EKG flashcards

1
Q
  • choppy interference throughout tracing
  • related to muscle movement (shivering, parkinson’s disease)
A

somatic tremor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • static looking tracing
  • related to poor grounding or external electricity interfering with tracing (lights, computers, crossed lead wires)
A

AC interference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  • results from poor electrode connection
  • caused by lotions, oils, or powders on the skin
A

wandering baseline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

normal EKG tracing of a heart rate less than 60 bpm

A

sinus bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

reflects a heart rate of greater than 100 bpm

A

sinus tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • a break in the normal EKG tracing
  • the sinoatrial node failed to fire
  • not significant unless arrest lasts longer than 6 seconds
A

sinus arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

the atria are contracting at a rate much faster than the ventricles are contracting

A

atrial flutter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • there is no organized contraction of the atria
  • in a quivering state
  • blood clot formation can occur due to stagnation of blood in the ventricles
A

atrial fibrillation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • ventricles are in a quivering state
  • no discernable waves noted throughout the tracing
A

ventricular fibrillation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

the heart stops

A

asystole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • a junctional dysrhythmia is likely present
  • typical impulse pathway from the SA node to the atrioventricular node is not occuring
A

P wave negative deflection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • QRS wave appears wide and bizarre
  • ventricular arrhythmia is occuring
  • can be insignificant, but provider should be notified
A

premature ventricular contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

P wave

A

atrial depolarization or contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

QRS wave

A

ventricular depolarization (atrial repolarization is not visible but occurs during this phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T wave

A

ventricular repolarization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

U wave

A

repolarization of the bundle of His and purkinje fibers (not always visible)

17
Q

P-R interval

A

time it takes from beginning of atrial depolarization to beginning of ventricular depolarization

18
Q

QT interval

A

time it takes from beginning of ventricular depolarization to end of ventricular repolarization

19
Q

ST segment

A

time from end of ventricular depolarization to beginning of ventricular repolarization

20
Q

right arm lead color?

A

white

21
Q

left arm lead color?

A

black

22
Q

right leg lead color?

A

green

23
Q

left leg lead color?

A

red

24
Q

V1

A

red; right side of the sternum, 4th intercostal space

25
Q

V2

A

yellow; left side of the sternum, 4th intercostal space

26
Q

V3

A

green; left side of the sternum, midway between V2 and V4

27
Q

V4

A

blue; left side of the sternum, 5th intercostal space in the midclavicular line

28
Q

V5

A

orange; left side of the sternum, 5th intercostal space in the anterior axillary line

29
Q

V6

A

purple; left side of the sternum, 5th intercostal space in the midaxillary line

30
Q

Lead I

A

bipolar; records impulses between the left and right arms

31
Q

Lead II

A

bipolar; records impulses between the right arm and the left leg

32
Q

Lead III

A

bipolar; records impulses between the left arm and the left leg

33
Q

AVL

A

unipolar; the left leg and right arm assist with the left arm tracing

34
Q

AVR

A

unipolar; the left arm and left leg assist with the right arm tracing

35
Q

AVF

A

unipolar; the right and left arms assist with the left leg tracing