dysryhthmias Flashcards

common types

1
Q

normal sinus rhythm rate

A

60-100 bpm

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2
Q

normal sinus rhythm p wave

A

present, upright, 1 before each qrs

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3
Q

normal sinus rhythm PR interval

A

.12-.20 seconds

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4
Q

normal sinus rhythm qrs duration

A

.04-.12

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5
Q

sinus bradycardia rate

A

<60 bpm

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6
Q

sinus bradycardia P wave

A

presen, upright, 1 before each qrs

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7
Q

sinus bradycardia pr interval

A

.12-.20 seconds

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8
Q

sinus bradycardia qrs duration

A

.04-.12 seconds

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9
Q

when do u see sinus bradycardia? (5)

A

athletes, MIs, hypothermia, head injury, vagal stimulation

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10
Q

sinus tachycardia

A

> 101-160 bpm

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11
Q

when do you see sinus tachycardia (6)

A

exercise, anxiety, hyperthermia, caffeine, CHF, hyperthyroidism

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12
Q

sinus arrhythmia rhythm

A

irregular, 60-100 BPM may be slower

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13
Q

when do you see sinus arrythmia (2)

A

children, variation based on respiration– speeds w/ inspiration, slows w/ expiration

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14
Q

Why would you have sinus pause/ arrest

A

intermittent, momentary failure of SA node firing, increased vagal stimulation, excess digitalis

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15
Q

how many seconds for sinus arrest?

A

=/.> 3 seconds

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16
Q

premature atrial contractions causes (5)

A

irritablity of atria caused by infection, ischemia, inflammation, tension, caffeine

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17
Q

where is p wave in premature atrial contraction?

A

before QRS, buried in preceding T wave

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18
Q

where is p wave in atrial tachycardia

A

buried preceding t wave

19
Q

what is atrial tachycardia rate?

A

151-120 bp w/ difficult to measure PR interval

20
Q

what causes atrial tachycardia?

A

irritability of atria, ischemia, digoxin toxicty, paroxysmal (sudden onset)

21
Q

what is rhythm of atrial flutter?

A

usually regular, could be irregular when conduction ratio varies

22
Q

what is atrial tachy rate?

A

151-250 bpm

23
Q

atrial flutter rhythm

A

usually regular, can be irregular whenconduction ratio varies

24
Q

what is atrial flutter rate?

A

250-350 BPM

25
Q

where is p wave in atrial flutter?

A

flutter waves, saw tooth configuration.

26
Q

Afib P wAVES

A

FIBRILLATORY WAVY BASELINE, NO CLEAR P WAVE

27
Q

what causes aFib

A

multiple ectopic atrial foci, CHF, valvular disease, controlled vs uncontrolled ventricular rate

28
Q

where is supraventricular tachycardia p wave

A

hidden in Twave, buried in qrs

29
Q

umbrella term to describe a rapid, regular, rhythm w/ a narrow qrs

A

supraventricular tachycardia

30
Q

what heart blocks warrant pacing?

A

2nd degree type 1&2 if symptomatic, 3rd degree if symptomatic

31
Q

what is TX for Vtach?

A

defibrillator

32
Q

what is TX for asystole

33
Q

TX for sinus tachycardia

A

treat cause ie dehydration etc

34
Q

TX for bradycardia

A

atropine (symptomatic); pacemaker

35
Q

TX for Afib

A

diltiazem, amiodarone

36
Q

TX for supraventiculare tachycardia

A

vagal maneuvers, adenosine, cardioversion

37
Q

Describe Vtach and onset

A

sudden, 4+ PVCs, ventricular irritability, PR interval is not measurable and QRS is wide and bizarre. No Pwave present

38
Q

Discuss VFIB

A

rhythm irregular, no P wave, no rate, pr interval not measurable, no qrs or very chaotic.

39
Q

what does vfib mean?

A

cardiac arres, lethal dysrhythmia

40
Q

what are lethal dysrhythmias

A

VFIB, Asystole,AIVR

41
Q

what causes PVCs

A

hypoxia, hypokalemia, MI

42
Q

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