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Paramedic > ACG > Flashcards

ACG Flashcards

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1
Q

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 60-100

A

NSR

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2
Q

NSR

A

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 60-100

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3
Q

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 20-40

A

Junctional Escape/Brady

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4
Q

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 40-60

A

Junctional

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5
Q

Junctional Escape/Brady

A

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 20-40

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6
Q

Sinus Brady

A

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 40-60

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7
Q

Sinus Tachy

A

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 100-150

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8
Q

Junctional

A

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 40-60

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9
Q

A Fib

A

P - No
PR - No
Irregular
QRS - Narrow-Normal
Rate 60-130

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10
Q

V Tach

A

P - No
PR - No
Regular
QRS - Wide
Rate above 150

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11
Q

How do we describe different A Flutter rhythms?

A

rate of flutter to QRS can range from 1:1 (fastest) to 2:1….4:1 (slower as numbers go up)

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12
Q

V Fib

A

P - No
PR - No
Irregular
QRS - Undetermined
Rate Fast and changing

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13
Q

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 40-60

A

Sinus Brady

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14
Q

SVT

A

P - No
PR - No
Regular
QRS - Narrow
Rate above 150

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15
Q

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 100-150

A

Sinus Tachy

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16
Q

A Fib RVR

A

P - No
PR - No
Irregular
QRS - Normal-Narrow
Rate above 130

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17
Q

A Flutter

A

P - Flutter
PR - No
Regular
QRS - Normal-Narrow
Rate above 60

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18
Q

Junctional Tachycardia

A

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 60-100

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19
Q

Idioventricular

A

P - No
PR - No
Regular
QRS - Wide
Rate 20-40

20
Q

P - No
PR - No
Irregular
QRS - Narrow-Normal
Rate 60-130

A

A Fib

21
Q

P - No
PR - No
Regular
QRS - Wide
Rate above 150

A

V Tach

22
Q

What’s the difference between V Tach and SVT

A

QRS difference

23
Q

P - No
PR - No
Irregular
QRS - Undetermined
Rate Fast and changing

A

V Fib

24
Q

What’s the difference between V Tach and V Fib?

A

Regularity difference

25
Q

P - No
PR - No
Regular
QRS - Narrow
Rate above 150

A

SVT

26
Q

What’s the difference between A Fib and A Fib RVR?

A

Rate difference
RVR’s rate is above 130

27
Q

P - No
PR - No
Irregular
QRS - Normal-Narrow
Rate above 130

A

A Fib RVR

28
Q

P - Flutter
PR - No
Regular
QRS - Normal-Narrow
Rate above 60

A

A Flutter

29
Q

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 60-100

A

Junctional Tachycardia

30
Q

P - No
PR - No
Regular
QRS - Wide
Rate 20-40

A

Idioventricular

31
Q

What’s the difference between Idioventricular and Junctional Escape

A

Idioventricular has a wide QRS
Junctional Escape may have an inverted P

32
Q

Toxicology or metabolic signs in ECG

A

Regular rhythm
Wide qrs complex over 200ms
Ventricular rate 120 (still too slow to be a vtach), i.e. = super wide but not too fast

33
Q

V2-V3 - Pattern of inverted or biphasic T waves (the T starts on positive, goes negative, goes back to positive)
No precordial q waves

A

Wellens’ syndrome
* Indicative of upcoming MI in days

34
Q
  • P wave with two humps
  • Conduction from SA node, first impacts the right atrium than to LA via Bachmann’s bundle. If there is a delay due to ischemia it will look like double humps
A

P mitral “mit ral”

35
Q
  • P wave looks like a tall triangle.
  • Suggests right heart problem
  • Right heart problems are usually pulmonary related
A

P Pulmonale

36
Q

Lateral leads

A

I, aVL, V5, V6

37
Q

Inferior leads

A

II, III, aVF

38
Q

Anterior & Septal leads

A

V1, V2 are both Septal and Anterior
V3, V4 are Anterior

39
Q

First look in ACG

A
  • Inf leads first - most common MI in the US (II, III, aVF)
  • V5 and V6 - Lateral lower - deadliest
  • In V3 and V4, a little V2 - anterior - widow maker
40
Q

Looking at the limb leads (first six)

A

=>1mm STE (Leads: I, II, III, AVR, AVL, AVF) in two or more contiguous leads

41
Q

Looking at leads V1-V6

A
  1. V1,V4-V6 (over 2mm), not involving V2-V3
  2. V2-V3 (over 2mm for men, 1.5mm women)
42
Q

ST depression in greater or equal to 2 precordial leads V1-V4

A

Posterior wall impact

43
Q

Pathological q waves

A
  • Greater than 1mm wide
    • Greater 2mm deep
    • Greater than 25% of the qrs depth
44
Q

Axis deviation ranges

A

Normal is between -30 and +90 degrees; Extreme axis deviation -90 to -180

45
Q

Distinguishing RBBB & LBBB

A

Both will have supraventricular rhythm (mainly NSR); can be Afib/Aflutter
Wide QRS .12<
Look at V1-V3
If pronounced Q pointing negative = LBBB (most common)
If pronounced R positive (likely notched) = RBBB

Paramedic (11 decks)

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