ECG Flashcards

1
Q

if current flow TOWARD postive electrode, is it pos or neg

A

pos

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2
Q

if current flow AWAY postive electrode, is it pos or neg

A

neg

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3
Q

Pos electrode on right side of sternum, R wave is what?

A

negative

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4
Q

Pos electrode on right side of sternum, L wave is what?

A

positive

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5
Q

intrinsic rate of SA node

A

60-100 bpm

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6
Q

insipid rate of Av node

A

40-60

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7
Q

intrinsic rate of ventricles

A

15-40

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8
Q

ECG

A

heart electrical events during cardiac cycle

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9
Q

Normal PR interval

A

.12-20 sec

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10
Q

Norma QRS complex

A

.04-.11

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11
Q

how much is each 1 mm box

A

.04 s

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12
Q

how much is each 5mm box

A

,20 s

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13
Q

1500 method

A

calculate R-R interval (1 mm squares)

1500/ # of squares

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14
Q

sinus bradycardia

A

hear rate <60

endurance trained/sleep

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15
Q

sinus tachycardia

A

sinus rhythm excesss of 100pbpm

exercise, anxiety etc..

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16
Q

3 or 5 lead ECGs

A

patient in warm print w nurse (most. beneficial)

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17
Q

12 lead ECG

A

for initial / re assessment

more accurate

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18
Q

6 steps to interpret ECG

A
calculate Rate
Calc rhythm
Examine P wave and QRS complex
exame PR interval
Check terrible train (schema, injury, infarction)
hemodynamic convinces?
Action?
19
Q

how to calculate rhythm

A

Atrial:p-p
Ventricluar: r-r
paper pen method

20
Q

how to know rhythm irregular

A
slighting: = .04 or less
markedly = +.04
21
Q

how to examine P wave

A

is it before QRS
2-4 mm high
.06-.12 s

22
Q

how to examine QRS

A

after P
5-30mm high
0.4-11 s

23
Q

p wave

A

atrial , SA node

24
Q

peaked / enlarged P wave

A

atrial hypertrophy, COPD, heart failure

25
inverted P wave
reverse conduction from atrioventricular
26
varying p waves
impulse from different site
27
absent p wave
not from SA
28
no P wave
heart block
29
whats a deep/wideQRS mean
MI
30
missing QRS mean
atriventricul block
31
How to examine PR interval
duration 0.12-20
32
prolonged PR interval meening
delay or hear block
33
shortened pr interval
not from SA
34
how to check for terrible triad
1-inverted T way? 2- elevated or depressed ST? 3- Negative Q wave
35
if inverted T way what means
myocardial ischemia
36
What does elevated or depressed St wave mean
greater 1mm myocardial injury
37
whats negative Q wave mean
.04 + means myocardial infarction / necrosis
38
Diagnose MI
chest discomfort | ST segment abnormal
39
Premature Ventricular Contaction
early beat wide QRS St/T oppose to QRUS
40
T/F P wave associated w Premature Ventricular Contaction
false
41
hemodynamic consequences of rhyme
heart failure atrial fib MI
42
absent P wave could mean
atrial fibrillation
43
peaked P wave could mean
heart failure