ECG Flashcards

1
Q

if current flow TOWARD postive electrode, is it pos or neg

A

pos

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2
Q

if current flow AWAY postive electrode, is it pos or neg

A

neg

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3
Q

Pos electrode on right side of sternum, R wave is what?

A

negative

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4
Q

Pos electrode on right side of sternum, L wave is what?

A

positive

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5
Q

intrinsic rate of SA node

A

60-100 bpm

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6
Q

insipid rate of Av node

A

40-60

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7
Q

intrinsic rate of ventricles

A

15-40

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8
Q

ECG

A

heart electrical events during cardiac cycle

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9
Q

Normal PR interval

A

.12-20 sec

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10
Q

Norma QRS complex

A

.04-.11

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11
Q

how much is each 1 mm box

A

.04 s

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12
Q

how much is each 5mm box

A

,20 s

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13
Q

1500 method

A

calculate R-R interval (1 mm squares)

1500/ # of squares

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14
Q

sinus bradycardia

A

hear rate <60

endurance trained/sleep

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15
Q

sinus tachycardia

A

sinus rhythm excesss of 100pbpm

exercise, anxiety etc..

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16
Q

3 or 5 lead ECGs

A

patient in warm print w nurse (most. beneficial)

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17
Q

12 lead ECG

A

for initial / re assessment

more accurate

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18
Q

6 steps to interpret ECG

A
calculate Rate
Calc rhythm
Examine P wave and QRS complex
exame PR interval
Check terrible train (schema, injury, infarction)
hemodynamic convinces?
Action?
19
Q

how to calculate rhythm

A

Atrial:p-p
Ventricluar: r-r
paper pen method

20
Q

how to know rhythm irregular

A
slighting: = .04 or less
markedly = +.04
21
Q

how to examine P wave

A

is it before QRS
2-4 mm high
.06-.12 s

22
Q

how to examine QRS

A

after P
5-30mm high
0.4-11 s

23
Q

p wave

A

atrial , SA node

24
Q

peaked / enlarged P wave

A

atrial hypertrophy, COPD, heart failure

25
Q

inverted P wave

A

reverse conduction from atrioventricular

26
Q

varying p waves

A

impulse from different site

27
Q

absent p wave

A

not from SA

28
Q

no P wave

A

heart block

29
Q

whats a deep/wideQRS mean

A

MI

30
Q

missing QRS mean

A

atriventricul block

31
Q

How to examine PR interval

A

duration 0.12-20

32
Q

prolonged PR interval meening

A

delay or hear block

33
Q

shortened pr interval

A

not from SA

34
Q

how to check for terrible triad

A

1-inverted T way?
2- elevated or depressed ST?
3- Negative Q wave

35
Q

if inverted T way what means

A

myocardial ischemia

36
Q

What does elevated or depressed St wave mean

A

greater 1mm myocardial injury

37
Q

whats negative Q wave mean

A

.04 + means myocardial infarction / necrosis

38
Q

Diagnose MI

A

chest discomfort

ST segment abnormal

39
Q

Premature Ventricular Contaction

A

early beat
wide QRS
St/T oppose to QRUS

40
Q

T/F P wave associated w Premature Ventricular Contaction

A

false

41
Q

hemodynamic consequences of rhyme

A

heart failure
atrial fib
MI

42
Q

absent P wave could mean

A

atrial fibrillation

43
Q

peaked P wave could mean

A

heart failure