l4 ex 2 Flashcards
What is repolarizaton?
REST
What is depolarization?
STIMULATION CONTRACTION
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?
- 0.04 seconds
- 0.20 seconds
- 1 large box= 0.20 seconds
- 5 large boxes makes 1 second
How long is a 6 second strip?
30 big boxes!
- How do you measure the PR interval?
- What is normal?
- 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
- Normal= 0.12-0.20 seconds
- What rhythm is it?
- Is this a normal rhythm? If not, what causes it?
- ARTIFACT
- caused by: malfunctioning electrodes, patient movement, improper grounding, equipment failure
What rhythm is this?
Normal sinus rhythm
What rhythm is this?
sinus bradycardia
What are signs and symptoms of decreased cardiac output? (LIST THEM)
Hypotension
syncope
exercise intolerance
weakness
fatigue
dizzy/lightheaded
cold, clammy skin
anxiety
chest pain
altered mental status
What causes sinus bradycardia?
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
When do we treat bradycardia?
How do we treat it?
When symptomatic; diaphoresis, chest pain, hypotension, decreased urine output, dyspnea, decreased LOC
Oxygen, IV, atropine, epi, dopamine