basic ekg Flashcards

1
Q

The heart has the innate ability to generate its own spontaneous action potentials without any external stimuli, a phenomenon known

A

as automaticity.

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2
Q

The rate at which the pacemaker cells fire is

A

HR

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3
Q

The pacemaker cells do not have a true ___ in their action potential cycle.

A

The pacemaker cells do not have a true “resting phase” in their action potential cycle.

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4
Q

The contractile cells make up ____ of the myocardium

A

The contractile cells make up the bulk of the myocardium 99%

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5
Q

what do you give for hyperkalemia

A

calcium to stabilize the cell membrane

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6
Q

____is the primary pacemaker that produces spontaneous action potentials that will determine the heart rate.

A

the SA node is the primary pacemaker that produces spontaneous action potentials that will determine the heart rate.

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7
Q

is located at the back of the right atrium near the superior vena cava entry.

A

SA node

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8
Q

The action potential travels from the SA node through the right atrium via ___, and to the left atrium via ______

A

The action potential travels from the SA node through the right atrium via the internodal pathway, and to the left atrium via Bachmann’s bundle

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9
Q

the “gatekeeper” that sends the action potential from the atria to the ventricles.

A

AV node

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10
Q

The other important function of the AV node is that

A

slows down the conduction velocity of the action potential.

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11
Q

the transition from the end of diastole to the start of systole in the cardiac cycle

A

, the AV node

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12
Q

can assume what if you have a QRS more than 0.12 sec

A

ventricular in nature

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13
Q

After the action potential travels through the AV node it will enter___

A

bundle of His, also known as the atrioventricular bundle.

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14
Q

steps of conduction

A
  1. SA node
  2. internodal pathwya
  3. AV node
  4. Bundle of His
  5. R/L bundle branches
  6. Purkinje Fibers
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15
Q

SA node speed

A

60-100

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15
Q

bundle of his speed

A

40-60

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15
Q

AV node speed

A

40-60

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16
Q

bundle branch speed

A

20-40

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16
Q

purkinje fibers speed

A

20-40

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17
Q

primary cardiac stand still

A

all you have is P waves

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18
Q

qrs duration

A

0.08-0.12

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19
Q

P wave positive in what leads

A

I,
II,
aVF,
V4-V6

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20
Q

AV conduction duration and represented by?

A

0.10-0.20

PR interval

21
Q

P wave duration

A

<0.12sec

22
Q

ST elevation in all leads

A

pericarditis

23
Q

T wave positive in what leads?

A

I
II
V3-V6

24
Q

PSVT caused by?

A

cell doing abhorrent pathway and fires off, then shuts down

25
Q

Adenosine dosage: for afib

A

Adenosine dosage: 6mg, 12mg, 12mg

26
Q

very rare that pt becomes unstable in ?

A

a flutter

27
Q

PVC most common cause

A

hypoxia

28
Q

what to do with PVC?

A

Check pulses and see if pt is perfusing with each beat

29
Q

medication for 2nd degree type 1

A

isoproteronal, epi, dopa

30
Q

reversal for TCA antidepressant

A

sodium bicarb

31
Q

classic presentation of torsades

A

taking lots of antacids
excessive hydration

32
Q

Halothane/enfluranedoes what?

A

Halothane/enflurane-sensitize myocardium

33
Q

sevo does what in infants?

A

brady

bc vagal influence is stronger in kids

34
Q

desflurane cautious of what?

A

prolonged QT during induction

MAC is 6, have to dial it slowly

35
Q

Local anesthetics can cause what? reversal?

A

severe brady. asystole

lipid rescue

36
Q

stop brady with what med?

A

glycopyrullate

37
Q

most common cause for perioperative dysrhytmias?

A

intubation

38
Q

postoperative dysrhytmias causes?

A

hypoxemia,
cardiac ischemia
catecholamine excess (sometimes we cause)

39
Q

emd

A

electrical mechanical dissocition
pea

40
Q

1 and 2 cause of cardiac arrest

A

hypoxia and hypovolemia

41
Q

what kind of MI results in death of pacemaker cells?

A

right heart

s/s bradycardia hypotension

42
Q

reversal for lopressor

A

glucagon

43
Q

lidocaine contraindicated in heart blocks bc?

A

lidocaine works primarily in the ventricle, so itll knock out ventricular component

44
Q

hyperventilation does what to K

A

hypokalemia

44
Q

ketamine does what to HR/BP

A

increase HR/BP

45
Q

bronchodilator does what to K, albuterol

A

hypokalemia

46
Q

during carotid endarectomy, what can you do to stopy brady?

A

local anesthetitc around vagal area

47
Q

brady caused how in abdominal surgery?

A

air is pumped in, IVC compressed with less venous return

48
Q

atropine vs glycopyrullate

A

glyco is slow onset and long duration

49
Q

during cvp cannulation, you see PVCs, what do you do?

A

pull back, tickling atria

50
Q

pressure on eyes causes what?

A

brady

51
Q
A
52
Q
A