Cardiology Flashcards

1
Q

Sinus Rhythm

A

Rate - 60-100
Rhythm - regular
P wave - upright 1/QRS
PRI - .12 - .20
QRS - < .20

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2
Q

Sinus Bradycardia

A

Rate - less than 60
Rhythm - regular
P wave - upright 1/QRS
PRI - .12 - .20
QRS - < .12

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3
Q

Sinus tachycardia

A

Rate - 100 - 150
Rhythm - regular
P wave - upright 1/QRS
PRI - .12 - .20
QRS - < .12

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4
Q

Sinus Dysrhthmia

A

Rate - 60 - 100 or slower
Rhythm - irregular
P wave - upright 1/QRS
PRI - .12 - .20
QRS - < .12

The rate changes with respirations

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5
Q

Wandering Atrial Pacemaker
(WAP)

A

Rate - 60 - 100 or slower
Rhythm - slightly irregular
P wave - non-uniform 1 per QRS
PRI - can vary less than .20
QRS - < .12

3 or more p waves have differing shapes.

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6
Q

Multifocal Atrial Tachycardia

A

Rate - greater than 100
Rhythm - irregular
P wave - non-uniform with 3 different forms
PRI - varies
QRS - < .12

Similar to WAP, but faster and may look like A-FIB

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7
Q

Supraventricular Tachycardia
SVT

A

Rate - 150 - 250
Rhythm - regular
P wave - may be flat 1 per QRS
PRI - .12 - .20
QRS - < .12

P Waves can be hidden in T Waves

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8
Q

Atrial Flutter

A

Rate - (atrial - 300) (vent - varies)
Rhythm - usually regular
P wave - saw-tooth pattern
PRI - non
QRS - < .12
Constant or variable block = 3:1 or 4:1

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9
Q

Atrial Fibrillation

A

Rate - (atrial - irregular) ( vent - varies)
Rhythm - irregular
P wave - none
PRI - none
QRS - < .12

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10
Q

PSVT

A

Rate - 150-250
Rhythm - regular
P wave - buried
PRI - none
QRS - < .12

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11
Q

PAC

A

Rate - interrupts base rhythm
Rhythm - name underlying rhythm
P wave - differs from baseline rhythm
PRI - variable
QRS - no compensatory pause. Pri varies from base rhythm

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12
Q

Junctional Escape

A

Rate - 40 - 60
Rhythm - regular
P wave - inverted or missing
PRI - shortened or absent
QRS - < .12

P wave can appear before, during, or after QRS complex.

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13
Q

Accelerated junctional

A

Rate - 60 - 100
Rhythm - regular
P wave - inverted or missing
PRI - shortened or absent
QRS - < .12

P Wave can appear before, during, or after the QRS

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14
Q

Junctional Tachycardia

A

Rate - 100 - 180
Rhythm - regular
P wave - inverted or missing
PRI - shortened or absent
QRS - < .12

P Wave can appear before, during, or after the QRS

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15
Q

Premature Junctional Contraindication
(PJC)

A

Rate - interrupts base rhythm
Rhythm - name underlying rhythm
P wave - inverted or missing
PRI - shortened or absent
QRS - < .12

Possible compensatory pause with a normal QRS

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16
Q

1rst Degree Heart Block
(AV BLOCK)

A

Rate - name underlying rhythm
Rhythm - name underlying rhythm
P wave - upright 1/QRS
PRI - constant >.2
QRS - < .12
Name the underlying rhythm

17
Q

2nd Degree Type I

Wenkebach

A

Rate - (atrial - normal) (vent-slow)
Rhythm - irregular
P wave - upright 1/QRS
PRI - lengthen
QRS - lengthens

Not all P Waves have a QRS
P Waves march out

18
Q

3rd Degree Block

A

Rate - (Atrial - normal)
(Vent - <60)
Rhythm - (P -P regular)
(R - R regular)
P wave - upright 1/QRS
PRI - none
QRS - (junc - <.12) (vent - >.12)

P Waves march out but have no relationship to the QRS

19
Q

2nd Degree Type II

A

Rate - (Atrial - normal)
(Ventricle - slow)
Rhythm - R - R can be regular or irregular. R/t conduction rate
P wave - upright 1/QRS
PRI - constant >.20
QRS - <.12

QRS may look wider than normal

20
Q

Ventricular Tachycardia

A

Rate - 150 - 250
Rhythm - regular
P wave - none
PRI - none
QRS - >.12

QRS is wide and bizarre. “Praying Nuns”

21
Q

Ventricular Fibrillation

A

Rate - none
Rhythm - none
P wave - none
PRI - none
QRS - none

Can be Course or Fine

22
Q

Premature Ventricular Contraction
PVC

A

Rate - interrupts base rhythm
Rhythm - name underlying rhythm
P wave - none
PRI - none
QRS - >.12

Compensatory pause follows the wide QRS

23
Q

Idioventricular

A

Rate - 20 - 40
Rhythm - regular
P wave - none
PRI - none
QRS - >.12

Usually an escape rhythm

24
Q

Asystole

A

Rate - no activity
Rhythm - none
P wave - none
PRI - none
QRS - none

Confirm in Lead 2

25
Q

Artificial Pacer

A

Rate - usually 60 - 100
Rhythm - normally regular
P wave - pacer spike
PRI - may not see with Ventricular Pacer
QRS - can vary >.12

Must check pulse to verify mechanical capture.