ECG basics Flashcards

1
Q

what does the time of one small square equal? what about a large square? how many large squares to get a second?

A

small square is 0.04
large is 0.2
5 large squares make a second

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2
Q

where does lead I run from?degree

A

from right arm to left arm

0

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3
Q

where does lead II run from? degree

A

from right arm to left leg

60

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4
Q

where does lead III run from? degree

A

from left arm to left leg

120

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5
Q

where does aVl run from? degree

A

from the heart to the left arm

-30/150

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6
Q

where does aVr run from? degree

A

from the heart to the right arm

-150/30

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7
Q

where does aVf run from? degree

A

heart to the foot

90/-90

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8
Q

what are the two leads you use to figure out the quadrant? and what is the last step?

A

aVf and lead I

once you know quadrant…look for most isoelectric lead and draw perpendicular line

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9
Q

Where are V1 and V2 leads located?

A

in left and right 4th intercostal spaces

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10
Q

where is V4 lead?

A

in the 5th intercostal space, just to patients left of sternal border

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11
Q

where is V3 lead?

A

between V2 and V4 on the way from the 4th intercostal and 5th intercostal

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12
Q

where is V6 located?

A

midaxillary in the 5th intercostal space

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13
Q

where is V5 located?

A

between V4 and V6 in the 5th intercostal space

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14
Q

name the three segments of an ECG

A

PR segment
QRS segment
QT segment

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15
Q

what is the PR segment?

A

from start of atrial depol to start of ventricular depol

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16
Q

what is QRS segment?

A

All of ventricular depol

17
Q

what is the QT segment?

A

ventricular depol and repol (end of T)

18
Q

what are the two septal leads?

A

V1 and V2

19
Q

what are the two lateral leads?

A

V5 and V6

20
Q

what are the two anterior leads?

A

V3 and V4

21
Q

what lead do you check to make sure the P wave is upright?

A

lead II

22
Q

3 steps for checking rhythm on ECG

A
  1. make sure p wave followed by QRS
  2. look at lead II to see P wave upright
  3. regular rhythm
23
Q

if you have a beat within 1 big box..whats the heart rate?

A

300 BPM

24
Q

if you have a beat within 2 big boxes…whats the heart rate?

A

150 BPM

25
Q

if you have a beat within 3 bix boxes whats the heart rate?

A

100 BPM

26
Q

if you have a beat within 4 big boxes, whats the heart rate?

A

75 BPM

27
Q

if you have a beat within 5 big boxes whats the heart rate?

A

60 BPM

28
Q

if you have a beat within 6 big boxes whats the heart rate?

A

50 BPM

29
Q

what is the normal length of the PR interval?

A

0.12 to 0.2 seconds

30
Q

if the PR interval is short, what do we suspect?

A

accessory pathway increasing rate

31
Q

if the PR interval is long, what do we suspect?

A

AV block

32
Q

what is the normal length of the QRS interval?

A

0.08 to 0.12

33
Q

if the QRS is lengthened what do we suspect?

A

a bundle branch block or ventricular rhythm

34
Q

what is the normal length of the QT interval?

A

0.45 to 0.5

35
Q

what do we suspect if the QT interval is lengthened?

A

torsagus