electrical axis and blocks Flashcards

1
Q

mean QRS between what two degrees

A

0 and 90

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2
Q

anything between 90 - 90 will be + on what limb lead

A

one

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3
Q

If the mean QRS is between 0 - 180 it will be + in what augmented lead

A

AVF

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4
Q

left axis deviation is an example of what

A

Lead I: +

AVF: -

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5
Q

Right axis deviation can be seen if what

A

Lead I: -

AVF: +

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6
Q

EVERY cycle has a P wave, followed by a QRS complex, followed by a T wave. This is called what

A

NSR Normal sinus rhythm

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7
Q

Normal PR interval

A

3-5 small boxes

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8
Q

normal QRS length

A

<3 small boxes

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9
Q

NR rate

A

60-100

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10
Q

5 steps to EKG

A
  1. Regularity
    Assess the regularity of the rhythm – are the cardiac cycles equal?
  2. Rate
    Calculate the ventricular rate (R to R)
  3. P waves
    Evaluate shape, size and rate (P to P) → is there a P wave before every QRS complex?
  4. PR intervals
    Normal 0.12 – 0.20 sec, 3-5 small boxes
    PT interval should be constant → Does the PR interval change?
  5. QRS complexes
    Normal <0.12 sec, 3 small boxes → are the complexes narrow or wide?
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11
Q

Sinus pause is also called

A

Sinus arrest

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12
Q

during sinus pause what happens

A

no electrical impulse out of the SA node, skips a beat

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13
Q

how long is ok for SA pause

A

< 2 seconds

> 6 Concerning

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14
Q

sinus pause

A

drop a QRS > 1 beat

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15
Q

sinus block

A

Drop of 1 QRS Sa node is firing it’s just not getting out

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16
Q

what AV heart block is mostly a delay

A

1st degree

17
Q

What AV block is a Wenckebach

A

2nd degree type 1

18
Q

what AV block is a Mobitz

A

2nd degree type II

19
Q

what AV block is a complete heart block

A

III degree

20
Q

What AV block consists of a long PR interval that is consistent

A

1st degree

21
Q

Impulses arise from the SA node but their passage through the AV node is delayed

A

1st degree

22
Q

the PR interval increases with each heart beat until it is so long that the signal doesn’t reach the ventricles and the depolarization is “blocked” at the AV node

A

Wenckebach (2nd degree type I )

the rhythm would be regularly irregular

23
Q

P waves are randomly blocked just below the AV node.

A

2nd degree type II

24
Q

what AV block can progress to type to type III

A

2nd degree type II

25
Q

There is dissociation of electrical acticity betwee the artria and ventricles nothing is passing from SA to the AV node

A

third degree heart block