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% Document Info
\author{Maria K (mkravatz)}
\pdfinfo{
  /Title (pt-management-and-problems-of-the-cv-system-part-3.pdf)
  /Creator (Cheatography)
  /Author (Maria K (mkravatz))
  /Subject (Pt Management \& Problems of the CV System - Part 3 Cheat Sheet)
}

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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Pt Management \& Problems of the CV System - Part 3 Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Maria K (mkravatz)} via \textcolor{DarkBackground}{\uline{cheatography.com/71404/cs/18110/}}}
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\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
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  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Maria K (mkravatz) \\
  \uline{cheatography.com/mkravatz} \\
  \end{tabulary}
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\columnbreak
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  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 2nd December, 2018.\\
   Updated 2nd December, 2018.\\
   Page {\thepage} of \pageref{LastPage}.
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{2.78712 cm} x{2.18988 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Normal Rhythms}}  \tn
% Row 0
\SetRowColor{LightBackground}
Normal Sinus Rhythm & Sinus Arrythmia \tn 
% Row Count 1 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Normal Sinus Rhythm}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543768949_NSR.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Sinus Arrythmia}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543769146_Sinus Arrythmia.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Inc. prevalence w/ younger age  \newline Rhythm based on breathing, r/t changes in intrathoracic pressure:  \newline - Inspiration = {\emph{HR inc.}} / Expiration = {\emph{HR dec.}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Irregular Rhythms}}  \tn
% Row 0
\SetRowColor{LightBackground}
Sinus Bradycardia & Sinus Tachycardia \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Premature Atrial Contractions (PAC)} \tn 
% Row Count 2 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Arrythmias r/t changes in {\bf{CO}} \& {\bf{perfusion}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Sinus Bradycardia}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543770066_Sinus Bradycardia.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Low HR = give atropine!}} - {\emph{epi}}, {\emph{pacemaker}} (temporary/permanent) \newline {\bf{Usually no symptoms, not treated unless symptoms present}} - {\emph{AMS, cyanosis, extreme syncope/fatigued, hypotensive, SOB}}  \newline {\bf{Treated by treating cause}} - can occur after: {\emph{vagal nerve stimulation, beta-blockers, digoxin, inferior wall MI (back of heart), {\bf{hyperkalemia}}, {\bf{hypothyroid}}, falls asleep}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Sinus Tachycardia}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543769707_Sinus Tachycardia.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Heart beats too fast to allow to fill  \newline PR interval may be smaller depending on rate  \newline {\bf{Causes}}: {\emph{anxiety, hypovolemia, infection, fever, caffeine, pain, HF, {\bf{hyperkalemia}}, {\bf{nitro \& epi}}}}  \newline {\bf{Only treat if necessary - treat underlying cause!}} - {\emph{beta-blocker or CCB if necessary, bear down, O`2`, digoxin, calm environment, relax/meditate}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Premature Atrial Contractions (PAC)}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543770874_PAC.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Beat not coming from SA node (ectopic focus)  \newline {\bf{Not usually treated, told to dec. cause}} - {\emph{treated if more frequent/several consecutive}}  \newline {\bf{Causes}}: {\emph{MI, stretching of cardiac muscle, {\bf{alcohol}}, {\bf{smoking}}, {\bf{HF \& pericarditis}}, {\bf{meds}}, {\bf{irritability of cardiac muscle}}}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Supraventricular Tachycardia (SVT)}}  \tn
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\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543777093_SVT 2.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{P-waves = {\emph{buried in T-waves, hard to see}}  \newline PR interval = {\emph{usually not possible to measure}}  \newline QRS = {\emph{normal (0.06-0.10) but may be wide if abnormally conducted through ventricles}}  \newline {\bf{Person symptomatic}}  \newline {\emph{Perfusion and CO affected}}  \newline {\bf{Treat with adenosine \& flush w/ 20 mL NSS \{\{fa-arrow-right\}\} heart restarts}}  \newline {\bf{Causes}}: {\emph{anxiety, caffeine, {\bf{amphetamines}}, {\bf{irritability of atrial muscle}}}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.09034 cm} x{2.88666 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{More Rhythm Disorders}}  \tn
% Row 0
\SetRowColor{LightBackground}
Atrial Flutter & Atrial Fibrillation \tn 
% Row Count 1 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Atrial Flutter}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Image could not be loaded.} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Saw-toothed appearance}}  \newline Ectopic pacemaker  \newline {\bf{Causes}}: {\bf{{\emph{pulmonary emboli}}, CHF, {\bf{pericarditis}}, {\bf{cardiac ischemia}}}}  \newline Can walk around if low rate  \newline {\bf{Want to control rate}} - {\emph{digoxin, CCB, anti-arrythmics; override pacing to fix rhythm, ablation therapy}}  \newline May see ratio of beats to QRS's  \newline {\emph{Similar shape = coming from same site}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Atrial Fibrillation}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543773024_A fib.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Biggest concern}} = {\emph{blood pooling \{\{fa-arrow-right\}\} clots (a fib \{\{fa-arrow-right\}\} NSR = clots \{\{fa-arrow-right\}\} stroke/PE}}  \newline Dec. CO \textless{} 30\%  \newline {\emph{Not effective beats, rapid \& chaotic}}  \newline {\bf{Causes}}: {\emph{MI, CHF, {\bf{cardiomyopathy}} (anything that causes heart to expand)}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Ventricular Rhythms}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Premature Ventricular Contractions (PVC)} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Ventricular Tachycardia} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Ventricular Fibrillation} \tn 
% Row Count 3 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Premature Ventricular Contractions (PVC)}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543773787_Multifocal PVCs.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Unifocal}}: {\emph{1 ectopic site on ventricle}} \newline {\bf{Multifocal}}: {\emph{1+ site on ventricle - more dangerous!}}  \newline {\bf{Inc w/...}} {\emph{age, {\bf{ischemia}}, CHF, {\bf{hypokalemia}}, acidosis, hypomagnesemia, {\bf{stress}}, {\bf{caffeine}}, nicotine}}  \newline {\bf{Symptoms}}: {\emph{palpitations}}  \newline {\emph{Runs of PVCs}} \{\{fa-arrow-right\}\} {\bf{V-tach}}  \newline {\bf{May not treat if limited number}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Ventricular Tachycardia}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543774930_V tach.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Usually w/ significant heart disease (CHF, MI)  \newline {\bf{Causes}}: {\emph{anything that inc. automaticity of heart}}  \newline {\bf{Symptoms}}: {\emph{r/t dec. CO}}  \newline {\bf{Treatment}}: {\emph{anti-arrythmics (amiodarone, lidocaine, cardizem); beta-blockers (control rate); betapace (controls rate \& rhythm); cardiovert (ICD)}}  \newline {\bf{If not treated \{\{fa-arrow-right\}\} V-fib}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Ventricular Fibrillation}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543774707_V fib.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Ventricles quivering  \newline {\emph{O`2` demand is through the roof \{\{fa-arrow-right\}\} ischemia}}  \newline {\bf{Treatment: defibrillate}}  \newline {\bf{Causes}}: {\emph{CAD, MI, CHF, {\bf{hypokalemia}}, {\bf{hypomagnesemia}}}}  \newline {\bf{Pt is often...}} {\emph{unconscious, no pulses, no BP, acidotic, may seize}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Asystole}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543775043_Asystole.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Cannot shock \{\{fa-arrow-right\}\}  CPR \& epi}}  \newline Occurs w/ myocardial hypoxia}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\begin{tabularx}{5.377cm}{x{2.38896 cm} x{2.58804 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Atrioventricular (AV) Blocks}}  \tn
% Row 0
\SetRowColor{LightBackground}
First Degree & Second Degree \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Third Degree & Bundle Branch \tn 
% Row Count 2 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Diagnosis}}: {\emph{EKG}}  \newline {\emph{Asymptomatic unless HR is too low}}  \newline {\bf{Treatment}} (w/ slow HR): {\emph{O`2`, atropine, pacemaker}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
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\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{First Degree AV Block}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543775439_First Degree Block.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Causes}}: {\emph{ischemia, MI}}  \newline {\bf{Not usually treated}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Second Degree AV Block}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543775570_Second Degree Block.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Causes}}: {\emph{MI, {\bf{digoxin}}, {\bf{Lyme's disease}}}}  \newline {\bf{Symptoms}}: {\emph{usually none unless HR is too low}}  \newline {\bf{Treatment}}: {\emph{atropine, pacemaker}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Third Degree (Complete) AV Block}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543775639_Third Degree Block.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Causes}}: {\emph{ischemia, CAD, MI}} \newline {\bf{Treatment}}: {\emph{pacemaker}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Left Bundle Branch Block}}  \tn
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\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543775983_LBBB.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
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\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Right Bundle Branch Block}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543776005_RBBB.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
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\begin{tabularx}{5.377cm}{x{1.4931 cm} x{3.4839 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Analysis}}  \tn
% Row 0
\SetRowColor{LightBackground}
Dec. CO & Tissue Perfusion \tn 
% Row Count 1 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Pacemaker Spikes}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543776068_Electronic Pacemaker Spikes.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.68758 cm} x{2.28942 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Pharmacological Interventions}}  \tn
% Row 0
\SetRowColor{LightBackground}
Anti-Arrythmics & Beta-Blockers \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Calcium Channel Blockers} \tn 
% Row Count 2 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Implantable Cardioverter Defibrillator (ICD)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{What is it?}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}An internal defibrillator} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Who are candidates?}}} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Pts who have survived an episode of sudden cardiac arrest \{\{nl\}\} Documented life-threatening dysrhythmias} \tn 
% Row Count 6 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Uncomfortable, not necessarily painful}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Defibrillation vs. Cardioversion}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Defibrillation}}: shock heart in emergency} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Cardioversion}}: sync w/ heart, want normal rhythm \{\{nl\}\} - Want to medicate beforehand \{\{nl\}\} - Fibrillate in middle \{\{fa-arrow-right\}\} shock \& defib.} \tn 
% Row Count 5 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{External Defibrillator Vests}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/mkravatz_1543776565_External Defib Vest.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Worn 24/7 except showers}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Ablation Therapy}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Want to go in \& stop abnormal beats} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{3 Types}} - all cause destruction to area of heart causing problem \{\{nl\}\} - {\emph{Chemical}} \{\{nl\}\} - {\emph{Mechanical}} (cut, lasers) \{\{nl\}\} - {\emph{Radiofrequency}}} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Used w/ \seqsplit{electrophysiology/conduction} problems} \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.54287 cm} x{3.43413 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Evaluation of Treatment}}  \tn
% Row 0
\SetRowColor{LightBackground}
Improved CO & Improved tissue perfusion \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Improved EKG} \tn 
% Row Count 2 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}