EKG

Question 1

Sinus Tachycardia (HR, causes, tx)

Answer 1

> 100 BPM, SNS/pain/hypovolemia/ischemia, control pain/ increase anesthetic depth/ volume/ B-blocker

Question 2

Sinus Tachycardia (HR, causes, tx)

Answer 2

> 100 BPM, SNS/pain/hypovolemia/ischemia, control pain/ increase anesthetic depth/ volume/ B-blocker

Question 3

Sinus Bradycardia (HR, causes, tx)

Question 4

Atrial Fibrillation (HR, causes, tx)

Answer 4

Irregular R-R/absent P, *hypoxia/ *ischemia/ *hypovolemia/ *electrolytes, dependent on tolerance - correct offender/DCCV/B-blocker

Question 5

Atrial Flutter (HR, causes, tx)

Answer 5

Sawtooth >150 BPM atrial rate, CAD*/ HTN/ COPD/ ETOH, DCCV if compromised

Question 6

Accelerated idioventricular rhythm (HR, causes, tx)

Answer 6

40-60 BPM wide QRS, MI/ reperfusion/ sick heart!, NO LIDOCAINE/ relieve ischemia/ be ready to pace

Question 7

Accelerated idioventricular rhythm (HR, causes, tx)

Answer 7

40-60 BPM wide QRS, MI/ reperfusion/ sick heart!, NO LIDOCAINE/ relieve ischemia/ be ready to pace

Question 8

Sinus Bradycardia (HR, causes, tx)

Question 9

H’s & T’s?

Answer 9

Hypothermia, hypoxia, hypovolemia, hypo/hyper K, hydrogen ions. Tension pneumo, tamponade, toxins, thrombosis, trauma

Question 10

Atrial Flutter (HR, causes, tx)

Answer 10

Sawtooth >150 BPM atrial rate, CAD*/ HTN/ COPD/ ETOH, DCCV if compromised

Question 11

AV Junctional (HR, causes, tx)

Answer 11

Narrow QRS/ inverted or absent P wave, usually resolves on own/ ephedrine/ temporary pacing

Question 12

Accelerated idioventricular rhythm (HR, causes, tx)

Answer 12

40-60 BPM wide QRS, MI/ reperfusion/ sick heart!, NO LIDOCAINE/ relieve ischemia/ be ready to pace

Question 13

3rd degree heart block

Answer 13

If ps and qs just dont agree, then you have a third degree.. pacing! treat bradycardia

Question 14

Torsades de Pointes (HR, causes, tx)

Answer 14

Fast/ cont changing, R on T/ ischemia, mag/ACLS

Question 15

H’s & T’s?

Answer 15

Hypothermia, hypoxia, hypovolemia, hypo/hyper K, hydrogen ions. Tension pneumo, tamponade, toxins, thrombosis

Question 16

First degree heart block

Answer 16

Prolonged PR, not usually bad thing

Question 17

2nd degree heart block Mobitz 1

Answer 17

Longer longer longer drop now you have a wenkebach - usually from hypoxia

Question 18

2nd degree heart block Mobitz 2

Answer 18

If some p’s just dont get through, then you have a mobitz II - need to pace likely

Question 19

3rd degree heart block

Answer 19

If ps and qs just dont agree, then you have a third degree.. pacing! treat bradycardia

Question 20

Leads II, III, AVF

Answer 20

Inferior - RCA

Question 21

I, aVL, V5-6

Answer 21

Lateral, LCx

Question 22

I, aVL, V1-4

Answer 22

Anterior, LAD & LCx

Question 23

V1-V4

Answer 23

Anteroseptal, LAD

Question 24

Back up mode with magnet

Answer 24

DOO/VOO rate 85

Question 25

Bipolar or monopolar caudery with pacemakers?

Answer 25

Bipolar, put caudery pad away from pacemaker

Question 26

1st letter, 2nd letter & 3rd letter of pacer

Answer 26

chamber paced, chamber sensed, response

Question 27

I or O as 3rd letter in pacer

Answer 27

I is inhibited, O is ignored

Question 28

Tombstone ST elevated - right vs left side HR

Answer 28

Right - SA node so bradycardic, left would be tachycardic