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Med Surg 1 > Dysrhythmias > Flashcards

Dysrhythmias Flashcards

1
Q

What is the diagnostic test used to determine electrical activity and heart rhythms

A

Electrocardiogram (EKG)

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2
Q

What is the main goal when caring for a patient with a heart dysrythmia

A

Regulate the heart rate

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3
Q

What is normal P-R interval

A

.12-.20

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4
Q

What does the P wave indicate

A

Atrial Depolarization(Contraction)

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5
Q

What does the QRS wave indicate

A

Ventricular Depolarization (Contraction)

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6
Q

What does the T wave indicate

A

Repolarization

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7
Q

What is going on in the heart during each of these waves

A

Atrial Contraction/Ventricular contraction/ repolarization

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8
Q

What is the sequence of events to follow when out in public and someone collapses

A

Check pulse

start CPR

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9
Q

What is the most important component of BLS to maintain

A

Compressions

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10
Q

What piece of equipment should the rescuer ask for

A

AED

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11
Q

What are characteristics of normal sinus rhythm

A

P wave before QRS

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12
Q

What are the characteristics of sinus bradycardia

A

Pulse less than 60

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13
Q

What is a common medication given with symptomatic bradycardia

A

Atropine

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14
Q

What are characteristics of sinus tachycardia

A

Pulse greater than 100

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15
Q

What are causes of sinus tachycardia

A

exercise, pain, anxiety, fear, shock, stimulants

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16
Q

What are characteristics of atrial flutter

A

Several P waves before QRS

17
Q

What medication should all clients with atrial fibrillation be taking

A

Warfarin

18
Q

What blood test should be monitored for warfarin

A

INR

19
Q

What is the normal INR range?

A

2-3

20
Q

What is the antidote for warfarin if the level is too high

A

Vitamin K

21
Q

What are symptoms of premature ventricular contractions (PVC)

A

palpitations, fatigue, dizziness, fluttering in chest

22
Q

Prior to defibrillation what is the most important safety factor

A

Nobody’s touching the person

23
Q

What should the nurse say prior to defibrillation

A

All clear

24
Q

What are the only 2 rhythms that can be defibrillated

A

V-tach

V-fib

25
Q

What is the nurses first reaction for asystole

A

Check pulse

26
Q

What class of medications is verapamil in and how does it work

A

Calcium channel blocker- slows the heart rate

27
Q

What is the most important piece if information to note when a patient has a permanent pacemaker

A

Rate of the pacemaker

Med Surg 1 (14 decks)

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