Acls V Fib Strip
Monitor the victim s heart rhythm and blood pressure.
Acls v fib strip. Ventricular fibrillation or vf sometimes v fib is a condition where there is uncoordinated contraction of the cardiac muscle of the ventricles in the heart. This purpose of this. According to aha this is v fib or ventricular fibrillation. Ventricular fibrillation vf or v fib is the most common initial heart rhythm in patients with out of hospital cardiac arrest ohca and the most salvageable one.
It has become an art form of sorts over the years where many medical professionals have invested thousands of hours memorizing and decoding the heart s rhythm and its meaning. Ventricular fibrillation vf adult acls cardiac arrest algorithm for ventricular fibrillation. The primary cause of vf is hypoxia lack of oxygen to the heart muscle which causes hyperirritability in the cardiac muscle tissue. When atrial fibrillation occurs with a rvr rapid ventricular rate rate 100 beats min this is called a tachyarrhythmia.
Ecg interpretation is a critical component in emergency life saving procedures. This is v fib for v fib defib this does look like a v tach polymorphic v tach and close to torsades but. Ventricular fibrillation vf and pulseless ventricular tachycardia vt are life threatening cardiac rhythms that result in ineffective ventricular contractions. Apply defibrillator pads or paddles and shock the.
Pea occurs when any heart rhythm other than v tach or v fib is observed on the monitor and does not produce a pulse. Atrial fibrillation atrial flutter rhythm pathophysiology atrial impulses faster than sa node impulses atrial fibrillation impulses take multiple chaotic random pathways through the atria atrial flutter impulses take a circular course around the atria setting up the flutter waves. 5 in vf the etiology of arrest is often attributed to either acute ischemia or non ischemic arrhythmia. If the patient is in vtach or vfib this is a shockable rhythm.
Acls study guide. Vf figure 24 is a rapid quivering of the ventricular walls that prevents them from pumping. Count the of r waves in a 6 second rhythm strip then multiply by 10 find an r wave that lands on a bold line. The heart is a complex muscular organ and to.
As a result multiple muscle cells within the ventricles simultaneously fire as pacemakers causing a. This tachyarrhythmia may or may not produce symptoms. 8 although vf appears as a chaotic and disorganized rhythm characteristics of the ventricular fibrillation waveform such as. Establish an airway and provide oxygen to keep oxygen saturation 94.
Acls cardiac arrest vtach and vfib algorithm. The ventricular motion of vf is not synchronized with atrial contractions. For acls atrial fibrillation becomes a problem when the fibrillation produces a rapid heart rate which reduces cardiac output and causes symptoms or an unstable condition. Perform the initial assessment.