EKG Flashcards
age heart disease lung disease surgery thyroidtoxicosis
can all atribute to
AFIB
3 types of medications used if patient is afib and HR over 100 to slow down HR as well as _____
AA B CC D
Anticoagulants (heparin, warfarin)
Amiodarone
Beta blocker (metopralol)
Calcium channel blocker (diltiazam)
Cardioversion
digoxin
Hypoxemia, acid-base imbalance, exacerbation of heart failure, ischemic heart disease, cardiomyopathy, hypokalemia, hypomagnesemia, valvular heart disease, genetic abnormalities, and QT prolongation are all possible causes of ______
Ventricular Tachycardia
a pacer spike without a corresponding p wave or QRS complex
failure to spike
when dealing with AFIB it is important to know if the condition is wht?
new or not
ECG where:
Rate: greater than 100 bpm
Rhythm: regular unless capture beats occur and momentarily interrupt
P-wave: none
PR interval: none
QRS: consistent in shape but appear wide and bizarre
Ventricular Tachycardia
4 interventions for idioventricular
CPR
anticipate TCP
atropine
treat cause
for decreased cardiac output, the first step would be to use ______
the second step would be to use ____
atropine IVP
external pacemaker
vagal stimuation
medication
are two main causes for
sinus block
ECG where:
Rate: >100
Rhythm: regular
P-wave: inverted
PR interval: if inverted p before QRS, <0.12
QRS: WNL (narrow)
junctional tachy
prolonged PR interval (>.20) but consistent is an indication of ____
first degree AV block
ECG where:
Rate: 20-40
Rhythm: regular
P-wave: absent
PR absent
QRS:greater than 0.12
idioventricular
digoxin toxicity
MI
age
ischemia
are all common causes of
junctional
every small box is ____ of a second on a ECG
.04 seconds
ECG where:
Rate: regular
Rhythm: regular W/pause
P-wave: normal
PR interval: WNL
QRS: WNL
not consistent R-R does not march out
sinus arrest
3 interventions for vfib
code blue
cpr
defib
the mode for a pace maker is either _____ or _____
demand – only when needed
fixed- asynchronous
(most patients on demand)
ECG where:
Rate: 40-60
Rhythm: regular
P-wave: inverted
PR interval: if inverted p before QRS, <0.12
QRS: WNL (narrow)
junctional
ECG where:
Rate: 60-100 beats/minute
Rhythm:Regular
P-wave:Upright, rounded, smooth,1 for each QRS complex, all look similar in size and shape
PR interval: 0.12-0.20 seconds
QRS:0.04-0.12 seconds
All QRS complexes look similar in size and shape
Normal Sinus Rhythm
ANTI: arrhythmics,biotics, depressants,emetics,psychotics,heroin
HYPO: kalemia,calcemia,magnesemia
massive blood transfusion
MI
are possible causes of _____
QT segment
stress, CAD,CHF,COPD, myocarditis, rheumatic heart disease, hypokalemia, hypomagnesemia, acid-base imbalances, and increased catecholamine levels can cause ______
PVCs.
interventions for sinus tachy
treat the cause
3 things before Cardioversion
Obtain consent
Give sedation
Anticoagulants
AMI
progression from VT
electrocution
blow to chest
could alll cause
v fib
intervntions for - 3rd Degree Block – Lethal rhythm
call RRT/code blue
atropine
TCP
for first degree AV block what inerventniosn should you do
notify MD
treat cause
late, wide ectopic beat that arises in the ventricles
occurs later than next expected complex
ventricular escape beats
ECG where:
Rate: 60-100
Rhythm: regular
P-wave: inverted
PR interval: if inverted p before QRS, <0.12
QRS: WNL (narrow)
accelerated junctional
MI
age
ischemia
are 3 main causes for
sinus arest
ECG where:
Rate: greater than 100
Rhythm: irregular
P-wave: indeterminate
PR interval: indeterminate
QRS: generally narrow and normal unless underlying disease present (within normal range)
uncontrolled AFIB
for treatment of V tach with a pulse
first you would give ____________
if that doesnt work, next you would do _________
amiodarone IVP
lidocane IVP
cardioversion
ECG where:
Rate: absent.
Rhythm: absent.
P-wave: absent
PR interval: absent
QRS: absent.
Asystole
you would treat accelerated junctional by
treat symptoms