Physiology II Lab Miscellaneous Flashcards
(102 cards)
10 Steps for ECG
ER CR PCQ STD
Extrasystole
Rrhythmicity
Calculate HR
Rhythm-generating-center
P-wave
Conduction time
QRS complex
ST-segment
T-wave
Draw Eindhoven’s triangle
Extrasystole
Ventricular
- NO P WAVE
- Abnormally wide QRS
Supraventricular
- Normal everything
What is Extrasystole?
A beat that lands on the RELATIVE refractory period of the previous beat
Extra beat + compensatory pause
What is respiratory arrhythmia?
Inspiration
- Increases HR
- Causes positive intrathoracic pressure, decreasing vagal tone, increasing HR
Expiration
- Decreases HR
- Causes negative intrathoracic pressure, increasing vagal tone, decreasing HR
How do you calculate HR?
60 / #of small boxes * 0.04s
What is the rhythm generating center?
Usually the SA node (P-wave)
How do you calculate arrhythmic heart rate?
DO NOT COUNT PATHOLOGIES
- Need a ruler
- 1 small box = 1 mm = 0.04 sec
Measure RR-distance boxes then calculate
How much is a small box worth in ECG?
Time: 0.04 sec.
Voltage: 0.1 mV
What are the characteristics needed for each wave?
- Amplitude
- Polarity
- Duration
Draw Eindhoven’s Triangle
What is LAD and RAD?
LAD: Left Axis Deviation, due to:
- Pregnancy
- Obesity
- Inferior MI
RAD: Right Axis Deviation, due to:
- Right ventricular hypertrophy
- Lateral MI
- Situs Invertus
Relations of impedance
Impedance = 1/Fluid
Impedance = Fat content
How do you calculate Cardiac Index (CI)
CO / Body Surface Area
How do you calculate HR in ICG?
HR = 60,000 ms / QS2 + DT
QS2: Systolic time
DT: Diastolic time
How do you calculate SV in ICG?
SV = EDV - ESV
How do you calculate QS2 in ICG?
QS2 = PEP + VET
How do you calculate TPR in ICG?
8/π * (l * ƞ / r^4)
l: Length of vascular sys.
ƞ: Viscosity of blood
r: Radius
How do you calculate MAP in ICG?
MAP = CO * TPR
MAP = DP + 1/3 (PP), where;
DP: Diastolic pressure
PP: Ps - Pd (Sys. - Dias.)
Where do the electrodes and the measurement devices go on the body in the ICG test?
2 pairs supraclavicular
2 pairs midaxillary region, level of Xiphoid Process
Where is the PCG placed on the body during ICG?
At the apex of the heart; 5th intercostal space, level of the left midclavicular line
Where should the ECG electrodes be placed?
RED = Right shoulder
YELLOW = Left shoulder
GREEN = Left side of the chest
BLACK = Right side of the chest
What is the relation of impedance with blood flow of the heart?
Increase impedance = blood exits the heart
Decrease impedance = blood enters the heart
Impedance = 1/Fluid
What is S1 and S2 in the Phonocardiogram?
S1 - Atrioventricular Valve Closure
S2 - Semilunar Valve Closure
S1 to S2 is Sys.
S2 to S1 is Dias.
What is the area under the graph in the time derivative curve of the ICG?
+ve: Blood leaving the heart
-ve: Blood entering the heart