Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NCLEX Simple Nursing > EKG Rhythms > Flashcards

EKG Rhythms Flashcards

(45 cards)

Start Studying
1
Q

https://www.google.com/search?client=ms-android-att-us-rvc3&sca_esv=3248254e93e9ddf0&sxsrf=ACQVn08Y0r5bxY9ntwKOJz4EKIMDQ42r6g:1709339875450&q=normal+sinus+rhythm&uds=AMwkrPs4mDHqV7QfY9nYaKRHgvE9AI0J0atYelitCDhmQLPn4TrKHQI66QYWfNC_V-PVx3o6OykGSAIjnUeSps9P0Pleynub4I2ufBRLvBjy5ReD0xsjrFZnppZSX0xU7zTDvdUsOPIIurhlnudk-LExlcO2Dh-x78kePl4mEuLtu7n2qU0Czest34JLe6vqcNJYs6VIQRvm6sYMO1G8FrkuMzJLUyGPs4Mp1Vy6W998Dp10kwvodR-3NEy0IrobxW2O97CZ6GKUQvIQ8xdhLvBY6OnH8fjpGjnelMUSWvTBZyWotqUJNodH0c99lJi14g5Fs-tAX2DMf9P6RoW1zfs0nzwmz6uglOOOamTKZAPixcoh9eEDLRc&udm=2&prmd=ivsnbmhtz&sa=X&ved=2ahUKEwjjl8ugq9SEAxXKhIkEHWECD5cQtKgLegQIChAB&biw=384&bih=700&dpr=2.81#vhid=duXVGu_1NvZ7_M&vssid=mosaic&vwlns=WyIwQ0JjUWg2Y0dhaGNLRXdqNHhJaXBxOVNFQXhVQUFBQUFIUUFBQUFBUUJBIl0=&lns=W251bGwsbnVsbCxudWxsLG51bGwsbnVsbCxudWxsLG51bGwsIkVrY0tKRGN6WldGalkyTTRMVEUxTjJNdE5ETmpNQzA0TVRrekxURmhOREF6WkRjNVpUSmpaaElmTkhkelpWSndUaTE1V1UxbFVVVjFlRFl4WHpJd1dFUTRUMHBNU2pONFp3PT0iXQ==

A

Normal Sinus Rhythm

Normal healthy Rhythm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

https://www.google.com/search?q=bradycardia%20ecg%20vs%20normal%20ecg&hl=en&udm=2&uds=AMwkrPsrGS83aWYAdC1M2PI7VcGaAhSee3CQ9kHe2B-zZgX49JQzGqoESUuY4z4VwnR9fJpJpi4K_7ISsBfiW6kmDsJXzeWbwjutCgFp5fJ7l6ONzsDIjvz8oOVhsSfUxk4cOitVP1-Mzm2EE0K5h3g6Y18KtJZkORQWjNNTPEwHn9hVG7CtulNvAWwisnb7G_neXZ4OcKSYCNiD8mweEHc1qWzw1b8PQPF1WYEElnndRppOtHun4aJA-Z3sfFYHPKiuPHe_ph2COFvYUTKz_tnRo1IF01OVCEdT51DZgRBPmF25DKlln74oilViNqs0mYODT4ZiRth-O4c3mxcEjoEqJnlnnlPSNzCEcecSmXtfUF_gfYnxAiE&sa=X&ved=0CBoQtI8BKABqFwoTCNDz_Jys1IQDFQAAAAAdAAAAABAa&biw=384&bih=700&dpr=2.81#vhid=yupyr8xIDlZ7WM&vssid=mosaic

A

Bradycardia <60 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Chemical treatment for Bradycardia

Why is it given

A

Atropine

Only if symptomatic showing low perfusion.

(Pale, Cool, Clammy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Atropine

What is it used for

A

Atropine increases heart rate.

Used for Bradycardia

Memory Trick

Makes HR High like being on a pine tree.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Causes of Bradycardia (3)

Atropine will correct this state

A

Vagal maneuver

CCB, Beta Blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

https://my.clevelandclinic.org/health/diseases/21878-ventricular-fibrillation

A

V Fib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

V Fib Treatment

1st treatment

A

Defib

Stop CPR to do it & before drugs

No synchronization needes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

3 drugs given for V Fib

A

Lidocaine
treats cardiac arrest caused by ventricular fibrillation or ventricular tachycardia that Doesn’t respond to defibrillation.

Amiodarone

Amiodarone is a common treatment for arrhythmias like atrial fibrillation (AFib). It helps the heart stay in a normal rhythm, especially in people with underlying heart problems, like heart failure

Procainamide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Lidocaine
Amiodarone
Procainamide

Are given for

A

V fib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Causes of V fib

A

Untreated V Tach

Post MI

Proarrythmic meds

Electrolyte imbalance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

https://my.clevelandclinic.org/health/diseases/23215-monomorphic-ventricular-tachycardia

A

Ventricular Tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Causes of Ventricular Tachycardia

A

Post MI
Hypoxia
Low K
Low Mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Treatment for Ventricular Tachycardia

No pulse / pulse

A

D Fib

No pulse = shock immediately

Pulse = Synchronize, Sedate, Cardiovert

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

https://www.jnj.com/innovation/5-things-we-now-know-about-atrial-fibrillation

A

A fib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A fib is a lack of the wave

A

P wave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Causes

Valvular disease
Heart failure
Pulmonary HTN
COPD
after heart surgery

A

A fib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A fib

Causes

A

Valvular disease
Heart failure
Pulmonary HTN
COPD
after heart surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Treatment: A Fib

Cardioversion
(After TTE to rule out clots)

How to cardiovascularvet

Which medicines is given for A Fib
(What to check before giving this medication)

A

Push Sync first

Medicine #1 = Digoxin = A Fib Treatment

Check: ATP
Apical Pulse (listen 60 seconds)

Toxicity (Max 2 Range) (Assess for Visual Disturbance, N / V, Anorexia

Potassium <3.5 (Higher Risk for Toxicity)

Medicine #2 = Anticoagulants: Warfarin (Monitor INR, Vit. K “Antidote”, moderate green leafy veggies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

https://www.google.com/search?client=ms-android-att-us-rvc3&sca_esv=0fb65671f12eb866&sxsrf=ACQVn09nYoT56te6tfNA_Rp7wyxSjgE91g:1709407558779&q=atrial+flutter&uds=AMwkrPtzlylVkfcph75f4oh2NPkuWBdMhWjuS7TUl0miFr1x8N-tIH_kRasvRdDScixx3olYgk9hePCx2AfXHZtpYskwqBiaxG2XIbg36fXJ-Nvo5dhHzPvBn7eCnvZWvGUptb65abR3j9WtZdR22n-EZZ5TTj5U03-eYlJRFoIN9Oy-cMq–Ur0UD58gT9JZ1NWt_KqxFKZ6oeuD3-0PK-jARdQopw3uOE5UieIGIBEHw0ACzNIi42fwLSyOQ6FDXnAHOOoAZcJggwAkvq-Shy8WG2poOxODfv2F1gzR-xd_CnDcjk04lhbDKIMS54vohkTzfuZUhPHcBoW7hRRtR-eGQUB1BmbVFjDxD3gvS7FCiCxLbUxkXY&udm=2&prmd=ivsnbmhtz&sa=X&ved=2ahUKEwjc0MSyp9aEAxV1l4kEHecNDkkQtKgLegQICxAB&biw=384&bih=700&dpr=2.81#vhid=bL_yGcM_mMHEWM&vssid=mosaic

Study These Flashcards
A

Atrial Flutter

20
Q

Saw tooth pattern is this Strip

Study These Flashcards
A

Atrial Flutter

21
Q

Atrial Flutter (Saw tooth) has the same Casues & Treatment as ….

Study These Flashcards
A

Atrial Fibrillation

22
Q

https://www.aclsonline.us/rhythms/supraventricular-tachycardia/

Study These Flashcards
A

Supraventricular tachycardia

23
Q

Stimulants, Strenuous exercise, hypoxia, heart disease

Study These Flashcards
A

SVT

Supraventricular tachycardia

24
Q

Supraventricular tachycardia

Causes

Study These Flashcards
A

Stimulants, Strenuous exercise, hypoxia, heart disease

25
Treatment (least to most invasive) Vagal Maneuver / Ice pack around neck Adenosine- Rapid Push & Flush with NS- HR may stop Cardioversion "controlled shock" Push Sync
SVT Supraventricular tachycardia
26
Which medication should be held 48-hours prior to a Cardioversion for SVT
Digoxin Due to increased ventricular irritation
27
Client with SVT has the following data HR 200, BP 78 / 40, RR 30 Priority action
Synchronized Cardioversion
28
https://www.google.com/search?client=ms-android-att-us-rvc3&sca_esv=a574099b913213c9&sxsrf=ACQVn09BlMW3F3r9-XAeKU2ceDCoEzjz5w:1709409746203&q=torsades+de+pointes+ecg&uds=AMwkrPtR6LTZZi0qBdp0efgGc8BlHGcjIfzw-6zaKQQCmJ1tgNchg46_fsy3Argdrw8vt_T-nBM9PCvJV77OUIZZbnXWE6okrkqdzC1Np8Mkc4_LxgIbP2edly2dhzoO5SUs6fyH5TewOcaBNYmDjSdy-4UyAqXJAbRw9q5iuJqF7R1rEs3dGBP2hd3aoNTuzabNmXS-E4gh2Km8dI1QPX5mFa2OFR1XUf8XZbElRsa3sM88hdHGCmKYrDiOh8tE-chkmU8AhxBTZlnA5xIxqzbdS5wum9F6avyqUuq-y4gdlJ4YY8eB83rnf9GfTx0LD96cF_SpWFMZWoXJvambPvTURrN4zmADz4Y6VLl3Lqe8uqvCReWYa88&udm=2&prmd=ivsnmbhtz&sa=X&ved=2ahUKEwj4rMrFr9aEAxXtIzQIHQ2IDI8QtKgLegQICxAB&biw=384&bih=700&dpr=2.81#vhid=zmdHzv8KugvNqM&vssid=mosaic
Torsades de Pointes Memory trick Tornado Pointes
29
Causes: Post MI, Hypoxia, *Low Magnesium Treatment: Magnesium Sulfate
Torsade de Pointes
30
What does taking Mg do to the heart
Mellows out the heart
31
Asystole Describe Treatment
Flatline Epinephrine, Atropine, CPR
32
Do you have to synchronize defibrillator before giving a shock to Asystole
Don't give shock for Asystole
33
P wave =
Atrial rhythm
34
QRS wave =
Ventricular Rhythm
35
Lack of QRS complexes =
Asystole
36
Wide bizarre QRS complex =
V tach
37
Chaotic rhythm with no P waves = Chaotic rhythm without QRS complexes =
Chaotic rhythm with no P waves = Atrial Fibrillation Chaotic rhythm without QRS complexes = Ventricular Fibrillation
38
Bizarre rhythm with wide QRS complexes
Ventricular Tachycardia
39
( V Fib / V Tach ) Causes: Post MI, Electrolytes Imbalance, Proarrthymia Drugs, Untreated V Tach Treatment: 1. Defib, no synch 2. Drugs: Lidocaine, Amiodarone, Procainamide (V Fib / V Tach) Causes: Post MI, Low K / Mg, Hypoxia Treatment: Early Defib No Pulse = Defib Pulse = Cardioversion
V Fib - Floppy Squiggly Lines Causes: Post MI, Electrolytes Imbalance, Proarrthymia Drugs, Untreated V Tach Treatment: 1. Defib, no synch 2. Drugs: Lidocaine, Amiodarone, Procainamide V Tach - Tombstone Causes: Post MI, Low K / Mg, Hypoxia Treatment: Early Defib No Pulse = Defib Pulse = Cardioversion
40
( A Fib / V Fib ) Causes: Post MI, Electrolytes Imbalance, Proarrthymia Drugs, Untreated V Tach Treatment: 1. Defib, no synch 2. Drugs: Lidocaine, Amiodarone, Procainamide (A Fib / V Fib) Causes: Valvular Disease, HF, Pulmonary HTN, COPD, After Heart Surgery Treatment: 1. Cardioversion (After TTE to rule out clots) 2. Digoxin (Longterm) 3. Warfarin
V Fib Causes: Post MI, Electrolytes Imbalance, Proarrthymia Drugs, Untreated V Tach Treatment: 1. Defib, no synch 2. Drugs: Lidocaine, Amiodarone, Procainamide A Fib Causes: Valvular Disease, HF, Pulmonary HTN, COPD, After Heart Surgery Treatment: 1. Cardioversion (After TTE to rule out clots) 2. Digoxin (Longterm) 3. Warfarin
41
Before Cardioversion as the primary treatment for A Fib / A Flutter
TRANSTHORACIC ECHOCARDIOGRAM To rule out clots
42
Before giving Digoxin for A Fib assess for these (3)
ATP Apical Pulse Toxicity Max level 2, Toxicity symptoms: Visual Disturbances, N/V, Anorexia Potassium <3.5 (increase risk for Toxicity)
43
( Supraventricular Tachycardia / Ventricular Tachycardia) Causes: Post MI, Low K / Mg, Hypoxia Treatment: Early Defib No Pulse = Defib Pulse = Cardioversion ( Supraventricular Tachycardia / Ventricular Tachycardia) Causes: Stimulants, Strenuous Exercise, Hypoxia, Heart Disease Treatment: 1. Vagal maneuver/ Ice around neck 2. Adenosine: Rapid Push, Flush w/ NS - HR may stop 3. Cardioversion- Push Sync
Ventricular Tachycardia Causes: Post MI, Low K / Mg, Hypoxia Treatment: Early Defib No Pulse = Defib Pulse = Cardioversion Supraventricular Tachycardia Causes: Stimulants, Strenuous Exercise, Hypoxia, Heart Disease Treatment: 1. Vagal maneuver/ Ice around neck 2. Adenosine: Rapid Push, Flush w/ NS - HR may stop 3. Cardioversion- Push Sync
44
Warfarin Monitor this level in blood What is the antidote Which foods need to be moderated when taken Warfarin
INR level Vitamin K = Antidote Moderate Green Leafy Vegetables
45
Only do CPR first in these 2 rhythms.
Asystole & PEA (Pulseless electrical activity)

NCLEX Simple Nursing (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions