unit 4 Flashcards

1
Q

what starts the pumping of the heart muscle

A

electrical activity

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2
Q

what causes the electrical current of the heart

A

chemical changes in cells of the heart

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3
Q

what is the electrical state of a resting cell

A

negative

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4
Q

what is the mechanical response to depolarization

A

contraction (systole)

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5
Q

what happens to the electrical state of cells during repolarization

A

positive cell returns to negative state

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6
Q

what type of electrode is only used once for a short time

A

resting

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7
Q

when would you chose monitoring over resting electrodes

A

for continuous monitoring, when electrodes must stay on the patient longer

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8
Q

what is telemetry used for

A

ongoing monitoring in the hospital but the patient can move around. 5 leads.

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9
Q

what is a holter monitor used for

A

longer look at cardiac activity outside of the office. 5 leads.

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10
Q

what is event monitoring used for

A

long term cardiac monitoring

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11
Q

what is continuous monitoring used for

A

ER, ICU, OR, bedside monitoring without movement. 3-5 leads/

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12
Q

what is a 12 lead EKG used for

A

evaluate rate, rhythm, and signs of heart disease.

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13
Q

what is a stress test used for

A

evaluates for heart disease when heart rate is increased

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14
Q

what electrode is positive in lead 1, which is negative

A

left arm, right arm

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15
Q

in lead 2 which electrode is positive, which is negative

A

left leg, right arm

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16
Q

in leaf 3 which electrode is positive, which is negative

A

left leg, left arm

17
Q

which electrode are you always viewing the heart from

18
Q

what is the positive electrode in aVR

19
Q

what is the positive electrode in aVL

20
Q

what electrode is positive in aVF

21
Q

what is the negative electrode in the precordial leads

A

wilson’s central terminal

22
Q

which leads look at the inferior wall of the heart

A

2, 3, and aVF

23
Q

which leads look at the front of the left ventricle

A

v1, v2, v3, v4

24
Q

which leads look at the left lateral wall

A

1, aVL, v5, v6

25
which coronary artery is the primary source of blood for the anterior wall
left anterior descending
26
which coronary artery is the primary source of blood for the inferior wall
right coronary artery
27
what us the primary source of blood in the lateral wall of left ventricle
circumflex
28
when would you speed up EKG paper
fast rhythms
29
when would you increase the gain of EKG tracing
when you need to make it easier to identify waves
30
when would you decrease the gain of EKG paper
waves are vertically overlapping the lead
31
how should a patient be positioned for an EKGQ
laying down, supine or semi-fowlers
32
what do you need to avoid when applying electrodes to the skin
body hair, scars, implanted devices, nonintact skin
33
what must you do when an EKG is complete
check for clear tracing and fix issues before removing electrodes. check for signs of dangerous arrhythmias
34
who removes the wires and electrodes from patient
tech removes wires, patients remove electrodes
35
what are stress tests used for
heart function, future heart problems, planning for invasive heart procedures, routine screening, family history, heart surgery follow up
36
how is stress induced in a stress test
exercise or injection of medication that increases HR
37
how is a nuclear stress test different from a plain stress test
done in addition to a normal stress test, provides brain imaging to see where blood is not flowing. done with arms above the head while laying down
38
when is the imaging done in a nuclear stress tst
before and after test
39