l4 ex 2 Flashcards

1
Q

What is repolarizaton?

A

REST

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2
Q

What is depolarization?

A

STIMULATION CONTRACTION

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3
Q

1) What does one small box represent?
2) What does 5 small boxes represent?
3) What does one LARGE box represent?
4) How many LARGE boxes makes a second?

A
  1. 0.04 seconds
  2. 0.20 seconds
  3. 1 large box= 0.20 seconds
  4. 5 large boxes makes 1 second
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4
Q

How long is a 6 second strip?

A

30 big boxes!

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5
Q
  1. How do you measure the PR interval?
  2. What is normal?
A
  1. Measure from the beginning of the P wave to the beginning of QRS and count the number of small squares and multiply by 0.04 seconds
  2. Normal= 0.12-0.20 seconds
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6
Q
  1. What rhythm is it?
  2. Is this a normal rhythm? If not, what causes it?
A
  1. ARTIFACT
  2. caused by: malfunctioning electrodes, patient movement, improper grounding, equipment failure
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7
Q

What rhythm is this?

A

Normal sinus rhythm

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8
Q

What rhythm is this?

A

sinus bradycardia

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9
Q

What are signs and symptoms of decreased cardiac output? (LIST THEM)

A

Hypotension

syncope

exercise intolerance

weakness

fatigue

dizzy/lightheaded

cold, clammy skin

anxiety

chest pain

altered mental status

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10
Q

What causes sinus bradycardia?

A

Drugs: BB, CCB, morphine, Dig

Increased ICP

sudden movement from lying to standing

decreased metabolic rate

infectious diseases

ACIDOSIS (think slow ASSidosis)

Hypovoleia

Hypoglyemia

Cardiac tamponade

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11
Q

When do we treat bradycardia?

How do we treat it?

A

When symptomatic; diaphoresis, chest pain, hypotension, decreased urine output, dyspnea, decreased LOC

Oxygen, IV, atropine, epi, dopamine

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