EKG Final Review

Going for an A

Somatic Tremors

Shivering rhythm

Unifocal PVC

Similar Shape PVC

Coupling

2 PVCs together

Patient Feels ____ during SVT

Palpitations

What does stat mean?

Immediately

Electrical Current in heart

Pathway is the purkinje network

Each little box in a ECG is how many seconds

0.04 seconds

Inner most heart layer

Endocardium

Surrounding layer of heart

Pericardium, protects heart

Middle Muscular layer of heart

Myocardium, responsible for contraction

Outer layer of heart

Epicardium

Ability to receive and transmit electricity in heart

Conductivity

Mechanical response to electrical current

Contractility

Automaticity

Automatically

Excitability

Ability to respond to electrical activity

Leads 1/2/3 are called

Bipolar leads

What is the typical rate of Accelerated Idioventricular

40-100 bpm

What is the typical rate of Idioventricular rhythm

20-40 bpm,

What is an ECG

Electrical Acitivity of the heart

Classify SVT

Heart Rate of 150-250 bpm

What is the spike before QRS

Ventricular Pacemaker

What is the spike before Pwave

Atrial Pacemaker

What is the spike before both Pwave and QRS

Atrial Ventricular

Sinus Bradycardia typically has a rate of

<60bpm

Tachycardia

Palpitations

Chest Lead v4 goes

5th intercostal left midcavicular

Pacemaker has

Pacing spikesC

How to do an EKG on a crying infant

Wait for it to sleep

Electrical impulse comes from

AV Node depolarization retrograde

Inverted P Wave means

Junctional Rhythm

Agonal is

Ventricular Dysrhythmia <20bpm

ECG Tech does

View traces, alert physician for abnormalities

Basic Principal for Electronic Pacemaker

Fastest pacemaker inherits / takes over

Abnormal Heartbeat

Dysrhythmia

What to do when finished with ECG

Dispose electrodes

Normal Rate

60-100bpm

Ventricular fibrillation is

Chaotic

What is the rhythm when the Atria quivers like a bowl of jello

Atrial Fibrillation

Dextracardia

Heart on the right side

Normal QRS is

0.06 - 0.10s

What is the set paperspeed

25mm/s

Tachycardia has a rate of

100bpm or greater

Which heart block has a constant pr interval

1st Degree AV Block

What two forms of ID is needed before performing EKG

Name and ID #

What is the top 2 chambers of the heart called

Right and Left Atrium

What is the two lower chambers of the heart called

Right and Left Ventricle

Unwanted marks on ECG

Artifacts

What leads has specific anatomical landmarks

V1, V2, V4, V5, V6

Junctional Dysrhythmia QRS is

Measuring in normal limits

When analyzing the Pwave what do you look for

If each pwave has a QRS that follows

What method do you use for Irregular rhythms

6 second method

What is the typical rate of a Wandering Atrial Pacemaker

60 to 100 bpm

When doing an ECG on a 7 year old

Use no technical words

What method measures from

R-R Method

Heart block is when

Current has difficult time traveling down normal pathway

What to do before giving ECG to the Doctor

Determine Accuracy and check that everything is correct

Major health risk for Atrial Fibrillation

Thrombus formations and Embolisms

1st thing needed to perform an ECG is

Doctors order

Liable is

Written

Slander is

Deragatory RemarksS

Systolic

Heart pumps bloodD

Diastolic is

Heart filling with blood

Assault

Threaten harm

Battery

Actually harm

Venticular Rate Accelerated Junctional

60-100 beats per minute

Blood in the right ventricle is

Deoxygenated

Multifocal Atrial Tachycardia Rate

101-150 bpm

Sinus Arrest

SA nodes causes pause in electrical activity/ stops

SA Node sends electrical pulses down

Rate of 60-100bpm

Gain Control is normally set to

10mm/mv

Small child for ECG

v3 goes to other side of chest to avoid crowding

Blood returns to heart via

Vena Cava

Code Blue means

Unresponsive patient needs immediate assistance

Progressively longer PR Intervals

Mobitz Type 1

Inherent rate of Purkinje is

20-40 bpm

2 Semilunar valves are called

Aortic / Pulmonary

Before EKG on a patient, one must

Clarify and Answer any questions

Ethical means

Right or Wrong conduct

If a patient has a breast implant what modification is necessary

Place V1 and V2 Higher

Doctor that invented EKG

Willem Einthoven

P wave is primarily affected by

Atrial Dysrhythmia

Juntional Tachycardia rate is

100-180 bpm

2 Types of heart blocks with constant PRI is

1st Degree and 2nd Degree Type 2

Pattern in which every third complex is a premature beat is

Trigeminy

Cardiac Arrest

Heart is stopped

Myocardial Infarction

Heart Attack

v2 goes

4th intercostal, left of the sternum

Missing QRS with Constant PR interval

2nd Degree Type 2

Sinus Exit Block and Sinus Arrest results in similar ECG tracing

Pause duration is in multiple of PP and RR intervals

CAD is

Coronary Artery Disease

What Atrial Dysrhythmia has lower case F Waves

Atrial FibrillationPa

What are the Patients Vital Signs

Temp, BP, Pulse, Respiratory, Pain

is Level of Consciousness a vital sign

No

Where is the Mitral Valve located

Between Left Atrium and Left Ventricle

Where is the Triscupid located

Right atrium and Right Ventricle

Multifocal PVC

PVC has many varied shapes

Inherent rate of Junctional Escape

40-60 bpm

AV Node inherent rate is

40-60 bpm

HiPAA

Privacy, Health insurance, Accountability

What has Capital F Waves

Atrial Flutter