Chapter 6 & 7 Flashcards

0
Q

Number of electrical impulses conducted through the myocardium in 60 seconds

A

Heart rate

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1
Q

What are the steps in the five step approach for interpreting EKGs

A
Step 1: Heart rate 
Step 2: Heart rhythm 
Step 3: P wave 
Step 4: PR interval 
Step 5: QRS complex
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2
Q

Heart rate of less than 60 BPM

A

Bradycardia

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3
Q

Heart rate greater than 100 BPM

A

Tachycardia

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4
Q

The sequential beating of the heart as a result of the generation of electrical impulses

A

Heart rhythm

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5
Q

To determine if atrial rate is regular you measure from

A

P to P wave

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6
Q

To determine whether the ventricular rhythm is regular you measure from

A

R to R wave

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7
Q

To determine if a heart rhythm is regular the intervals usually vary by less than? If greater than that it’s considered irregular

A

.06 seconds.. Irregular

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8
Q

Irregular rhythms that occur in a pattern

A

Regularly irregular

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9
Q

Intervals of only one or two R-Rs are uneven

A

Occasionally irregular

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10
Q

R-R intervals exhibit no similarity

A

Irregularly irregular

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11
Q

Five questions you should ask when evaluating P waves

A
Are they present
Are they occurring regularly 
Is there one for every QRS complex 
Are they smooth, rounded and upright, or are they inverted
Do they look similar
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12
Q

Three questions that should be asked when evaluating PR intervals

A

Are they greater than .20 seconds
Are they less than .12
Are they constant across the strip

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13
Q

Three questions that should be asked when evaluating QRS intervals

A

Are they greater than .12 seconds
Are they less than .12 seconds wide
Are they similar in appearance

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14
Q

EKG waveforms from sources outside the heart

A

Artifact

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15
Q

Normal sinus rhythm

A
Rate 60-100 
Rhythm regular
P wave present and regular 
PR interval = .16 
QRS complex = .06
16
Q

The rhythm that occurs when the SA node has generated an impulse that followed the normal pathway of the electrical conduction system and lead to atrial and ventricular depolarization

A

Normal sinus rhythm

17
Q

SA node intrinsic rate

A

60-100

18
Q

AV node intrinsic rate

A

40-60

19
Q

Purkinje network intrinsic rate

A

20-40

20
Q

In this rhythm the SA node discharges impulses at a rate of less than 60 BPM

A

Sinus Bradycardia

21
Q

A variant of normal sinus rhythm; the rate is generally considered to be 100 to 160 BPM

A

Sinus tachycardia

22
Q

An irregular rhythm produced when the P to P intervals change with respirations

A

Sinus dysthymia

23
Q

When the sinus node fails to discharge, the absence of a PQRST interval is noted on the rhythm strip

A

Sinus arrest rhythm