Ventricular Rhythms Flashcards

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1
Q

What are five ventricular rhythms?

A
Premature ventricular complexly (PVC)
Ventricular tachycardia
Ventricular fibrillation 
Idioventricular rhythm
Asystole
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2
Q

Are p waves visible with ventricular rhythms?

A

No. The atria aren’t being conducted

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3
Q

What is the relationship between QRS and T waves with premature ventricular complexes?

A

T wave extends in opposite direction of QRS complex

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4
Q

What is an interpolated PVC?

A

When the PVC is between two regular beats

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5
Q

What is a compensatory pause?

A

When the PVC takes place of a beat and the surround RRI is doubled the normal RRI

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6
Q

What are PVCs an indication of?

A

Myocardial irritability

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7
Q

What are unifocal PVCs?

A

PVCs that have the same configuration throughout the EKG. They come from a single focus

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8
Q

What are multifocal PVCs?

A

PVCs with two or more configurations along the EKG. There are multiple foci initiating ectopics

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9
Q

What is R on T phenomenon?

A

When the R wave of a PVC falls during the relative refractory period of the T wave

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10
Q

What is a PVC couplet?

A

When two PVCs are attached to each other

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11
Q

What is a run of PVCs?

A

When three or more PVCs follow each other

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12
Q

What is grouped beating?

A

When frequently occurring PVCs occur in pattern with normal beats

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13
Q

What is bigeminy?

A

When every other beat is a PVC

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14
Q

What is it called when there’s a repetitive cycle of a PVC followed by three normal beats?

A

Trigeminy

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15
Q

What is quadrigeminy?

A

A repetitive cycle of four beats followed by a PVC

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16
Q

Premature Ventricular Complex

Regularity

A

Disrupts regularity of underlying rhythm

17
Q

Premature Ventricular Complex

Rate

A

Depends on underlying rhythm

18
Q

Premature Ventricular Complex

P wave morphology

A

No P waves

19
Q

Premature Ventricular Complex

PRI

A

None

20
Q

Premature Ventricular Complex

QRS

A

Wide and bizarre
Greater than .12 seconds
T wave in opposite direction

21
Q

Ventricular tachycardia

Regularity

A

Usually regular or slightly irregular

22
Q

Ventricular tachycardia

Rate

A

150-250

Can be faster or slower

23
Q

Ventricular tachycardia

P wave morphology

A

No p waves

24
Q

Ventricular tachycardia

PRI

A

None

25
Q

Ventricular tachycardia

QRS

A

Wide and bizarre
Greater than .12
T wave in opposite direction of R wave

26
Q

What does ventricular tachycardia look like?

A

A run of PVCs that last the whole strip

27
Q

What is ventricular tachycardia caused by?

A

A single irritable focus in the ventricles

28
Q

What is the difference between ventricular tachycardia and ventricular flutter?

A

The rate

Ventricular flutter is faster (300 bpm)

29
Q

What does ventricular fibrillation look like?

A

Chaotic, irregular activity with no waves or complexes

30
Q

How are idioventricular rhythms initiated?

A

By the escape mechanism of the heart

31
Q

What ventricular rhythm is an agonal rhythm?

A

Idioventricular rhythm

32
Q

Idioventricular rhythm

Regularity

A

Usually regular

33
Q

Idioventricular rhythm

Rate

A

20-40

Can drop below 20

34
Q

Idioventricular rhythm

P wave morphology

A

None

35
Q

Idioventricular rhythm

PRI

A

None

36
Q

Idioventricular rhythm

QRS

A

Wide and bizarre

.12 or greater

37
Q

What do you see with asystole?

A

No electrical activity

Just a straight line

38
Q

What is the only way to treat ventricular fibrillation?

A

Defibrillating

39
Q

How long is the QRS measurement with ventricular rhythms?

A

Greater than .12 second