Dysrhythmias Flashcards
What is an electrocardiogram (ECG)?
An ECG is a graphic tracing of the electrical impulses produced in the heart
What is an ECG composed of?
P waves
PR interval
QRS complex
ST segment
T wave
What does the P wave represent?
Atrial contraction and relaxation
What is the duration of the P wave in seconds?
0.06 to 0.12 seconds
What does the PR interval represent?
Time period between atrial contraction and atrial relaxation
What is the duration of the PR interval?
0.12 to 0.20 seconds
What does the QRS complex represent?
Ventricular contraction
What is the duration of the QRS complex?
0.06 to 0.10 seconds (0.4 seconds wide/width)
What does the ST segment represent?
Time period between ventricular contraction and ventricular relaxation
What does the T wave represent?
Ventricular relaxation
What are the six most common dysrhythmias?
Atrial flutter
Atrial fibrillation (A-fib)
PVCs
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V-fib)
Asystole
Which dysrhythmia is described as recurring, sawtooth-shaped waves that originate from a single ectopic focus in the atria?
Atrial Flutter
What do the flutter waves in atrial flutter represent?
Atrial contraction followed by atrial relaxation
What are the ECG characteristics of atrial flutter?
Atrial rate of 250-350 bpm
Ventricular rate of 150 bpm
Atrial and ventricular rhythms are normal
PR interval is variable and not measured
QRS complex is normal
What is the clinical significance of atrial flutter?
High ventricular rates and loss of atrial contraction decreases cardiac output