EKG Final Review Flashcards
Phase 0
Qrs on ekg
Phase 1
Early repolarization; slight decrease on waveform
Phase 2
Plateau phase; ST segment
Phase 3
Rapid repolarization; t wave
Phase 4
Polarization; resting
Non pacemaker site generate a faster than normal impulse or a pacemaker site that generates at a faster than normal rate
Enhanced automaticity
Cells in non-pacemaker site depolarize more than once after a single stimulus
Triggered activity
What creates conditions for reentry
Accessory pathways
Bipolar leads
Standard and MCL
Unipolar leads
Augmented and precordial
Einthoven: right arm always ______, left leg always _______.
Negative, positive
Unipolar: computer assumes central point is _____
Negative
When are MCL used
Distinguish between L/R BBB and distinguishing between different arrhythmias
PR interval activity
SA node thru Perkinje fibers
Normal p wave measurements
2.5mm high, 0.12 sec duration
PR segment activity
AV node and his-purkinje activation
Normal PR interval
.12-.20
ST segment correlates to which refractory period
Absolute refractory period
Peak of T wave to bottom of T wave corresponds to what refractory period
Relative
Sequential intervals
300, 150, 100, 75, 60, 50
Period of supernormal period on ekg
Any time after T before QRS
No stimulation will result in contraction l; beginning of QRS to peak of T wave
Effective (absolute) refractory period
Symptomatic sinus Brady treatment
Atropine .5-1.0 mg
Sinus tach range
101-180
Frequent PACs may induce episodes of ______
A fib or PSVT
Most commonly seen dysrhythmia
A fib
A tach range
150-250
A-tach treatment
Vagal, adenosine (6-24mg), cardioversion
A fib recognition
F/T waves irregular among themselves
A flutter
F/T waves regular among themselves; regular rhythm
First degree block conduction
Delayed
Second degree block conduction
Intermittent
Third degree block conduction
None
First degree block commonly found in
AV node
Second degree type one commonly found in
AV node
2nd degree II/3rd degree found
Bundle of his/bundle branches
2nd degree type 2 can rapidly progress to what
3rd degree
Only electrical connection between atria and ventricles
Bundle of his
Asystole medication
Epinephrine
Epinephrine dosage
.5-1.0
Vasopressin dosage
40 units IV injection
Lidocaine dosage
1.0mg/kg IV inj.
Amiodarone dosage
150 atrial
300 ventricular
Lidocaine usage
Ventricular arrhythmias
Sodium bicarbonate usage
Cardiac arrest, acidosis
Sodium bicarbonate dosage
1 mEg IV inj.
Adenosine is treatment for
A tach
Accelerated junctional rate
61-100
Junctional tach rate
101-180
R atrial enlargement criteria
Tall peaked P waves in 2, 3 and AVF
L atrial enlargement criteria
Broad or notched p wave in leads 1,2, AVL, v4, v5 or v6
Suppresses automaticity and spontaneous depolarization of ventricles
Lidocaine
Prolongs the duration of action potential by increasing the length of the refractory periods
Amiodarone
3 functions of pacemakers
Sense, stimulate, store
Pacemaker access site
Subclavian, femoral or brachial veins