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Complex Health > EKG Quiz > Flashcards

EKG Quiz Flashcards

1
Q

Normal Sinus Rhythm

A

HR 60-100
Regular
P wave present, QRS normal

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2
Q

Medication Normal Sinus Rhythm

A

None

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3
Q

Sinus Bradycardia

A

HR < 60
Regular Rhythm
P waves present, QRS normal

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4
Q

Medications for Sinus Bradycardia

A

Atropine (if symptomatic)

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5
Q

Sinus Tachycardia

A

HR > 100
Regular Rhythm
P waves present, QRS normal

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6
Q

Medication for Sinus Tachycardia

A

Beta Blocker (Lopressor), Calcium Channel Blocker (Cardizem) - if symptomatic

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7
Q

Sinus Arrhythmia

A

HR variable
Irregular Rhythm
P waves, QRS

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8
Q

Medication for Sinus Arrhythmia

A

None

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9
Q

Sinus Rhythm with Premature Atrial Complexes (PAC)

A 
Early heartbeat 
P wave of PAC is 
   Abnormal
   Hidden in prior T wave
   Distorts the prior T wave
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10
Q

Medication for Premature Atrial Complexes (PAC)

A

None

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11
Q

Premature Junctional Contraction (PJC) =

A

Absent or Inverted P-wave

P wave before/during or after QRS

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12
Q

Junctional Rhythm = ___-____ bpm
Accelerated Junction = ___-____ bpm
Junctional Tachycardia = _____ bpm

A

40-60
60-100
>100

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13
Q

Medication for Junctional Rhythms

A

None

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14
Q

Paroxysmal Supraventricular Tachycardia (PSVT)

A

HR > 150

P wave maybe hidden in preceding T wave

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15
Q

Medication for PSVT

A

Adenosine

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16
Q

Atrial Flutter

A

F waves in saw tooth pattern

Atrial firing at 250-350 beats/min

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17
Q

Medication for Atrial Flutter

A

Digoxin, Amiodarone – stable
Amiodarone, cardiovert – unstable < 48 hrs
Digoxin, TEE, Heparin/Coumadin, Cardiovert – unstable > 48 hours

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18
Q

Atrial Fibrillation

A

Irregularly Irregular
Fibrillatory “F waves”
(still have QRS complexes)

19
Q

Medication for A-Fib

A

Digoxin, Amiodarone – stable
Amiodarone, Cardiovert – unstable < 48 hrs
Digoxin, TEE, Heparin/Coumadin, Cardiovert – unstable > 48 hours

20
Q

Torsade de Pointes (QT prolongation)

A

Polymorphic V-Tach

Wide QRS’s that change in size every beat

21
Q

Medication for Torsades de Pointes

A

Magnesium Sulfate

22
Q

Sinus Rhythm with PVC’s (Unifocal, Multifocal, Bigeminy (alternating), Short Run of V-Tach)

A

Wide, Weird looking QRS

Compensatory pause

23
Q

Medication for PVC’s

A

Amiodarone - if > 6 per minute

24
Q

Ventricular Tachycardia

A

HR 150-250
Weird mountains
Very Wide QRS - > 0.12s >3 small boxes

25
Q

Medication for V-Tach

A

Amiodarone, Cardiovert –pulse

CPR, Shock, Epinephrine, Shock, Amiodarone – no pulse

26
Q

Ventricular Fibrillation (V-Fib)

A

Quivering ventricle

Chaotic, varying shapes & amplitudes

27
Q

Medication for V-Fib

A

CPR, Shock, Epinephrine, Shock, Amiodarone – only has no pulse

28
Q

Asystole

A

Flat line

Occasional P wave

29
Q

Asystole Medication

A

CPR, Epinephrine

30
Q

Pulseless Electrical Activity (PEA)

A

Organized rhythm without pulse

No P, super short QRS’s compared to junctional

31
Q

Medication for PEA

A

CPR, Epinephrine

32
Q

Idioventricular Rhythm

A

2-4 QRS’s per 6 s strip

HR 20-40

33
Q

Medication for Idioventricular Rhythm

A

CPR, Epinephrine

34
Q

Artifact

A

Looks like A-Fib but its REGULAR!

35
Q

Medication for Artifact

A

None, just secure connection, replace electrodes, apply electrodes to areas less affected by movement

36
Q

First Degree Heart Block

A

Fixed, Constant, Prolonged PR Interval >.20

Looks like Sinus Rhythm

37
Q

Medication for First Degree Heart Block

A

Atropine – if symptomatic (showing signs of bradycardia)

38
Q

Second Degree AV Block – Type I, Mobitz I (Wenkebach)

A

Progressive prolongation of PR interval followed by “dropped” beat

39
Q

Medication for Second Degree AV Block – Type I, Mobitz I (Wenkebach)

A

Atropine – if symptomatic (showing signs of bradycardia)

40
Q

Second Degree AV Block- Type II, Mobitz II

A

CONSTANT PR interval (prolonged or normal), followed by “dropped” beat

41
Q

Medication for Second Degree AV Block- Type II, Mobitz II

A

Atropine – if symptomatic (showing signs of bradycardia)

42
Q

Third Degree AV Block

A

P and QRS waves march independently
HR max 40
Has “dropped beats” (but every QRS does not have a P before)

43
Q

Medication for Third Degree AV Block

A

Atropine – if symptomatic (showing signs of bradycardia)

Complex Health (4 decks)

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