Dysrhythmias Flashcards
isoelectric line
when cells are at rest
P wave represents…
atrial contraction
how SHOULD p waves present
round, upright, precede QRS, 1 P for every QRS
normal PRI measurement
0.12 - 0.20
what can a prolonged PRI mean?
delay at AV node
what does the QRS complex represent
ventricular contraction
normal QRS measurement
0.04-0.12; under 0.12
what does a prolonged QRS mean
bundle branch block
how should the ST segment appear?
isoelectric
what can an ST segment elevation indicate?
STEMI
what can ST segment depression indicate
NSTEMI, ischemia, hypokalemia
what does the T wave represent
ventricular relaxation
what can a tented/peaked T wave mean?
hyperkalemia
what can a flattened T wave indicate
hypokalemia
what can an inverted T wave indicate
ischemia, NSTEMI
normal QT measurement
0.38-0.42
causes of prolonged QT
low K, Mg, or Ca, certain medications
risks of prolonged QT
R on T phenomenon
SA node rate
60-100
AV node rate
40-60
Purkinje fiber rate
20-40
absolute refractory period
when cells CANNOT respond to a stimulus
relative refractory period
cells can respond to a very strong stimulus, lasts from peak & downward slope of T wave - deadly dysrhythmias