EKG Interpret & Electrolytes Abnormalities Flashcards
For temporary pacemakers ensure lead wires don’t get ___
wet
asynchronous- does not coordinate with the client’s own rhythm
DEFIBRILLATION
synchronized shock- in time with the client’s own rhythm
CARDIOVERSION
P-wave: normal
PR Interval: 0.12-0.20
QRS: <0.12
Rate: 60-100
Regularity: Regular
Normal Sinus Rhythm
Pacemakers contraindication for
MRI
P-wave: none
PR Interval: none
QRS: none
Rate: none
Regularity: n/a
Asystole
P-wave: none
PR Interval: none
QRS: >0.11 - ‘wide & bizarre’
Rate: 150-250
Regularity: Regular
Ventricular Tachycardia
P-wave: Not a QRS for every P
PR Interval: 0.12-0.20
QRS: <0.12
Rate: <60
Regularity: Regular
Second degree heart block type 2/ MOBITZ II
P-wave: Not a QRS for every P wave
PR Interval: longer, longer, longer….drop
QRS: <0.12
Rate: 60-100
Regularity: Regular
Second degree heart block type 1/ WENCKEBACK
V-tach, no pulse
V-fib
CPR
Defibrillation
Epinephrine
- Hyperkalemia EKG changes
_____, ______ P waves
________ PR interval
________ QRS interval
_________ ST segment
_____, _____ T waves
wide, flat
prolonged
widened
depressed
TALL, PEAKED
P-wave: ‘wavy’
PR Interval: none
QRS: <0.12
Atrial Rate: >400
Ventricular rate: Varies
Regularity: irregular
ATRIAL FIBRILLATION
SVT
Vagal maneuver (if client able)
Adenosine
Cardioversion
- Hypokalemia EKG changes
Slightly ________ PR interval
Slightly _______ P wave
ST ______
______ T waves
Prominent _____
prolonged
peaked
depression
shallow
U-WAVE
Do not apply ____ over the generator and do not wear any tight clothing
pressure
P-wave: hidden
PR Interval: immeasurable
QRS: <0.12
Rate: 150-250
Regularity: Regular
Supraventricular Tachycardia (SVT)
- Hypomagnesemia EKG Changes
_______ PR interval
_______QT interval
prolonged
lengthened
P-wave: “saw-tooth”
PR Interval: none
QRS: <0.12
Atrial Rate: 250-400
Ventricular Rate: Varies
Regularity: Regular or Irregular
ATRIAL FLUTTER
P-wave: Normal
PR Interval: 0.12-0.20
QRS: <0.12
Rate: >100
Regularity: Regular
Sinus Tachycardia
- Hypermagnesemia EKG changes
______, _____ P Wave
_______ PR interval
_______ QRS complex
Tall ______
wide, flat
prolonged
widened
T WAVE
P-wave: Normal
PR Interval: 0.12-0.20
QRS: <0.12
Rate: <60
Regularity: Regular
Sinus Bradycardia
3 types of Pacemakers
Transcutaneous
Transvenous
Permanent
- Hypocalcemia EKG Changes
_______ QT interval
lengthened
- Hypercalcemia EKG Changes
_________ QT interval
shortened