EKG 2 Flashcards

1
Q

Junctional Rhythm rate, regular?

A

40-60 bpm, yes

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2
Q

accelerates JR

A

60-100 bpm

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3
Q

tachy JP rate

A

> 100 bpm

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4
Q

JR p waves

A

no p wave or false p waves

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5
Q

No p waves or false P waves =

A

Junctional Rhythm

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6
Q

junctional rhythm PR interval

A

unmeasurable

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7
Q

premature junctional contractions PJC - p waves

A

P waves may be present but abnormal; may be before, during, or after the QRS complex, not true waves

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8
Q

idioventricular rhythm rate

A

20-40

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9
Q

idioventricular rhythm p wave

A

absent

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10
Q

idioventricular rhythm ST

A

depressed

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11
Q

Idioventricular Rhythm tx

A

pacemaker

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12
Q

bigeminy PVCs =

A

PVC every other beat

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13
Q

trigeminy PVCs =

A

PVC every 3rd complex

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14
Q

PVC causes include

5

A
  1. hypoxia
  2. acidosis
  3. hypokalemia
  4. ischemia
  5. hypomagnesemia
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15
Q

PVC med tx

2

A
  1. lidocaine

2. amiodarone

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16
Q

v tach PVCs

A

3 or more in a row

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17
Q

V tach rate

A

110-250 bpm

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18
Q

is V tach regular or irregular

A

regular, mostly

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19
Q

v tach QRS

A

wide, >0.12

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20
Q

V tach tx with pulse

A

synchronized cardioversion

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21
Q

V tach tx without pulse

A

defib

22
Q

V tach tx meds

3

A
  1. lidocaine
  2. amiodarone
  3. procainamide
23
Q

torsades de pointes tx

2

A
  1. magnesium

2. correct K or C imblances

24
Q

v fib rates

A

unmeasurable

25
Q

v fib tx

4

A
  1. immediate defib
  2. CPR/ACLS
  3. anti-dysrhythmics
  4. find causes (H’s and T’s)
26
Q

most common cause of cardiac arrest

A

v fib

27
Q

AV block names

4

A
  1. first degree AV block
  2. 2nd degree, mobitz type 1, wenkeback
  3. 2nd degree, mobitz type 2
  4. 3rd degree
28
Q

1st degree AVB PR

A

constant, but prolonged

29
Q

PR is constant but prolonged

A

1st degree AVB

30
Q

1st degree AVB tx

A

not dangerous or treated

31
Q

2nd degree type 1 p waves

A

extra p waves

32
Q

2nd degree type 1 PR interval

A

progressive lengthening, PR interval is variable

33
Q

extra P wave, with progressive PRi lengthening AVB =

A

2nd degree AVB type 1, mobitz 1, wenckebach

34
Q

2nd degree AVB - PRi constant

A

2nd degree AVB type 2

35
Q

2nd degree AVB type 2 P’s

A

multiple P’s for every QRS

36
Q

2nd degree AVB type 2 PR interval =

A

has to be constant with QRS

37
Q

AVB with extra P’s but PR interval with QRS has to be constant

A

2nd degree AVB type 2

38
Q

PRi - constant

A

1st degree AVB

2nd degree AVB Type 2

39
Q

PRi - variable

A

2nd degree AVB Type 1

3rd degree AVB

40
Q

3rd degree AVB - Junctional escape rhythm vs ventricular escape rhythm

A
junctional = 40-60 bpm
ventricular = 20-40 bpm
41
Q

3rd degree avb PRi

A

variable

42
Q

avb - extra p waves, PRi is variable

A

3rd degree avb

43
Q

If R is far from the P then you have

A

a first degree

44
Q

Longer, longer, longer drop! Then you have

A

a wenkebach

45
Q

If some P’s don’t get through then you have

A

a Mobitz 2

46
Q

If P’s and Q’s don’t agree then you have

A

a 3rd degree

47
Q

1st degree poem

A

If R is far from P then you have a first degree

48
Q

2nd degree type 1 poem

A

Longer, Longer, Longer, drop! Then you have a wekenbach

49
Q

2nd degree type 2 poem

A

If some P’s don’t get through then you have a Mobitz 2

50
Q

3rd degree poem

A

If P’s and Q’s don’t agree then you have a third degree!