Day 4 - CV2 Arrhythmias, HF, Valvular, Pericardial Flashcards Preview

Step 2 DIT Rapid Review > Day 4 - CV2 Arrhythmias, HF, Valvular, Pericardial > Flashcards

Flashcards in Day 4 - CV2 Arrhythmias, HF, Valvular, Pericardial Deck (19):
1

EKG Rhythm - Narrow QRS not associated with p waves; HR 60

3rd degree heart block; aka Junctional rhythm

2

Wide QRS not associated w/ p waves; > 40 but less than 100 HR

Accelerated ventricular rhythm

3

Chaotic, Erratic wide QRS

Ventricular fibrillation

4

Narrow QRS not assoc. w/ p waves; HR > 100

Junctional tachycardia

5

Wide QRS not assoc. w/ p waves; Rate 20-40

Ventricular rhythm

6

Wide QRS not assoc w/ p waves; Rate > 100

Ventricular tachycardia

7

Narrow QRS not assoc w/ p waves; Rate > 60 but

Accelerated junctional rhythm

8

Erratic QRS varies in amplitude in repeating pattern

Torsade de pointes

9

Wandering pacemaker vs. MAT

(1) Wandering pacemaker aka multifocal atrial rhythm: at least 3 different p wave morphologies, 100 (also, there's MABradycardia, which is

10

PAC Tx

Observation; Stop caffeine if uncomfortable

11

Amiodarone pre-cautions

LFTs, PFTs (avoid if pre-existing lung disease), TFTs

12

Acute onset Afib w/ rapid ventricular rate in patient w/ WPW

Electrocardioversion or Procainamide

13

Complete independence of p waves from QRS. Next step is:

Pacemaker

14

PSVT Tx

Carotid massage (if no carotid artery disease), Valsava, IV Adenosine

15

Valves blood flow thru during systole

Aortic and pulmonic valves

16

Systolic murmurs

AS, PS, MR, TR, VSD,

17

Valves blood flow thru during diastole

Tricupsid, Mitral

18

Diastolic murmurs

TS, MS, PR, AR

19

Kussmaul sign v. Pulsus paradoxus

Both occur w/ inspiration; JVD w/ inspiration vs. Drop in systolic bp larger than 10 w/ inspiration; KS - decreased capacity of Right ventricle, seen in constrictive pericarditis (sometimes, cardiac tamponade); PP - decreased capacity of Left ventricle, seen in cardiac tamponade (sometimes, pericarditis)

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