EKG Interpret & Electrolytes Abnormalities

Question 1

For temporary pacemakers ensure lead wires don’t get ___

Answer 1

wet

Question 2

asynchronous- does not coordinate with the client’s own rhythm

Answer 2

DEFIBRILLATION

Question 3

synchronized shock- in time with the client’s own rhythm

Answer 3

CARDIOVERSION

Question 4

P-wave: normal
PR Interval: 0.12-0.20
QRS: <0.12
Rate: 60-100
Regularity: Regular

Answer 4

Normal Sinus Rhythm

Question 5

Pacemakers contraindication for

Answer 5

MRI

Question 6

P-wave: none
PR Interval: none
QRS: none
Rate: none
Regularity: n/a

Answer 6

Asystole

Question 7

P-wave: none
PR Interval: none
QRS: >0.11 - ‘wide & bizarre’
Rate: 150-250
Regularity: Regular

Answer 7

Ventricular Tachycardia

Question 8

P-wave: Not a QRS for every P
PR Interval: 0.12-0.20
QRS: <0.12
Rate: <60
Regularity: Regular

Answer 8

Second degree heart block type 2/ MOBITZ II

Question 9

P-wave: Not a QRS for every P wave
PR Interval: longer, longer, longer….drop
QRS: <0.12
Rate: 60-100
Regularity: Regular

Answer 9

Second degree heart block type 1/ WENCKEBACK

Question 10

V-tach, no pulse
V-fib

Answer 10

CPR
Defibrillation
Epinephrine

Question 11

• Hyperkalemia EKG changes
  _____, ______ P waves

________ PR interval

________ QRS interval

_________ ST segment

_____, _____ T waves

Answer 11

wide, flat
prolonged
widened
depressed
TALL, PEAKED

Question 12

P-wave: ‘wavy’
PR Interval: none
QRS: <0.12
Atrial Rate: >400
Ventricular rate: Varies
Regularity: irregular

Answer 12

ATRIAL FIBRILLATION

Question 13

SVT

Answer 13

Vagal maneuver (if client able)
Adenosine
Cardioversion

Question 14

• Hypokalemia EKG changes
  Slightly ________ PR interval

Slightly _______ P wave

ST ______

______ T waves

Prominent _____

Answer 14

prolonged
peaked
depression
shallow
U-WAVE

Question 15

Do not apply ____ over the generator and do not wear any tight clothing

Answer 15

pressure

Question 16

P-wave: hidden
PR Interval: immeasurable
QRS: <0.12
Rate: 150-250
Regularity: Regular

Answer 16

Supraventricular Tachycardia (SVT)

Question 17

• Hypomagnesemia EKG Changes
  _______ PR interval

_______QT interval

Answer 17

prolonged
lengthened

Question 18

P-wave: “saw-tooth”
PR Interval: none
QRS: <0.12
Atrial Rate: 250-400
Ventricular Rate: Varies
Regularity: Regular or Irregular

Answer 18

ATRIAL FLUTTER

Question 19

P-wave: Normal
PR Interval: 0.12-0.20
QRS: <0.12
Rate: >100
Regularity: Regular

Answer 19

Sinus Tachycardia

Question 20

• Hypermagnesemia EKG changes
  ______, _____ P Wave

_______ PR interval

_______ QRS complex

Tall ______

Answer 20

wide, flat
prolonged
widened
T WAVE

Question 21

P-wave: Normal
PR Interval: 0.12-0.20
QRS: <0.12
Rate: <60
Regularity: Regular

Answer 21

Sinus Bradycardia

Question 22

3 types of Pacemakers

Answer 22

Transcutaneous
Transvenous
Permanent

Question 23

• Hypocalcemia EKG Changes
  _______ QT interval

Answer 23

lengthened

Question 24

• Hypercalcemia EKG Changes
  _________ QT interval

Answer 24

shortened

Question 25

P-wave: Normal PR Interval: Variable QRS: <0.12 Rate: <60 Regularity: Irregular

Answer 25

Third degree heart block

Question 26

Taking a bath and shower is ______ for permanent pacemakers

Answer 26

not restricted

Question 27

Operating household appliances would be considered ___ for pacemakers

Answer 27

safe

Question 28

P-wave: Normal PR Interval: >.20 QRS: <0.12 Rate: 60-100 Regularity: Regular

Answer 28

First degree heart block

Question 29

P-wave: none PR Interval: none QRS: none Rate: none Regularity: Irregular

Answer 29

Ventricular Fibrillation (V-fib)