Chapter 6 & 7 Flashcards
Number of electrical impulses conducted through the myocardium in 60 seconds
Heart rate
What are the steps in the five step approach for interpreting EKGs
Step 1: Heart rate Step 2: Heart rhythm Step 3: P wave Step 4: PR interval Step 5: QRS complex
Heart rate of less than 60 BPM
Bradycardia
Heart rate greater than 100 BPM
Tachycardia
The sequential beating of the heart as a result of the generation of electrical impulses
Heart rhythm
To determine if atrial rate is regular you measure from
P to P wave
To determine whether the ventricular rhythm is regular you measure from
R to R wave
To determine if a heart rhythm is regular the intervals usually vary by less than? If greater than that it’s considered irregular
.06 seconds.. Irregular
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
Five questions you should ask when evaluating P waves
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
Three questions that should be asked when evaluating PR intervals
Are they greater than .20 seconds
Are they less than .12
Are they constant across the strip
Three questions that should be asked when evaluating QRS intervals
Are they greater than .12 seconds
Are they less than .12 seconds wide
Are they similar in appearance
EKG waveforms from sources outside the heart
Artifact
Normal sinus rhythm
Rate 60-100 Rhythm regular P wave present and regular PR interval = .16 QRS complex = .06
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
Normal sinus rhythm
SA node intrinsic rate
60-100
AV node intrinsic rate
40-60
Purkinje network intrinsic rate
20-40
In this rhythm the SA node discharges impulses at a rate of less than 60 BPM
Sinus Bradycardia
A variant of normal sinus rhythm; the rate is generally considered to be 100 to 160 BPM
Sinus tachycardia
An irregular rhythm produced when the P to P intervals change with respirations
Sinus dysthymia
When the sinus node fails to discharge, the absence of a PQRST interval is noted on the rhythm strip
Sinus arrest rhythm