On Call: Arrhythmia

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