EKG Stuff Flashcards

1
Q

What 5 things do you want to check for first with an EKG?

A
Rate,
Rhythm (regular or not)
P-waves
PR interval,
Abnormal QRS complexes
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2
Q

Name the ways to calculate rate

A

6 second interval

300 divided by number of big boxes (300,150,100 etc)

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3
Q

When do you want to use the 6 second interval method when calculating rate?

A

If the rhythm is irregular (sinus arrhythmia, etc)

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4
Q

What is a normal rate?

A

60-100 bpm

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5
Q

What is it called when the rhythm is irregular?

A

arrhythmia or dysrhythmia

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6
Q

When the rate is below 60 what is it called

A

bradycardia

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7
Q

When the rate is above 100 what is it called

A

tachycardia

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8
Q

When do you use the word sinus in the rhythm

A

When there is a p-wave for every QRS that looks normal and comes from the SA node

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9
Q

Name the pathway for conduction system in the heart

A
SA node
AV node
Bundle of his
Bundle branches
Purkinje fibers
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10
Q

Where is the SA Node and what does it do?

A

Upper right atria
It initiates the heart beat
influenced by vagus nerve

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11
Q

Where is the AV node and what does it do?

A

In between the right atria and ventricle at the floor of the right atria. It causes a delay in electrical impulse so the rest of the signals in the atria can meet up before going onto the ventricles.
It can act as a pacemaker if the SA node isn’t working

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12
Q

In a ECG waveform what is happening at the p-wave?

A

Atrial depolarization

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13
Q

In an ECG waveform what”s happening at QRS complex?

A

Ventricular depolarization

atrial re-polarization is hidden in this wave

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14
Q

In an ECG waveform what’s happening at the T wave?

A

Ventricular repolarization

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15
Q

What is a PR interval?

A

Measurement from beginning of P wave to beginning of QRS complex.

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16
Q

What is a normal PR interval?

A

3-5 little boxes

17
Q

If the PR interval is longer than normal, what can that be indicative of?

A

AV block

18
Q

How can you tell the difference between 1st degree and 2nd degree AV block?

A

1st degree just has a long PR interval but a QRS complex still follows.
2nd degree blocks have PR intervals that get longer and longer until it drops a QRS complex

19
Q

What are the characteristics of sinus arrhythmia?

A

Rhythm is irregular
Rate is between 60-100 bpm
P-wave configuration is normal (sinus)
PR interval is within normal limits

20
Q

What are some characteristics of Sinus Arrest?

A

SA node stops firing causing pause in electrical activity

During pause ventricle doesn’t contract either

21
Q

What is a PAC?

A

Early electrical impulse originating in the atria which disrupts regular rhythm

22
Q

How can you tell if it’s a PAC?

A

Early beat may have non sinus P-wave.
Everything this uniform except for the early beat
Early beat may have different PR measurements
You can see a regular rhythm behind the PACs

23
Q

What is Atrial Flutter?

A

P-waves have a 3:1 ratio of QRS complexes

P-waves look uniform

24
Q

How can you tell if the rhythm is A-Fib?

A

Multiple (ectopic) foci firing in atria causing small depolarizations all over the place in the atria
No P-waves
Irregular rhythm
QRS look normal

25
Q

How can you tell the difference between A-fib and just noise?

A

The irregular rhythm can be a big indicator

26
Q

What causes a PVC?

A

Ectopic beat in ventricles that causes early contraction.

27
Q

What is bigeminy, trigeminy and quadgeminy?

A

PVC every other beat (bigeminy)
Every 3rd beat (trigeminy)
Every 4th beat (quadgeminy)

28
Q

What is ventricular tachycardia?

A

When there are 3 or more PVC’s in a row

29
Q

How can you tell if it’s a bundle branch block?

A
Wide QRS complexes
Rabbit ears(2 Q waves ) (right bundle branch block)