EKG 2

Question 1

Junctional Rhythm rate, regular?

Answer 1

40-60 bpm, yes

Question 2

accelerates JR

Answer 2

60-100 bpm

Question 3

tachy JP rate

Answer 3

> 100 bpm

Question 4

JR p waves

Answer 4

no p wave or false p waves

Question 5

No p waves or false P waves =

Answer 5

Junctional Rhythm

Question 6

junctional rhythm PR interval

Answer 6

unmeasurable

Question 7

premature junctional contractions PJC - p waves

Answer 7

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

Question 8

idioventricular rhythm rate

Answer 8

20-40

Question 9

idioventricular rhythm p wave

Answer 9

absent

Question 10

idioventricular rhythm ST

Answer 10

depressed

Question 11

Idioventricular Rhythm tx

Answer 11

pacemaker

Question 12

bigeminy PVCs =

Answer 12

PVC every other beat

Question 13

trigeminy PVCs =

Answer 13

PVC every 3rd complex

Question 14

PVC causes include

5

Answer 14

1. hypoxia
2. acidosis
3. hypokalemia
4. ischemia
5. hypomagnesemia

Question 15

PVC med tx

2

Answer 15

1. lidocaine

2. amiodarone

Question 16

v tach PVCs

Answer 16

3 or more in a row

Question 17

V tach rate

Answer 17

110-250 bpm

Question 18

is V tach regular or irregular

Answer 18

regular, mostly

Question 19

v tach QRS

Answer 19

wide, >0.12

Question 20

V tach tx with pulse

Answer 20

synchronized cardioversion

Question 21

V tach tx without pulse

Answer 21

defib

Question 22

V tach tx meds

3

Answer 22

1. lidocaine
2. amiodarone
3. procainamide

Question 23

torsades de pointes tx

2

Answer 23

1. magnesium

2. correct K or C imblances

Question 24

v fib rates

Answer 24

unmeasurable

Question 25

v fib tx | 4

Answer 25

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

Question 26

most common cause of cardiac arrest

Answer 26

v fib

Question 27

AV block names | 4

Answer 27

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

Question 28

1st degree AVB PR

Answer 28

constant, but prolonged

Question 29

PR is constant but prolonged

Answer 29

1st degree AVB

Question 30

1st degree AVB tx

Answer 30

not dangerous or treated

Question 31

2nd degree type 1 p waves

Answer 31

extra p waves

Question 32

2nd degree type 1 PR interval

Answer 32

progressive lengthening, PR interval is variable

Question 33

extra P wave, with progressive PRi lengthening AVB =

Answer 33

2nd degree AVB type 1, mobitz 1, wenckebach

Question 34

2nd degree AVB - PRi constant

Answer 34

2nd degree AVB type 2

Question 35

2nd degree AVB type 2 P's

Answer 35

multiple P's for every QRS

Question 36

2nd degree AVB type 2 PR interval =

Answer 36

has to be constant with QRS

Question 37

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

Answer 37

2nd degree AVB type 2

Question 38

PRi - constant

Answer 38

1st degree AVB | 2nd degree AVB Type 2

Question 39

PRi - variable

Answer 39

2nd degree AVB Type 1 | 3rd degree AVB

Question 40

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

Answer 40

``` junctional = 40-60 bpm ventricular = 20-40 bpm ```

Question 41

3rd degree avb PRi

Answer 41

variable

Question 42

avb - extra p waves, PRi is variable

Answer 42

3rd degree avb

Question 43

If R is far from the P then you have

Answer 43

a first degree

Question 44

Longer, longer, longer drop! Then you have

Answer 44

a wenkebach

Question 45

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

Answer 45

a Mobitz 2

Question 46

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

Answer 46

a 3rd degree

Question 47

1st degree poem

Answer 47

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

Question 48

2nd degree type 1 poem

Answer 48

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

Question 49

2nd degree type 2 poem

Answer 49

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

Question 50

3rd degree poem

Answer 50

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