ecg Flashcards

(50 cards)

1
Q

label parts

A

label parts

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2
Q

label parts

A

label parts

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3
Q

the normal rhythm starts where and what is this called

A

sinoatrial node

NSR normal sinus rhythm

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4
Q

one small small square represents

A

0.04s

40ms

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5
Q

one large square represents

A

0.2s

200ms

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6
Q

5 large squares equals

A

1 sec

1000 ms

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7
Q

the normal PR interval should be what

A

120-200

3-5 squares

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8
Q

the normal qrs is normal

A

120ms

3 small squares

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9
Q

the components of the ecg complex

A
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10
Q

label

A
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11
Q

the QT interval varies with what

name three

A

heart rate

electrolyte

some drugs

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12
Q

calibration of the ecg recording should be what

A

1mv

1cm high
2 large squares

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13
Q

what is a lead

A

electrical picture of the heart

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14
Q

VR Lead is placed where

and is possitive or negitive

which direction should to point

which part of the heart

A

square root of squat

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15
Q

lead 1

what view does this give

where on the ecg box

should be positive or neg

A

1 lateral left

ventricle

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16
Q

lead 2

where in the box

pos or neg

which part of the heart

A

2 inferior left ventricle

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17
Q

lead 3

pos or neg

where in the box

which part of the heart

A

3 inferior portion of the left ventricle

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18
Q

aVL

pos or neg

where in the box

which part of the heart

A

lateral left ventricle

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19
Q

aVF

where in the box

pos or neg

which portion of the heart

A

inferior portion of the left ventricle

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20
Q

V1

which part of the heart

pos or neg

where in the box

A

V1 septal

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21
Q

V2

pos or neg

which part of the heart

where in the box

A

V2 anterio septal

22
Q

V3

pos or neg

where in the box

which part of the heart

A

V3 anterio septal

23
Q

V4

pos or neg

which part of the heart

where in the box

24
Q

V5

which part of the heart

pos or neg

where in the box

A

V5 lateral left ventricle

25
V6 where in the box which part of the heart pos or neg
V6 Lateral left ventricle
26
avr stand for
Augmented vector right left foot
27
the cardiac axis 11 -5 oclock which three leads easily show normal axis should they be pos or neg which one should be more pos if axis is normal
1 2 3 positive lead 2
28
left axis diviation
29
what does right axis divation look like in what leads
30
a right axis diviation may indicate what
pulmonary embolus copd mi RVH left posterior fascicular block
31
a left axis diviation may indicate what
conduction defect LBBB paced rhythm WPW LVH Left anterior fascicular block
32
why is the r wave transition point important
if the ventricle right is in larged the transition will move from its normal v4 v5 v5 v6 this characteristic of chronic lung disease
33
left axis div LVH LAD
left ventricle hyperotrophy left axis diviation
34
Right axis devation RAD RVH
right ventricle hypertrophy
35
horizontal left div some reasons for LAD
mi in the right side obestity pregnant acites lbbb lafb
36
vertical right div
some reason for rad mi old or acute tall thin emphysema pulmonary disease
37
isoelectric what is it
neutral equal positive negative
38
isoelectric find on ecg then use the 90 degree then pos
find on ecg fine tune neg ant clockwise pos clockwise
39
lead placement
40
the ecg will do most of the work but remember
electrodes to correct limbs ensure good electrical contract calibration and speed 25 mm/s 1Mv high two squares 1cm patient comfortable and relax
41
how to report an ECG
rhythm regular or not conduction intervals PR interval 0.12-0.20s QRS 0.08-0.10s cardiac axis description of QRS complexes description of ST segment and T wave s
42
one P wave per QRS complex 0.12-0.20s 3-5small squres normal or not
within range
43
one p wave per QRS more the 0.20s 5 small boxes what is this
1 st degree block may be a sign of CAD digoxion toxicity eletrolyte embalances rheumatic carditis
44
progressive lengthening of the PR interval one non conducted P wave next conducting beat has shorter conducted beat p wave may be in a distortion of the t wave ( with any other rhythm) what is this
wenckebach /mobitz type1
45
PR interval more than 5 small squares 0.20s 1 P wave is not followed by a QRS what is this rhythm
seconded degree heart block mobitz type2
46
P wave rate 90/min no relationship between QRS complexes QRS complexes rate 36min abnormally shaped QRS complexes
Third degree heart block
47
P wave qrs not linked RAD broad QRS complexes RBBB
complete heart block
48
it is impotant to recognize LBBB why best seen in what lead
no further interpretation can be done V6 w with notch
49
RBBB can mean what about the patient which lead best to see RSR
could be normal right side of heart V1
50
bifascicular block LAFB LPFB
left antior fascicular block normal QRS but LAD Left pos fascicular block normal QRS but RAD