EKG I & II Flashcards

(38 cards)

1
Q

Depolarization of the atria in response to SA node triggering is represented by the ____

A

P wave

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2
Q

Delay of the AV node to allow filling of the ventricles is represented by the ____

A

PR interval

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3
Q

Ventricular repolarization is represented by the ____

A

T wave

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4
Q

Depolarization of the ventricles is represented by the ____.
(time from AV node thru Purkinjie fibers)

A

QRS complex

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5
Q

____ is the beginning of ventricle repolarization, and should be flat

A

ST segment

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6
Q

P wave can be inverted in lead ___

A

aVR

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7
Q

What is the length of a normal P wave

A

< 0.12 seconds

or <3 boxes

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8
Q

A broad or notched P wave in leads II or V1 is a sign of ______

A

left atrial enlargement

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9
Q

Peaked P waves in leads II or V1 is a sign of ______

A

right atrial enlargement

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10
Q

An ectopic inverted P wave is a sign that the site of origin of contraction is from ___

A

lower atria or AV junction

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11
Q

An ectopic upright P wave is a sign that the site of origin of contraction is from ___

A

high in the atria

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12
Q

Normal duration of the PR interval is ___ seconds or ____ boxes.

A
< 0.20 seconds
1 large (5 small) boxes
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13
Q

Normal duration of the QRS complex is ____ seconds or ____ boxes.

A

< 0.12 seconds

< 3 small boxes

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14
Q

Q wave should be < __ boxes in amplitude and < __ box in duration

A

< 2 amplitude

< 1 duration

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15
Q

Abnormal (larger) Q waves indicate ____

A

prior or current MI

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16
Q

RSR’ indicates a ____

A

bundle branch block

17
Q

ST elevations in specific leads indicate ____, while diffuse ST elevations indicate ____.

A
  • MI

- pericarditis

18
Q

ST depressions indicate ____

A

myocardial ischemia

19
Q

Peaked T waves may suggest ____ or ____

A
  • MI

- hyperkalemia

20
Q

Inverted T waves may suggest ______

A
  • cardiac ischemia
  • LVH
  • hypokalemia
  • digitalis administration
21
Q

Normal QT interval should be ____ seconds

A

< 500ms (0.5 sec)

22
Q

QT interval shortening can be due to ____

A

hypercalcemia

23
Q

Prolonged or shortened QT intervals both increase risk of ____

A

ventricular tachycardia (Torsades)

24
Q

U waves are more common in ___

A

young athletes

25
Large U waves can be due to
- hyperkalemia - thyroid disease - medication effects
26
What are the sets of numbers used in the triplicate method?
300-150-100 75-60-50
27
What are the steps of interpreting an EKG?
- Age - Rate - Axis - Rhythm - Evaluate following: - P wave, PR interval - Q wave depth, QT prolongation - R wave - progression, QRS width - ST - elevate/depression - T wave - peaked/inverted
28
When determining axis, left thumb should be lead ___ and right thumb should be lead ___.
Lead I = left aVF = right
29
Which lead should you look at if both Lead I and aVF are negative?
Lead II If (+), normal If (-), LEFT axis
30
When determining axis, 2 thumbs up means ____
normal axis
31
When determining axis, left up and right down means
left axis deviation
32
When determining axis, left down and right up means
right axis deviation
33
What are some causes of LAD?
LVH, emphysema, hyperkalemia, Atrial septal defect, obesity
34
What are some causes of RAD?
RVH, chronic lung disease, PE | - can be normal in kids and tall thin adults
35
A wide QRS indicates that something is slowing the electrical current through the ventricles in the _____.
Purkinje fibers
36
True or False: RVH is the most common hypertrophy
FALSE - LVH more common
37
What is the criteria used to identify LVH?
R in V5 or V6 is >35 mm (>7 boxes) S in V1 or V2 is >30 mm ( >6 boxes)
38
What are the steps for evaluating for RVH?
- evaluate for RAD first | - If RAD and R wave in V1 >7mm, then RVH