ECG Flashcards
if current flow TOWARD postive electrode, is it pos or neg
pos
if current flow AWAY postive electrode, is it pos or neg
neg
Pos electrode on right side of sternum, R wave is what?
negative
Pos electrode on right side of sternum, L wave is what?
positive
intrinsic rate of SA node
60-100 bpm
insipid rate of Av node
40-60
intrinsic rate of ventricles
15-40
ECG
heart electrical events during cardiac cycle
Normal PR interval
.12-20 sec
Norma QRS complex
.04-.11
how much is each 1 mm box
.04 s
how much is each 5mm box
,20 s
1500 method
calculate R-R interval (1 mm squares)
1500/ # of squares
sinus bradycardia
hear rate <60
endurance trained/sleep
sinus tachycardia
sinus rhythm excesss of 100pbpm
exercise, anxiety etc..
3 or 5 lead ECGs
patient in warm print w nurse (most. beneficial)
12 lead ECG
for initial / re assessment
more accurate
6 steps to interpret ECG
calculate Rate Calc rhythm Examine P wave and QRS complex exame PR interval Check terrible train (schema, injury, infarction) hemodynamic convinces? Action?
how to calculate rhythm
Atrial:p-p
Ventricluar: r-r
paper pen method
how to know rhythm irregular
slighting: = .04 or less markedly = +.04
how to examine P wave
is it before QRS
2-4 mm high
.06-.12 s
how to examine QRS
after P
5-30mm high
0.4-11 s
p wave
atrial , SA node
peaked / enlarged P wave
atrial hypertrophy, COPD, heart failure
inverted P wave
reverse conduction from atrioventricular
varying p waves
impulse from different site
absent p wave
not from SA
no P wave
heart block
whats a deep/wideQRS mean
MI
missing QRS mean
atriventricul block
How to examine PR interval
duration 0.12-20
prolonged PR interval meening
delay or hear block
shortened pr interval
not from SA
how to check for terrible triad
1-inverted T way?
2- elevated or depressed ST?
3- Negative Q wave
if inverted T way what means
myocardial ischemia
What does elevated or depressed St wave mean
greater 1mm myocardial injury
whats negative Q wave mean
.04 + means myocardial infarction / necrosis
Diagnose MI
chest discomfort
ST segment abnormal
Premature Ventricular Contaction
early beat
wide QRS
St/T oppose to QRUS
T/F P wave associated w Premature Ventricular Contaction
false
hemodynamic consequences of rhyme
heart failure
atrial fib
MI
absent P wave could mean
atrial fibrillation
peaked P wave could mean
heart failure