EKG Flashcards

(48 cards)

1
Q

How much is one small box

A

0.04 seconds

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2
Q

How much is bog box

A

0.20

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3
Q

so 5 large boxes = how many seconds

A

1!

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4
Q

What is the P wave

A

atrial depoarization

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5
Q

what is the qrs wave

A

ventricle depolarization

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6
Q

What is the T wave

A

Ventricular repolarization

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7
Q

What is a U wave

A

The ventricular after-depolarization

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8
Q

what is the rate calculation

A

300,150,100,75,60,50

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9
Q

What is the normal PR interval

A

0.12-0.2 seconds

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10
Q

normal QRS interval

A

0.06-0.10 seconds

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11
Q

normal QTc

A

0.30-0.46 seconds

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12
Q

Inverted P waves in lead 1 but upright in 2

A

right axis deviation

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13
Q

Upright P waves in lead 1 but inverted in 2

A

Left axis deviation

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14
Q

sawtooth pattern rate of 250-350

A

atrial flutter

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15
Q

Ventricular tach

A

large wide humps

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16
Q

PR> 0.20 seconds with a 1:1 conduction

A

1st degree block

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17
Q

PR interval progressively lengthens then drops

A

2nd degree type 1

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18
Q

2nd degree type 1 is also called

A

Wencheback

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19
Q

P waves intermittently blocked

A

2nd degree type 2

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20
Q

Wide QRS with independent P waves

A

3rd degree AV block

21
Q

Is ventricular tachycardia a type of 3rd degree block

A

No because ventricular tachy QRS are more frequent than P

22
Q

Right atrial enlargement

A

P wave height is any limb lead is >2.5 mm

P wave in V1 is biphasic and the initial portion is largest

23
Q

Left atrial enlargment

A

P wave in lead 2 is notched with >0.04 sec between peaks

P wave in V1 is biphasic with terminal portion the largest and usually with a negative deflection

24
Q

Right ventricular hypertrophy

A

Right axis deviation AND

R wave in V1 is > 7mm tall

25
Left ventricular hypertrophy
R wave in aVL +S in V3 greater than 24 in men and 20 in women Maximum R+S in any precordial lead (V1-V6) >45 R wave in V5 >26mm R wave in aVL > 12mm (Most specific)
26
tombstone
ST elevation in acute MI
27
Acute MI
ST elevations of >1-2 mm in 2 or more contiguous leads
28
Q wave
old infarct
29
Signs of ischemia
T waves- biphasic, symmetrical or deeply inverted | ST depressions or downslopings
30
LBBB
QRS is > 0.12 | Broad R waves in 1, V5 and V6 (notched)
31
RBBB
QRS >0.12 sec Rabbit ears of R waves in V1 and V2 (second larger) Prolonged Q-R time in V1 and V2 >0.05 seconds
32
Electrical alternans
Pericarditis/ pericardial tamponade
33
Diffuse ST elevations except in aVR
Pericarditis
34
Peaked T waves
Hyper kalemia (5.5-6.5)
35
Loss of P waves, Sine pattern in QRS
Hyperkalemia (greater than 7.5)
36
U waves and flat T waves
Hypokalemia
37
S1Q3T3
Pulmonary embolus- Sinus tach is the most common EKG change
38
Osborne waves
later upright terminal QRS deflection -->hypothermia
39
V1-V4 artery
LAD
40
V1 and V2 artery
Proximal LAD
41
1, aVL, V5, V6 artery
Circumflex
42
1, aVL, V4, V5, V6 artery
Mid LAD or CFX
43
2, 3, aVF artery
RCA
44
ST Depressions in V1, V2
Posterior wall
45
V1- V4 area
Anterior wall
46
V1 +V2 area
septal
47
1, aVL, V5, V6 area
lateral wall
48
2, 3, aVF
inferior