another slide for school project

1. 2nd degree AVHB Mobitz II
2nd degree heart block Type II or Mobitz II is sometimes
intermingles with a type I. The major difference to look for is
that the PR interval stays the same width but there are
dropped QRS complexes. Remember in the story, this is when
Penny doesn't try to get closer to Quinton anymore, when he
is there they are the same width apart but he often does not
come home. There is no pattern to see the drop coming. As
you can imagine, this particular rhythm can lead quickly to
low cardiac output and especially to a 3rd degree or
complete heart block because the communication is not very
good. Many times the type I and type II heart blocks coincide
and indicate a worsening in condition. This heart block can
lead very quickly to V-tach and/or V-fib. While this rhythm
alone is not lethal, it does need to be acted on to prevent
further decline.
What do you do? The electrical pulse of the
Assess the patient to see if there is adequate normal heartbeat begins in The current then runs
perfusion. Does the patient feel the heart beating The SA node. along tracts to the AV
node.
strangely? What is the rate? Has urinary output
decreased recently? Is the skin warm and dry, or cool
and clammy? Obtain an EKG and call the M.D. for
further orders. Anticipate a cardiology consult if no
cardiologist on the case. Have current labs available.
Check O2 sat if patient is not on continuous to make
sure patient is getting proper oxygen.
Remember, poor perfusion can increase the chances
of clots and ischemia which can lead to strokes and
myocardial infarctions.