Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NUR 340 > ALL EXAMS: EKGs > Flashcards

ALL EXAMS: EKGs Flashcards

1
Q

what is this
what interventions

A

normal sinus rhythm
none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is this
what interventions

A

Sinus bradycardia

Assess patient’s BP and for symptoms
- Atropine or pacemaker if symptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is this
what interventions

A

sinus tachycardia

treat underlying cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is this
what interventions

A

premature atrial complexes (PAC)

occasional = normal

Assess patient and check electrolytes
treat underlying cause (may be an early sign of HF, a-tach, or a-fib)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is this
what interventions

A

Paroxysmal atrial tachycardia (PAT)
(multiple PACs)

Assess patient
treat underlying cause
- Digoxin (cardiac glycoside)
- cardizem (calcium channel blocker)
- beta-blockers (end in -lol)
- amiodarone (class III antiarrhythmic)
- adenosine (call V antiarrhythmic)
- oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is this
what interventions

A

Atrial Flutter

Assess patient, check for SOB or chest pain
- digoxin (cardiac glycoside)
- cardizem (calcium channel blockers)
- beta-blockers
- adenosine (class V antiarrhythmic)
- CARDIOVERSION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is this
what interventions

A

Atrial fibrillation

Assess patient and count HR for 1 minute

<48 hours/unstable
- digoxin (cardiac glycoside)
- cardizem (calcium channel blocker)
- beta-blocker
- amiodarone (class III antiarrhythmic)
- CARDIOVERSION

> 48 hours/stable
- anticoagulants for 2-3 weeks, then cardioversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is this
what interventions

A

Premature ventricular contraction (PVC)

Assess patient and monitor; correct underlying cause/electrolyte imbalance

occasional = okay
more than 6/min or close to T wave = bad

Drugs
- amiodarone (class III antiarrhythmic)
- oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is this
what interventions

A

couplet
- two PVCs in a row
Assess patient and monitor; correct underlying cause/electrolyte imbalance

occasional = okay
more than 6/min or close to T wave = bad

Drugs
- amiodarone (class III antiarrhythmic)
- oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is this
what interventions

A

triplet
- three PVCs in a row
Assess patient and monitor; correct underlying cause/electrolyte imbalance

occasional = okay
more than 6/min or close to T wave = bad

Drugs
- amiodarone (class III antiarrhythmic)
- oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is this
what interventions

A

Ventricular tachycardia

Assess patient; check pulse, vitals, and LOC

Pulse and stable
- amiodarone (class III antiarrhythmic)
- cardizem (calcium channel blocker)
- Beta-blocker
- digoxin (cardiac glycoside)
- CARDIOVERSION

No pulse
- Defibrillation
- CPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is this
what interventions

A

Wolfe-parkinson white
- swooping Q-R

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is this
what interventions

A

Torsades de pointes

Assess patient
- IV magnesium
- may need cardioversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is this
what interventions

A

Ventricular fibrillation

Assess patient (pulse, vitals, LOC)
- DEFIBRILLATE
- CPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is this
what interventions

A

supraventricular tachycardia

Assess patient (vitals, LOC)
Lie patient flat in bed; call Dr. and stay with pt

If stable:
- vagal maneuvers (bear down, ice cold washcloths on face, deep cough)

If unstable:
- adenosine (class V antiarrhythmic)
- amiodarone (class III antiarrhythmic)
- cardizem (calcium channel blocker)
- verapamil (calcium channel blocker)
- CARDIOVERSION (if meds don’t work)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is this
what interventions

A

Idioventricular rhythm
- slow rate
- regular rhythm
- no P wave
- inverted T wave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is this
what interventions

A

Asystole

Assess patient (check pulse, LOC, and other leads on tele monitor)
Begin CPR
- epinephrine (alpha/beta-adrenergic agonist)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is this
what interventions

A

bundle branch block
- double Q waves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is this
what interventions

A

1st degree heart block (p waves farther than 0.2 from QRS)

Assess patient
May not need interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is this
what interventions

A

Second degree type I (going, going…gone)

Assess patient
If symptomatic:
- atropine (anticholinergic)
- transcutaneous pacing

21
Q

what is this
what interventions

A

Second degree type II

Assess patient
Immediate transcutaneous pacing
- oxygen
- atropine (anticholinergic) [usually doesn’t work] or epinephrine (alpha/beta-adrenergic agonist)

22
Q

what is this
what interventions

A

Third degree (complete) heart block

Assess Patient
initiate transcutaneous pacing (if symptomatic)
- atropine (anticholinergic), epinephrine (alpha/beta-adrenergic agonist), or dopamine (+ inotrope)
- oxygen

23
Q

what is this
what interventions

A

Sinus bradycardia

Assess patient’s BP and for symptoms
- Atropine or pacemaker if symptomatic

24
Q

what is this
what interventions

A

supraventricular tachycardia

Assess patient (vitals, LOC)
Lie patient flat in bed; call Dr. and stay with pt

If stable:
- vagal maneuvers (bear down, ice cold washcloths on face, deep cough)

If unstable:
- adenosine (class V antiarrhythmic)
- amiodarone (class III antiarrhythmic)
- cardizem (calcium channel blocker)
- verapamil (calcium channel blocker)
- CARDIOVERSION (if meds don’t work)

25
what is this what interventions
Atrial fibrillation Assess patient and count HR for 1 minute <48 hours/unstable - digoxin (cardiac glycoside) - cardizem (calcium channel blocker) - beta-blocker - amiodarone (class III antiarrhythmic) - CARDIOVERSION >48 hours/stable - anticoagulants for 2-3 weeks, then cardioversion
26
what is this what interventions
sinus tachycardia treat underlying cause
27
what is this what interventions
Premature ventricular contraction (PVC) Assess patient and monitor; correct underlying cause/electrolyte imbalance occasional = okay more than 6/min or close to T wave = bad Drugs - amiodarone (class III antiarrhythmic) - oxygen
28
what is this what interventions
Ventricular fibrillation Assess patient (pulse, vitals, LOC) - DEFIBRILLATE - CPR
29
what is this what interventions
PVC (bigeminy) Assess patient and monitor; correct underlying cause/electrolyte imbalance occasional = okay more than 6/min or close to T wave = bad Drugs - amiodarone (class III antiarrhythmic) - oxygen
30
what is this what interventions
Third degree (complete) heart block Assess Patient initiate transcutaneous pacing (if symptomatic) - atropine (anticholinergic), epinephrine (alpha/beta-adrenergic agonist), or dopamine (+ inotrope) - oxygen
31
what is this what interventions
premature atrial complexes (PAC) occasional = normal Assess patient and check electrolytes treat underlying cause (may be an early sign of HF, a-tach, or a-fib)
32
what is this what interventions
STEMI
33
what is this what interventions
Ventricular tachycardia Assess patient; check pulse, vitals, and LOC Pulse and stable - amiodarone (class III antiarrhythmic) - cardizem (calcium channel blocker) - Beta-blocker - digoxin (cardiac glycoside) - CARDIOVERSION No pulse - Defibrillation - CPR
34
what is this what interventions
Atrial fibrillation Assess patient and count HR for 1 minute <48 hours/unstable - digoxin (cardiac glycoside) - cardizem (calcium channel blocker) - beta-blocker - amiodarone (class III antiarrhythmic) - CARDIOVERSION >48 hours/stable - anticoagulants for 2-3 weeks, then cardioversion
35
what is this what interventions
Atrial Flutter Assess patient, check for SOB or chest pain - digoxin (cardiac glycoside) - cardizem (calcium channel blockers) - beta-blockers - adenosine (class V antiarrhythmic) - CARDIOVERSION
36
what is this what interventions
premature atrial complexes (PAC) occasional = normal Assess patient and check electrolytes treat underlying cause (may be an early sign of HF, a-tach, or a-fib)
37
what is this what interventions
PVCs Assess patient and monitor; correct underlying cause/electrolyte imbalance occasional = okay more than 6/min or close to T wave = bad Drugs - amiodarone (class III antiarrhythmic) - oxygen
38
what is this what interventions
Torsades de pointes Assess patient - IV magnesium - may need cardioversion
39
what is this what interventions
Ventricular paced none
40
what is this what interventions
short run of PVCs Assess patient and monitor; correct underlying cause/electrolyte imbalance occasional = okay more than 6/min or close to T wave = bad Drugs - amiodarone (class III antiarrhythmic) - oxygen
41
what is this what interventions
idioventricular (notice inverted T waves)
42
what is this what interventions
Ventricular fibrillation Assess patient (pulse, vitals, LOC) - DEFIBRILLATE - CPR
43
what is this what interventions
Asystole Assess patient (check pulse, LOC, and other leads on tele monitor) Begin CPR - epinephrine (alpha/beta-adrenergic agonist)
44
what is this what interventions
1st degree heart block (p waves farther than 0.2 from QRS) Assess patient May not need interventions
45
what is this what interventions
Paroxysmal atrial tachycardia (PAT) (multiple PACs) Assess patient treat underlying cause - Digoxin (cardiac glycoside) - cardizem (calcium channel blocker) - beta-blockers (end in -lol) - amiodarone (class III antiarrhythmic) - adenosine (call V antiarrhythmic) - oxygen
46
what is this what interventions
Second degree type II Assess patient Immediate transcutaneous pacing - oxygen - atropine (anticholinergic) [usually doesn't work] or epinephrine (alpha/beta-adrenergic agonist)
47
what is this what interventions
AV paced none
48
what is this what interventions
Second degree type I (going, going...gone) Assess patient If symptomatic: - atropine (anticholinergic) - transcutaneous pacing
49
what is this what interventions
Third degree (complete) heart block Assess Patient initiate transcutaneous pacing (if symptomatic) - atropine (anticholinergic), epinephrine (alpha/beta-adrenergic agonist), or dopamine (+ inotrope) - oxygen

NUR 340 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions