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Paramedic > ACG > Flashcards

ACG Flashcards

(46 cards)

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1
Q

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 60-100

A

NSR

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2
Q

NSR

A

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 60-100

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3
Q

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 20-40

A

Junctional Escape/Brady

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4
Q

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 40-60

A

Junctional

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5
Q

Junctional Escape/Brady

A

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 20-40

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6
Q

Sinus Brady

A

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 40-60

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7
Q

Sinus Tachy

A

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 100-150

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8
Q

Junctional

A

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 40-60

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9
Q

A Fib

A

P - No
PR - No
Irregular
QRS - Narrow-Normal
Rate 60-130

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10
Q

V Tach

A

P - No
PR - No
Regular
QRS - Wide
Rate above 150

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11
Q

How do we describe different A Flutter rhythms?

A

rate of flutter to QRS can range from 1:1 (fastest) to 2:1….4:1 (slower as numbers go up)

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12
Q

V Fib

A

P - No
PR - No
Irregular
QRS - Undetermined
Rate Fast and changing

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13
Q

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 40-60

A

Sinus Brady

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14
Q

SVT

A

P - No
PR - No
Regular
QRS - Narrow
Rate above 150

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15
Q

P - Normal
PR - Normal
Regular
QRS - Normal
Rate 100-150

A

Sinus Tachy

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16
Q

A Fib RVR

A

P - No
PR - No
Irregular
QRS - Normal-Narrow
Rate above 130

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17
Q

A Flutter

A

P - Flutter
PR - No
Regular
QRS - Normal-Narrow
Rate above 60

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18
Q

Junctional Tachycardia

A

P - No or inverted
PR - No
Regular
QRS - Normal
Rate 60-100

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19
Q

Idioventricular

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A

P - No
PR - No
Regular
QRS - Wide
Rate 20-40

20
Q

P - No
PR - No
Irregular
QRS - Narrow-Normal
Rate 60-130

21
Q

P - No
PR - No
Regular
QRS - Wide
Rate above 150

22
Q

What’s the difference between V Tach and SVT

Study These Flashcards
A

QRS difference

23
Q

P - No
PR - No
Irregular
QRS - Undetermined
Rate Fast and changing

24
Q

What’s the difference between V Tach and V Fib?

Study These Flashcards
A

Regularity difference

25
P - No PR - No Regular QRS - Narrow Rate above 150
SVT
26
What's the difference between A Fib and A Fib RVR?
Rate difference RVR's rate is above 130
27
P - No PR - No Irregular QRS - Normal-Narrow Rate above 130
A Fib RVR
28
P - Flutter PR - No Regular QRS - Normal-Narrow Rate above 60
A Flutter
29
P - No or inverted PR - No Regular QRS - Normal Rate 60-100
Junctional Tachycardia
30
P - No PR - No Regular QRS - Wide Rate 20-40
Idioventricular
31
What's the difference between Idioventricular and Junctional Escape
Idioventricular has a wide QRS Junctional Escape may have an inverted P
32
Toxicology or metabolic signs in ECG
Regular rhythm Wide qrs complex over 200ms Ventricular rate 120 (still too slow to be a vtach), i.e. = super wide but not too fast
33
V2-V3 - Pattern of inverted or biphasic T waves (the T starts on positive, goes negative, goes back to positive) No precordial q waves
Wellens' syndrome * Indicative of upcoming MI in days
34
* P wave with two humps * Conduction from SA node, first impacts the right atrium than to LA via Bachmann's bundle. If there is a delay due to ischemia it will look like double humps
P mitral "mit ral"
35
* P wave looks like a tall triangle. * Suggests right heart problem * Right heart problems are usually pulmonary related
P Pulmonale
36
Lateral leads
I, aVL, V5, V6
37
Inferior leads
II, III, aVF
38
Anterior & Septal leads
V1, V2 are both Septal and Anterior V3, V4 are Anterior
39
First look in ACG
* Inf leads first - most common MI in the US (II, III, aVF) * V5 and V6 - Lateral lower - deadliest * In V3 and V4, a little V2 - anterior - widow maker
40
Looking at the limb leads (first six)
=>1mm STE (Leads: I, II, III, AVR, AVL, AVF) in two or more contiguous leads
41
Looking at leads V1-V6
1. V1,V4-V6 (over 2mm), not involving V2-V3 2. V2-V3 (over 2mm for men, 1.5mm women)
42
ST depression in greater or equal to 2 precordial leads V1-V4
Posterior wall impact
43
Pathological q waves
- Greater than 1mm wide - Greater 2mm deep - Greater than 25% of the qrs depth
44
Axis deviation ranges
Normal is between -30 and +90 degrees; Extreme axis deviation -90 to -180
45
Distinguishing RBBB & LBBB
Both will have supraventricular rhythm (mainly NSR); can be Afib/Aflutter Wide QRS .12< with inverted T and/or st depression Look at V1-V3 If pronounced Q pointing negative = LBBB (most common) If pronounced R positive (likely rsR-notched) = RBBB
46

Paramedic (11 decks)

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