CH 6 Interpretation of an EKG Flashcards
Step 2 in the order of application approach to reading EKGs
Heart Rhythm
Step 1 in the order of application approach to reading EKGs
Heart Rate
Step 3 in the order of application approach to reading EKGs
P wave
Step 4 in the order of application approach to reading EKGs
PR interval
Step 5 in the order of application approach to reading EKGs
QRS complex
The number of electrical impulses conducted through the myocardium in 60 seconds
Heart Rate
The heart rate of less than 60BPM
Bradycardia
Heart rate greater than 100BPM
Tachycardia
irregular rhythms that occur in a pattern
Regularly Irregular
intervals of only one or two R-Rs are uneven
Occasionally Irregular
R-R intervals exhibit no similarity
Irregularly Irregular
Step 1 in evaluating the P wave
Are the P waves present
Step 2 in evaluating the P wave
Are the P was occurring regularly
Step 3 in evaluating the P wave
Is there one P wave present for each QRS complex present
Step 4 in evaluating the P wave
Are the P waves smooth, rounded, and upright ( positive ) in appearance, or are they inverted
Step 5 in evaluating the P wave
Do all the P waves look similar
measure the time intervals from the onset of atrial contraction to the onset of ventricular contraction
PR interval
Three questions when evaluating PR intervals
- are the PR intervals greater than 0.20 seconds
- are PR intervals less than 0.12 seconds
- are PR intervals constant across the EKG
represents the depolarization ( or contraction ) of the ventricles
QRS Complex
the first negative or download deflection of this large complex. It is a small wave that precedes the R wave. Often the Q wave is not seen
Q wave
The first upward or positive deflection following the P wave. In chest Lead II the R wave is the tallest waveform noted
R wave
The sharp, negative ( or downward) deflection that follow the R wave
S wave
above the ventricles
Superventricular
begins with the end of the QRS complex and ends with the onset of the T wave
ST segment
the point where the QRS complex meets the ST Segment
J point
produced by ventricular repolarization or relaxation
T wave
waveforms form sources outside the heart
Artifact
Four common causes of artifact
- Patient Movement
- Loose or Defective Electrodes
- Improper Grounding
- Faulty EKG Apparatus