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ASSOCIATES IN EMERGENCY CARE 24-25 > STATIC ECG RHYTHM > Flashcards

STATIC ECG RHYTHM Flashcards

1
Q

NORMAL SINUS RHYTHM

A
  • RATE: 60-100
  • RHYTHM: REGULAR
  • P WAVE: NORMAL WITH 1:1 CONDUCTION
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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2
Q

SINUS BRADYCARDIA

A
  • RATE: < 60
  • RHYTHM: REGULAR
  • P WAVE: NORMAL WITH 1:1 CONDUCTION
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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3
Q

SINUS TACHYCARDIA

A
  • RATE: 101 - 150
  • RHYTHM: REGULAR
  • P WAVE: NORMAL WITH 1:1 CONDUCTION
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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4
Q

SINUS ARRHYTHMIA

A
  • RATE: USUALLY 60-100
  • RHYTHM: IRREGULAR
  • P WAVE: NORMAL WITH 1:1 CONDUCTION
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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5
Q

SINUS ARREST

A
  • RATE: VARIES, DEPENDING ON NUMBER OF MISSING BEATS (MORE THAT 1 AT A TIME)
  • RHYTHM: REGULAR OR IRREGULAR. RHYTHM DOES NOT PICK UP IN SAME SPOT AFTER MISSING BEATS.
  • P WAVE: NORMAL WITH 1:1 CONDUCTION WHEN PRESENT. NOT PRESENT DURING MISSING BEATS
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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6
Q

SINUS BLOCK

A
  • RATE: VARIES, DEPENDING ON NUMBER OF MISSING BEATS.
  • RHYTHM: REGULAR OR IRREGULAR RHYTHM PICKS UP IN SAME SPOT AFTER MISSING BEAT(S)
  • P WAVE: NORMAL WITH 1:1 CONDUCTION WHEN PRESENT. NOT PRESENT DURING MISSING BEATS
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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7
Q

SINUS PAUSE

A
  • RATE: VARIES, DEPENDING ON NUMBER OF MISSING BEATS (ONLY 1 AT A TIME)
  • RHYTHM: REGULAR OR IRREGULAR. RHYTHM DOES NOT PICK UP IN SAME SPOT AFTER MISSING BEAT.
  • P WAVE: NORMAL WITH 1:1 CONDUCTION WHEN PRESENT. NOT PRESENT DURING MISSING BEATS
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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8
Q

SICK SINUS SYNDROME

A
  • RATE: EXTREMELY VARIABLE. WILD SWINGS FROM BRADYCARDIA TO TACHYCARDIA AND BACK.
  • RHYTHM: IRREGULAR
  • P WAVE: NORMAL WITH 1:1 CONDUCTION
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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9
Q

WANDERING ATRIAL PACEMAKER

A
  • RATE: USUALLY 60-100
  • RHYTHM: SLIGHTLY IRREGULAR
  • P WAVE: MORPHOLOGY CHANGES FROM BEAT TO BEAT; P WAVES MAY DISAPPEAR ENTIRELY. AT LEAST 3 DIFFERENT FORMS
  • PRI: VARIES
  • QRS: < 0.12 SECONDS
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10
Q

MULTIFOCAL ATRIAL TACHYCARDIA

A
  • RATE: > 100
  • RHYTHM: IRREGULAR
  • P WAVE: MORPHOLOGY CHANGES FROM BEAT TO BEAT; P WAVES MAY DISAPPEAR ENTIRELY. AT LEAST 3 DIFFERENT FORMS
  • PRI: VARIES
  • QRS: VARIES
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11
Q

SINUS WITH PACS

A
  • RATE: VARIABLE
  • RHYTHM: IRREGULAR
  • P WAVE: UNDERLYING P IS NORMAL
    P WITH ECTOPY IS ABNORMAL IN APPEARANCE
  • PRI: NORMAL WITH BOTH
  • QRS: < 0.12 SECONDS IN BOTH
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12
Q

PSVT

A
  • RATE: VARIABLE
  • RHYTHM: IRREGULAR
  • P WAVE: UNDERLYING P IS NORMAL
    P WITH ECTOPY IS ABNORMAL IN APPEARANCE
  • PRI: NORMAL WITH BOTH
  • QRS: < 0.12 SECONDS IN BOTH
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13
Q

SVT

A
  • RATE: > 151
  • RHYTHM: REGULAR
  • P WAVE: MAY BE NON-DISCERNABLE
  • PRI: USUALLY NOT MEASURABLE
  • QRS: < 0.12 SECONDS
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14
Q

A-FLUTTER

A
  • RATE: VARIABLE
  • RHYTHM: REGULAR
  • P WAVE: F WAVES
  • PRI: 0.12 – 0.20 SECONDS
  • QRS: < 0.12 SECONDS
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15
Q

A-FIB

A
  • RATE: VARIABLE
  • RHYTHM: IRREGULARLY IRREGULAR
  • P WAVE: NONDISCERNABLE
  • PRI: NOT MEASURABLE
  • QRS: < 0.12 SECONDS
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16
Q

FIRST DEGREE HEART BLOCK

A
  • RATE: VARIABLE
  • RHYTHM:REGULAR
  • P WAVE: NORMAL 1:1 CONDUCTION
  • PRI: > 0.20 SECONDS
  • QRS: < 0.12 SECONDS
17
Q

SECOND DEGREE AV BLOCK TYPE I
(MOBITZ I, WENCHEBACH)

A
  • RATE: ATRIAL: REGULAR
  • VENTRICULAR: R-R IRREGULAR
  • RHYTHM: REGULARLY IRREGULAR
  • P WAVE: PRESENT AND NORMAL, MORE P WAVES THAN QRS COMPLEXES
  • PRI: PROGRESSIVELY LENGTHENS (0.14 – 0.32)
  • QRS: < 0.12 SECONDS
18
Q

SECOND DEGREE AV BLOCK TYPE II
(MOBITZ II)

A
  • RATE: ATRIAL: REGULAR
  • VENTRICULAR: R-R REGULAR WHEN QRS IS PRESENT
    RHYTHM: REGULAR
  • P WAVE: PRESENT AND NORMAL, MORE P WAVES THAT QRS COMPLEXES
  • PRI: CONSTANT WITH CONDUCTED BEATS
  • QRS: < 0.12 SECONDS
19
Q

THIRD DEGREE AV BLOCK

A
  • RATE: ATRIAL: NORMAL
    VENTRICULAR: NORMAL
  • RHYTHM: REGULAR (P-P AND R-R)
  • P WAVE: PRESENT, BUT NOT RELATED TO QRS
  • PRI: NOT MEASURABLE
  • QRS: > 0.12 SECONDS
20
Q

SINUS W/PJCS

A
  • RATE: 60-100
  • RHYTHM: IRREGULAR
  • P WAVE: NORMAL IN UNDERLYING RHYTHL
    NOT PRESENT IN ECTOY
  • PRI: 0.12 – 0.20 IN UNDERLYING RHYTHM
    NOT PRESENT IN ECTOPY
  • QRS: < 0.12 SECONDS
21
Q

JUNCTIONAL ESCAPE RHYTHM

A
  • RATE: 40-60
  • RHYTHM: REGULAR
  • P WAVE: INVERTED BEFORE, AFTER, OR DURING THE QRS IF PRESENT.
  • PRI: VARIABLE OR NOT MEASURABLE
  • QRS: < 0.12 SECONDS
22
Q

JUNCTIONAL BRADYCARDIA
(JUNCTIONAL BRADY)

A
  • RATE: < 40
  • RHYTHM: REGULAR
  • P WAVE: INVERTED BEFORE, AFTER OR DURING THE QRS IF PRESENT
  • PRI: VARIABLE OR NOT MEASURABLE
  • QRS: < 0.12 SECONDS
23
Q

ACCELERATED JUNCTIONAL RHYTHM

A
  • RATE: 61-100
  • RHYTHM: REGULAR
  • P WAVE: INVERTED BEFORE, AFTER OR DURING THE QRS IF PRESENT
  • PRI: VARIABLE OR NOT MEASURABLE
  • QRS: < 0.12 SECONDS
24
Q

JUNCTIONAL TACHYCARDIA

A
  • RATE: >100
  • RHYTHM: REGULAR
  • P WAVE: INVERTED BEFORE, AFTER OR DURING THE QRS IF PRESENT
  • PRI: VARIABLE OR NOT MEASURABLE
  • QRS: < 0.12 SECONDS
25
VENTRICULAR ESCAPE RHYTHM (IDIOVENTRICULAR, IVR)
* RATE: 15-40 * RHYTHM: REGULAR * P WAVE: NONE * PRI: NOT MEASURABLE * QRS: BIZARRE IN APPEARANCE AND > 0.12 SECONDS
26
ACCELERATED IDIOVENTRICULAR
* RATE: 41-100 * RHYTHM: REGULAR OR SLIGHTLY IRREGULAR * P WAVE: NONE * PRI: NOT MEASURABLE * QRS: BIZARRE IN APPEARANCE AND > 0.12 SEONCDS
27
SINUS RHYTHM WITH A PREMATURE VENTRICULAR CONTRACTION (SINUS W/ PVC)
* RATE: 60-100 * RHYTHM: IRREGULAR * P WAVE: NORMAL IN UNDERLYING RHYTHM ABSENT IN ECTOPY * PRI: 0.12 – 0.20 IN UNDERLYNG RHYTHM NOT PRESENT IN ECTOPY * QRS: > 0.12 IN UNDERLYING RHYTHM ECTOPY IS BIZARRE IN APPEARANCE AND > 0.12 SECONDS
28
VENTRICULAR TACHYCARDIA (V-TACH)
* RATE: 101-250 * RHYTHM: REGULAR OR SLIGHTLY IRREGULAR * P WAVE: NONE * PRI: NOT MEASURABLE * QRS: BIZARRE IN APPEARANCE AND > 0.12
29
TORSADES DE POINTES (TORSADES)
* RATE: 250 OR HIGHER * RHYTHM: IRREGULAR * P WAVE: NONE * PRI: NOT MEASURABLE * QRS: BIZARRE IN APPEARANCE AND > 0.12 SECONDS. QRS HEIGHT CHANGES BETWEEN TALL AND SHIRT IN A FAIRLY REGULAR INVERVAL.
30
VENTRICULAR FIBRILLATION (V-FIB)
* RATE: 0 * RHYTHM: CHAOTIC ELECTRICAL ACTIVITY * P WAVE: NONE * PRI: NONE * QRS: NONE IDENTIFIABLE
31
ASYSTOLE
* RATE: 0 * RHYTHM: 0 * P WAVE: NONE * PRI: NOT MEASURABLE * QRS: NONE
32
AGONAL
* RATE: <15 * RHYTHM: IRREGULAR * P WAVE: MAY OR MAY NOT BE PRESENT * PRI: MAY NOT BE MEASURABLE * QRS: DEPENDENT ON ECTOPIC BEAT
33
CPR ARTIFACT
* RATE: * RHYTHM: * P WAVE: * PRI: * QRS:
34
PACED ATRIAL
* RATE: VARIABLE * RHYTHM: REGULAR * P WAVE: PRECEDED BY PACER SPIKE * PRI: * QRS: < 0.12 SECONDS
35
PACED VENTRICULAR
* RATE: VARIABLE * RHYTHM: REGULAR * P WAVE: NONE * PRI: NOT MEASURABLE * QRS: BIZARRE IN APPEARANCE AND > 0.12 SECONDS. PRECEDED BY PACER SPIKE
36
AV PACED
* RATE: VARIABLE * RHYTHM: REGULAR * P WAVE: PRECED BY PACER SPIKE * PRI: 0.12 – 0.20 SECONDS * QRS: PRECEDED BY PACER SPIKE
37
WOLFF-PARKINSON-WHITE
* RATE: VARIABLE * RHYTHM: REGULAR * P WAVE: NORMAL WITH 1:1 CONDUCTION * PRI: < 0.12 SECONDS * QRS: > 0.12 SECONDS WITH DELTA WAVE
38
P WAVE ASYSTOLE
* RATE: ATRIAL: 60-100 VENTRICULAR: 0 * RHYTHM: P-P REGULAR * P WAVE: NORMAL AND UPRIGHT * PRI: NOT MEASURABLE * QRS: NONE

ASSOCIATES IN EMERGENCY CARE 24-25 (11 decks)

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