Arrhythmia
Table of Contents
Particular Concerns for History & Physical
Vitals
- ABC’s – Airway, Breathing & Circulation
- Vital Signs
Subjective
- Chest Pain
- Palpitations
- Shortness of Breath
- Abdominal Pain
- Associated Factors
History
- History of Cardiac Disease
- History of Pulmonary Disease
- Surgical History
Physical Exam
- Mental Status Changes
- Cyanosis
- Retractions & Use of Accessory Muscles
- Diaphoresis
- Heart/Lung Auscultation
- Jugular Venous Distention
Work Up
Initial Orders
- 12-Lead EKG
- Place on Telemetry
Labs to Consider
- Complete Metabolic Panel (CMP)
- Complete Blood Count (CBC)
- Arterial Blood Gas (ABG)
- Troponin
- B-Type Natriuretic Peptide (BNP)
Imaging to Consider
- Echocardiogram
- Chest X-Ray
- CT Chest
- CTA Chest
Management
Tachyarrhythmia
Bradyarrhythmia
Cardiac Arrest
Antiarrhythmic Pharmacology