dysryhthmias Flashcards
common types
normal sinus rhythm rate
60-100 bpm
normal sinus rhythm p wave
present, upright, 1 before each qrs
normal sinus rhythm PR interval
.12-.20 seconds
normal sinus rhythm qrs duration
.04-.12
sinus bradycardia rate
<60 bpm
sinus bradycardia P wave
presen, upright, 1 before each qrs
sinus bradycardia pr interval
.12-.20 seconds
sinus bradycardia qrs duration
.04-.12 seconds
when do u see sinus bradycardia? (5)
athletes, MIs, hypothermia, head injury, vagal stimulation
sinus tachycardia
> 101-160 bpm
when do you see sinus tachycardia (6)
exercise, anxiety, hyperthermia, caffeine, CHF, hyperthyroidism
sinus arrhythmia rhythm
irregular, 60-100 BPM may be slower
when do you see sinus arrythmia (2)
children, variation based on respiration– speeds w/ inspiration, slows w/ expiration
Why would you have sinus pause/ arrest
intermittent, momentary failure of SA node firing, increased vagal stimulation, excess digitalis
how many seconds for sinus arrest?
=/.> 3 seconds
premature atrial contractions causes (5)
irritablity of atria caused by infection, ischemia, inflammation, tension, caffeine
where is p wave in premature atrial contraction?
before QRS, buried in preceding T wave
where is p wave in atrial tachycardia
buried preceding t wave
what is atrial tachycardia rate?
151-120 bp w/ difficult to measure PR interval
what causes atrial tachycardia?
irritability of atria, ischemia, digoxin toxicty, paroxysmal (sudden onset)
what is rhythm of atrial flutter?
usually regular, could be irregular when conduction ratio varies
what is atrial tachy rate?
151-250 bpm
atrial flutter rhythm
usually regular, can be irregular whenconduction ratio varies
what is atrial flutter rate?
250-350 BPM
where is p wave in atrial flutter?
flutter waves, saw tooth configuration.
Afib P wAVES
FIBRILLATORY WAVY BASELINE, NO CLEAR P WAVE
what causes aFib
multiple ectopic atrial foci, CHF, valvular disease, controlled vs uncontrolled ventricular rate
where is supraventricular tachycardia p wave
hidden in Twave, buried in qrs
umbrella term to describe a rapid, regular, rhythm w/ a narrow qrs
supraventricular tachycardia
what heart blocks warrant pacing?
2nd degree type 1&2 if symptomatic, 3rd degree if symptomatic
what is TX for Vtach?
defibrillator
what is TX for asystole
CPR
TX for sinus tachycardia
treat cause ie dehydration etc
TX for bradycardia
atropine (symptomatic); pacemaker
TX for Afib
diltiazem, amiodarone
TX for supraventiculare tachycardia
vagal maneuvers, adenosine, cardioversion
Describe Vtach and onset
sudden, 4+ PVCs, ventricular irritability, PR interval is not measurable and QRS is wide and bizarre. No Pwave present
Discuss VFIB
rhythm irregular, no P wave, no rate, pr interval not measurable, no qrs or very chaotic.
what does vfib mean?
cardiac arres, lethal dysrhythmia
what are lethal dysrhythmias
VFIB, Asystole,AIVR
what causes PVCs
hypoxia, hypokalemia, MI
“C:\Users\andre\OneDrive\Pictures\Screenshots\atrial flutter.png”
a flutter