Reading ECG Strips Flashcards

1
Q

In an ECG, how many seconds does one small box equal?

A

0.04 seconds

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2
Q

In an ECG strip, how many seconds does one large box equal?

A

0.20 seconds

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3
Q

On an ECG strip, what does the “P wave” represent?

A

Atrial Depolarization

Conduction began @ the SA node

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4
Q

What does it mean for a P wave to be inverted?

A

Conduction in Atria began in opposite direction and originated in AV junctional tissue

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5
Q

Define Atrial Kick

A
  1. Atrial Contraction

2. Atrial Depolarization

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6
Q

What are some effects of an increased HR?

A
  1. Decreased time for appropriate filling
    2, Decrease in Cardiac Output
  2. Increased Oxygen consumption
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7
Q

What hormone is activated after there is a decrease in BP AND WHAT IS THE EFFECT?

A

Norepinephrine is activated

Increases HR

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8
Q

What is the normal measurement for PR interval?

A

From beginning of Pwave to beginning of Q:

0.12 – 0.20 seconds

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9
Q

What is the normal measurement of QRS interval?

A

From Q – S:

0.06 – 0.10 Seconds

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10
Q

What is the normal measurement of the QT interval?

A

From beginning of Q to end of T:

0.28 – 0.40

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11
Q

In an ECG Strip how much time passes in one small box? How many small boxes are in one large box?

A

0.04 seconds passes

5 small boxes in one large box.

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12
Q

What is a negative deflection?

A

When the energy from depolarization flows toward a negative electrode or away from a positive electrode.

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13
Q

What is a positive deflection?

A

When depolarization energy flows toward a positive electrode or away from a negative electrode.

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14
Q

Unifocal

A

Identical Shapes in PVC’s

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15
Q

Monomorphic

A

Electrical impulse arises from same atrial or ventricular cardiac cell.
ALL WAVES WILL LOOK THE SAME!

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16
Q

What are the 5 Questions to ask when reading ECG’s?

A
  1. Is there a “P wave”?
  2. Is there a “QRS”?
  3. How many seconds are the PR Intervals?
    4 & 5. Is the rate & rhythm between R – R Even
17
Q

Depolarization vs. Repolarization

A
  1. Depolarization is the activation of cardiac muscle

2. Repolarization is the recovery of ventricles after contraction.

18
Q

What is Stokes - Adams Syndrome?

A

Fainting: Common in sinus bradycardia

19
Q

What are some Cardiovascular Insufficiency Signs?

A
  1. C = Chest Pain
  2. C = Change in Cognition
  3. S = SOB
  4. D = Dizziness
20
Q

What are Atrial Bigeminy and Atrial Trigeminy?

A
  1. Bigeminy = PAC occurs Q other beat

2. Trigeminy = PAC occur Q 3rd Beat.