112 EKG refresh

Question 1

Answer 1

Normal Sinus Rhythm

Question 2

Answer 2

Bigemeny

Question 3

Answer 3

Tachycardia

Question 4

Answer 4

Bradycardia

Question 5

Answer 5

Flutter

Electrical problem

comes from around the pulmonary veins or mitral valve

Question 6

Answer 6

afib

irregularly irregular

almost always originates from the pulmonary veins and has to be a left sided ablasion.

Done transseptally from the right to the left because you do not want to put a hole in the right atrium. It will not clot however the septum will.

Pt is heprinized. Cases are usually around 4-5 hours.

Question 7

Answer 7

AV block Type 1

Question 8

Answer 8

2nd degree heart block

You are only getting every other QRS, you get a P, then another P, then a QRS

Question 9

Answer 9

3rd degree heart block

You get your P, then QRS, then 2 P’s, then your QRS, then 1 P and QRS.

You miss every other. When you get 2 P’s in between the QRS which is your clue this is a third degree heart block.

Question 10

Answer 10

Junctional

Question 11

Answer 11

Multifocal

Meaning it is changing directions

Question 12

Answer 12

Ventricular Pacing

Pts with ejection fractions of 25% or less qualify for a pacemaker because studies have shown that a dual chamber pacemaker can increase your ejection fraction up to 25%.

Question 13

Answer 13

Atrial Pacing

Question 14

Answer 14

This is ST elevation or a Tombstone

Needs a stemi. Our bread and butter :)

Question 15

Answer 15

ST Elevation with artifact

Question 16

Answer 16

artial tachycardia with artifact

Question 17

Answer 17

vtach with artifact and vfib

Question 18

Answer 18

asystole with artifact

Question 19

Answer 19

Ventricular standstill on the nursing monitor

Question 20

Answer 20

Inferior MI on the nursing monitor

Question 21

Answer 21

Torsade

This can occur cannulating a vessel. This is a shockable rhythm.

Question 22

Answer 22

idioventricular on the nursing monitor

Question 23

Answer 23

Sinus rhythm post ischemia on the nursing monitor

Question 24

Answer 24

LBBB on the nursing monitor

Question 25

Answer 25

RBBB on the nursing monitor

you really need a 12 lead EKG to see all of the detail of the Blocks

Question 26

Answer 26

AO and LV normal pressures

The doctor is looking at the bottom of the LV waveform to see the gradient.

When you are doing a dual lumen pigtail, the doctor is looking at the gradient between the AO and the LV at the top.

Question 27

Answer 27

Normal AO pressure

Question 28

Answer 28

AO pressure wave corresponds with the EKG haveing PVC’s

Question 29

Answer 29

Dampping in a patient with aortic stenosis. We have a very tight valve so the pressure above the valve is going to be dampened. It is a wider wave and lower pressure.

There will also be dampping at the with your curve top with sever disease especially at the ostium.

Question 30

Answer 30

Aortic regurgitation.

It still have the shape of an aortic waveform but the valve is insufficient making it very big.

Question 31

Answer 31

LV and AO wave showing mitral stenosis.

Question 32

Answer 32

AO wave with aortic regurgitation

Question 33

Answer 33

AO wave with MR

Question 34

Answer 34

Blue line is where we measure LVEDP.

We slow down the wave to get more detail.