Dysrhythmias Flashcards

1
Q

what does the pr interval tell you

A

how long it take to get from SA node to AV node

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2
Q

why do we read EKG every hours

A

baseline - trends

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3
Q

normal HR

A

60-100

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4
Q

what is the risk with AFib

A

clots

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5
Q

what does automaticity mean

A

don’t need a stimulant to beat - just goes

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6
Q

what does contractility mean

A

ability of heart to contract

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7
Q

what does excitability mean

A

ability of cells to respond to an electrical impulse

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8
Q

what does conductivity mean

A

signals heart muscle to contract

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9
Q

heart beat pathway

A

SA node signals atria to contract; signal stops at AV node

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10
Q

Pacemaker of the heart

A

SA node

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11
Q

which ventricle is bigger

A

left - blood is pushed through the whole body

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12
Q

the only artery that carries de-oxygenated blood

A

pulmonary artery carries blood to lungs to be oxygenated

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13
Q

the p-wave represents

A

atrial contraction

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14
Q

the p-r interval represents

A

pause at the AV node

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15
Q

the q-r-s represents

A

ventricular contractions

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16
Q

the st wave represents

A

ventricular re-polarization

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17
Q

the pr interval should measure (norm)

A
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18
Q

the qrs interval should measure (norm)

A

.08 -

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19
Q

the qt interval should measure (norm)

20
Q

a small EKG box measures

21
Q

a lg EKG box measures

22
Q

absolute refractory period

A

no outside source can stimulate ventricles to beat again

23
Q

relative refractory period

A

could stimulate ventricles to beat again - causing funky rhythms - measure qt interval

24
Q

if pt is having an acute MI

A

fireman’s hat - ST segment is elevated

25
what does digoxin do to the heart rate
listen to apical pulse for full min before administering | slows HR
26
sinus bradycardia means hr is less than
60 - everything else in normal
27
sinus tachycardia means hr is greater than
100 but less than 150 - everything else in normal
28
what is the cause of bradycardia
athletes - very well trained | pt. on beta blocker
29
what type of shock will you see a HR of 50
neurogenic shock
30
what is a pathological q wave
pt had a previous MI | q wave is bigger than norm - at least half the size of qrs
31
what do we do for pt with sinus tachy
treat the cause
32
why would a pt have tachy
fight or flight - sympathetic nervous system | dehydration, fever
33
PSVT (paroxysmal supra-ventricular tachy) manifestations
HR 150-250 - beat is above the ventricle | QRS is narrow
34
trt for PSVT
adenosine
35
how is adenosine given
hard and fast - 6,12,12 - must get to heart in 30 sec. | pt becomes a systolic for 6 sec
36
a flutter manifestations
saw tooth wave form - SA Node is not the stimulus | r-r can be normal or abnormal
37
how do i know if i am perfusing
qrs
38
a fib manifestations
quivering - decreasing push from atria to ventricles
39
what do we worry about with a fib
blood clots - blood pools in atria causing clots
40
first degree av block manifestations
pr interval is prolonged (over .20)
41
second degree av block (wenckebach) manifestations
pr gets continuously longer, than drop a full qrs
42
third degree av block manifestations
p wave and qrs's run to their own beat | emergency! need pacemaker
43
leading cause of PVC
potassium is getting low | check electrolytes
44
torsades de pointes is a good indicator of
low magnesium levels - long QT - irregular v-tach
45
mgmt for v fib
shock to stimulate the SA Node and start CPR