Answer:
This rhythm is Second Degree AV Block Type 2
Some ways of treatment:
• Asymptomatic: Observation and monitoring only. Hold drugs that can slow AV node conduction. Notify physician. Obtain supplies for pacing should this become necessary.
• Symptomatic: If symptomatic bradycardia is present, temporary pacing is initiated. Administer a dopamine infusion if patient is hypotensive.
• Note: Atropine must be used with great caution (if at all) with this rhythm. Atropine will increase the sinus note discharge, but does not improve conduction through the AV node, (the location of this block is lower in the conduction system). Acceleration of the atrial rate may result in a paradoxical slowing of the ventricular rate, thereby decreasing the cardiac output (Jacobsen et al., 2014; Maryniak, 2012).
Hope this helps! I'm 90% sure this is right!