Difference between primary and secondary tachycardia

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Reference no: EM133296184

Question 1. You arrive at the scene to find a roughly 35-year-old patient who is unresponsive and hypotensive. He has shallow respirations and the monitor shows a junctional rhythm at a rate of 35 with occasional PACs. You find an empty bottle of Verapamil and a suicide note near the patient.

What are your initial concerns with this patient?
While the science is not yet conclusive, glucagon, calcium chloride, and atropine are often given as first-line treatments for this overdose. Why might each of them be effective, from a physiologic perspective?
Glucagon
Calcium Chloride
Atropine
Would this patient benefit more from pacing, or from a vasopressor infusion, would either one be appropriate?
Why or why not?

Question 2. What is the difference between primary tachycardia and secondary tachycardia and how do their treatments differ? Give an example of each.

Difference between Primary and Secondary Tachycardia
Primary Tachycardia Example
Primary Tachycardia Treatment
Secondary Tachycardia Example
Secondary Tachycardia Treatment

Question 3. You arrive on the scene to a 75-year-old female who is in A Fib RVR. There was a problem at the pharmacy and she has been unable to take her medications, including her Warfarin, for about two weeks.

Why would it be appropriate to treat this patient's tachycardia with Cardizem, but inappropriate to treat her with Amiodarone?

Reference no: EM133296184

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