Day 1 Flashcards

1
Q

Cardiac means

A

Heart

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2
Q

How many seconds does each small box represent?

A

0.04

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3
Q

How many seconds does each large box represent?

A

0.20

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4
Q

What does the P wave represent?

A

Atrial depolarization (contraction)

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5
Q

In normal sinus rhythm, P waves are…

A

Upright, round & look alike

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6
Q

PR interval represents…

A

The conduction time from atria to the ventricles

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7
Q

How long should the PR interval be?

A

0.12-0.20 seconds

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8
Q

What does the QRS duration represent?

A

Ventricular depolarization (contraction)

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9
Q

How long is the QRS duration?

A

0.04-0.12 seconds

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10
Q

No matter the shape of the QRS complex, it is always measured from…

A

Where the complex leaves the isometric line to when it returns to it

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11
Q

The ST segment represents…

A

The end of ventricular depolarization and the start of ventricular repolarization

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12
Q

An elevated ST segment is associated with…

A

Myocardial infarction

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13
Q

A depressed ST segment is associated with…

A

Myocardial ischemia

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14
Q

The T wave represents…

A

Ventricular repolarization

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15
Q

The QT interval represents…

A

The time from ventricular depolarization to ventricular repolarization

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16
Q

The QT interval is usually how many seconds long?

A

0.36-0.44 second

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17
Q

The U wave represents…

A

Late purkinje fiber repolarization

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18
Q

Calculating atrial rate

A

Count the number of P waves in 6 seconds and multiply it by 10

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19
Q

Calculate ventricular rate

A

Count the number of R waves in 6 seconds and multiply it by 10

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20
Q

The SA node is the

A

Primary pacemaker

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21
Q

How many beats per minute does the SA node produce?

A

60-100 beats per minute

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22
Q

What is the AV node?

A

The back up pace maker

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23
Q

How many beats per minute does the AV node produce?

A

40-60 beats per minute

24
Q

What are the purkinje fibers?

A

Final backup pacemaker

25
How many beats per minute do the purkinje fibers produce?
20-40 beats per minute
26
Sinus Brady is..
Regular heart rate that is 59 or below
27
Sinus tachycardia
Regular heart rate 101-150/160 BPM
28
Sinus arrhythmia is..
60-100 BPM irregular R-R measurements Irregular P-P measurements
29
Sinus block is..
A PAUSE marches on
30
Sinus arrest is…
A PAUSE does not march on
31
Atrial fibrillation
A type of arrhythmia where the atria “quivers” instead of creating a P wave
32
Atrial flutter
Irregular arrhythmia where the atria “flutters”, creates multiple saw like P waves before the QRS complex
33
Premature heart beat
Signal to beat comes too early creating a pause then a stronger beat continuing back into regular rhythm
34
Sinus arrhythmia
60-100 BPM irregular R-R
35
SVT
>150–220BPM no P wave QRS narrow
36
Atrial flutter
No P wave (flutter waves) Regular or irregular R-R
37
A fib
No P waves Irregularly irregular
38
Junctional
Inverted, hidden or retrograde P waves 40-60 BPM
39
Accelerated junctional
Inverted, hidden or retrograde P waves 61-100 BPM
40
Junctional tachycardia
Inverted, hidden or retrograde P waves 101-150 BPM
41
PSVT
>150-220 BPM no P wave QRS narrow *see it start & see it stop*
42
Premature atrial contractions (PAC’s)
The one with the funny hat
43
Normal ST segment lies on the..
Isoelectric line
44
In sinus block, the pause is…
A multiple of the underlying R-R interval, because the SA node continues to discharge
45
In sinus arrest the length of the pause is..
NOT a multiple of the underlying R-R interval
46
Premature Atrial Contraction (PAC)
An eptopic beat caused by enhanced automaticity in the atrial tissue. It travels down the conduction system normally causing simply an early beat
47
SVT
151-220 BPM P-P is regular R-R is regular P waves are present but my be buried in the preceding T waves One tented T/P wave
48
PSVT
The same as SVT but you can see it start and stop
49
Atrial flutter BPM
Atrial: 250-350 BPM Ventricular: 60-100 BPM
50
Atrial flutter with variable conduction
Irregular number of P waves between each QRS
51
Atrial fibrillation with a slow ventricular response (SVR)
Ventricular rate of less than 60 BPM
52
Atrial fibrillation with rapid ventricular response (RVR)
Ventricular rate of 101-150 BPM
53
Premature Junctional contraction
Premature beat with an inverted, hidden or retrograde P wave
54
Junctional rhythm
40-60 BPM R-R is regular Inverted, hidden or retrograde P wave
55
Accelerated Junctional rhythm
61-100 BPM R-R is usually regular P wave is inverted, hidden or retrograde
56
Junctional tachycardia
101-150 BPM R-R is usually regular P waves are inverted, hidden or retrograde