EKG Flashcards

1
Q
age
heart disease
lung disease 
surgery
thyroidtoxicosis

can all atribute to

A

AFIB

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2
Q

3 types of medications used if patient is afib and HR over 100 to slow down HR as well as _____

AA B CC D

A

Anticoagulants (heparin, warfarin)
Amiodarone

Beta blocker (metopralol)

Calcium channel blocker (diltiazam)
Cardioversion

digoxin

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3
Q

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 ______

A

Ventricular Tachycardia

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4
Q

a pacer spike without a corresponding p wave or QRS complex

A

failure to spike

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5
Q

when dealing with AFIB it is important to know if the condition is wht?

A

new or not

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6
Q

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

A

Ventricular Tachycardia

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7
Q

4 interventions for idioventricular

A

CPR
anticipate TCP
atropine
treat cause

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8
Q

for decreased cardiac output, the first step would be to use ______

the second step would be to use ____

A

atropine IVP

external pacemaker

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9
Q

vagal stimuation
medication

are two main causes for

A

sinus block

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10
Q

ECG where:

Rate: >100

Rhythm: regular

P-wave: inverted

PR interval: if inverted p before QRS, <0.12

QRS: WNL (narrow)

A

junctional tachy

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11
Q

prolonged PR interval (>.20) but consistent is an indication of ____

A

first degree AV block

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12
Q

ECG where:

Rate: 20-40

Rhythm: regular

P-wave: absent

PR absent

QRS:greater than 0.12

A

idioventricular

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13
Q

digoxin toxicity
MI
age
ischemia

are all common causes of

A

junctional

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14
Q

every small box is ____ of a second on a ECG

A

.04 seconds

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15
Q

ECG where:

Rate: regular

Rhythm: regular W/pause

P-wave: normal

PR interval: WNL

QRS: WNL

not consistent R-R does not march out

A

sinus arrest

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16
Q

3 interventions for vfib

A

code blue
cpr
defib

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17
Q

the mode for a pace maker is either _____ or _____

A

demand – only when needed
fixed- asynchronous

(most patients on demand)

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18
Q

ECG where:

Rate: 40-60

Rhythm: regular

P-wave: inverted

PR interval: if inverted p before QRS, <0.12

QRS: WNL (narrow)

A

junctional

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19
Q

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

A

Normal Sinus Rhythm

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20
Q

ANTI: arrhythmics,biotics, depressants,emetics,psychotics,heroin

HYPO: kalemia,calcemia,magnesemia

massive blood transfusion

MI

are possible causes of _____

A

QT segment

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21
Q

stress, CAD,CHF,COPD, myocarditis, rheumatic heart disease, hypokalemia, hypomagnesemia, acid-base imbalances, and increased catecholamine levels can cause ______

A

PVCs.

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22
Q

interventions for sinus tachy

A

treat the cause

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23
Q

3 things before Cardioversion

A

Obtain consent
Give sedation
Anticoagulants

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24
Q

AMI
progression from VT
electrocution
blow to chest

could alll cause

A

v fib

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25
Q

intervntions for - 3rd Degree Block – Lethal rhythm

A

call RRT/code blue
atropine
TCP

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26
Q

for first degree AV block what inerventniosn should you do

A

notify MD

treat cause

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27
Q

late, wide ectopic beat that arises in the ventricles

occurs later than next expected complex

A

ventricular escape beats

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28
Q

ECG where:

Rate: 60-100

Rhythm: regular

P-wave: inverted

PR interval: if inverted p before QRS, <0.12

QRS: WNL (narrow)

A

accelerated junctional

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29
Q

MI
age
ischemia

are 3 main causes for

A

sinus arest

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30
Q

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)

A

uncontrolled AFIB

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31
Q

for treatment of V tach with a pulse

first you would give ____________

if that doesnt work, next you would do _________

A

amiodarone IVP
lidocane IVP

cardioversion

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32
Q

ECG where:

Rate: absent.

Rhythm: absent.

P-wave: absent

PR interval: absent

QRS: absent.

A

Asystole

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33
Q

you would treat accelerated junctional by

A

treat symptoms

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34
Q

PAC can be a precursor of what 4 things

A

AFIB
AFLUTTER
ATRIAL TACH
SVT

35
Q

a finding that only occurs in thythms originating above the ventricles

A

bundle branch block

36
Q

representing ventricular depolarization which comes before ventricular contraction

A

QRS interval

37
Q

normal PR interval

A

.12 - .20 seconds

3-5 little boxes in length

38
Q

______ does not prolong QT segment

A

digoxin

39
Q

what 3 should you do with an elevated ST segment?

A

call RRT
12 lead
MONA

40
Q

no consistency in the PR inerval and more P waves than QRS is a good indication of

A

3rd degree block

av diassociation

41
Q

how would you treat a bundle branch block

A

treat the cause

42
Q

see an organized rhythm on the monitor that would normally have a pulse, but the patient is pulseless

no mechanica response

A

PEA

43
Q

with symptomatic sinius block and arrestwhat 4 things should you do for interventions

A

RRT
atropine
TCP
hold offending meds

44
Q

ECG where:

Rate: WNL

Rhythm: regular except finding

P-wave: absent

PR absent

QRS:greater than 0.12

A

PVC

45
Q

ECG where:

Rate:Less than 60 beats/minute

Rhythm:Regular

P-wave:Upright, rounded, smooth,1 for each QRS, 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

A

Sinus Bradycardia

46
Q

for treatment of asystole what 2 things would you do

A

CPR
epinephrine

(dfib will not work)

47
Q

ECG where:

Rate: WNL

Rhythm: regular except disruption

P-wave: differs from sinus P wave

PR interval: WNL

QRS: WNL

A

PAC

48
Q

ECG where:

Rate: WNL

Rhythm: regular except irregularity portion

P-wave: absent

PR interval: absent

QRS: > or equal to 0.12 ( wider than normal)

A

PVC

49
Q

for treatment of V tach with NO PULSE and V fib what 3 things would you do

A

CPR
crash cart/defibrilator
epinephrine

50
Q

ECG where:

Rate: WNL

Rhythm: regular or irregular

P-wave: more P waves than QRS

PR progressive lengthining until 1 QRS falls off

QRS: WNL

A

2nd degree AV block type 1

51
Q

4 interventions for 2nd degree AV block type 2

A

call RRT/COde blue
pacer pads
TCP
atropine WITH CAUTION

52
Q

with supraventricular tachycardia, 3 interventions are __

A

bear down

adenosine (IVP fast/ 6mg) flush after

cardioversion

53
Q

suppression/ failur of SA and AV nodes
SA & AV blocks
increased vagal tone
medications

are all possible causes of

A

ventricular escape beats

54
Q

ECG where:

Rate: regular

Rhythm: regular W/pause

P-wave: normal

PR interval: WNL

QRS: WNL

consistent R-R (marches out)

A

sinus block

55
Q

normal QRS complex duration

A

0.4 - 0.10 seconds

56
Q

ECG where:

Rate: 40-60

Rhythm: regular

P-wave: more p waves than QRS

PR interval: varies

QRS: greater than 0.12 second

P& Q work seperatly

A

Third-Degree Block

57
Q

4 interventions for 3rd degree AV block

A

call RRT/COde blue
pacer pads
TCP
atropine

58
Q

ECG where:

Rate: not discernible.

Rhythm: not discernible.

P-wave: none

PR interval: none

QRS: none

A

Ventricular Fibrillation

59
Q

impulse starts at SA node (atrial depolarization) which comes before atrial contraction

should be uniform, round smooth and upright.

A

p wave

60
Q
myocardial irritability
electrolyte imbalance 
hypoxia 
stimulants 
meds 

can all be a cause of

A

PVC

61
Q

ECG where:

Rate: WNL

Rhythm: irregular

P-wave: indeterminate

PR interval: indeterminate

QRS: generally narrow and normal unless underlying disease present (within normal range)

A

controlled AFIB

62
Q

may be caused by:

sleeping
athletes
vagal stimulation
meds such as digoxin

A

sinus bradycardia

63
Q

ECG where:

Rate: greater than 150

Rhythm: regular

P-wave: P waves and T waves are fused together

PR interval: indeterminate

QRS: narrow and normal

A

supraventricular tachycardia

64
Q

how would you treat a PVC

A

treat the cause

65
Q

ST elevation is a sign of

A

infarction

pericarditis

66
Q

you would treat junctional tachy by what 3 things

A

vasovagal
adenosine
cardioversion

67
Q

with a cardioversion, a stable shock is done if AFIB is less than ___ hours or after ____

A

48 hours

TEE

68
Q

rhythm that elevated very high BPMs instantly

140-250

A

atrial tachy

69
Q

every big box is ____ of a second on a ECG

A

0.20

70
Q

digitalis toxicity, electrolyte imbalance, lung disease, ischemic heart disease, valvular abnormalities, can also occur in normal hearts may be possible causes of _____

A

Supraventricular Tachycardia

71
Q

with ventricular escape beats, you would intervene by

A

treating underlyong thythm disturbance

tcp, atropine,etc

72
Q

ECG where:

Rate: 60-100 (unless bradycardic)

Rhythm: regular

P-wave: upright, smooth, and round

PR interval: longer than normal (>0.20)

QRS:narrow and normal

A

First Degree Heart Block

73
Q

ST depressed is a sign of

A

ischemia
NSTEMI
hypokalemia
digoxin effects

74
Q
pain
fever
anxiety
dehydration
exercise
shock
caffeine
hypoxia

can all lead to

A

sinus tachycardia.

75
Q

in a bundle branch block the QRS is __

A

greater than or equal to 0.12

76
Q

ECG where:

Rate: WNL

Rhythm: regular or irregular

P-wave: more P waves than QRS

PR interval:constant when conducted

QRS: WNL

A

2nd degree AV block type 2

77
Q

you would treat junctional by what 2 things

A

atropine

TCP

78
Q

peaked T waves is usually a sign of

A

hyperkalemia

79
Q

torsade de pointes (polymorphic Vtach) is commonly caused by ______

and is often treated with ___ & ______

A

prolonged QTC

mag & potassium

80
Q

no pacer spike when needed

A

failure to pace

81
Q

4 indications for cardiac pacing

A

symptomatic dysthythmias
sick sinus syndrome
drug refractory arrhythmias
CABG/CV surgery

82
Q

3 things to do for patient who is symptomatic bradycardia

A

call RRT
atropine
prep for transcutaneous pacing

83
Q

ECG where:

Rate:100-150 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

A

Sinus Tachycardia