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Oct. 23 lecture
Part 1
29
Nursing
Graduate
10/24/2014

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Term
A WAVE OF DEPOLARIZATION MOVING TOWARDS THE + ELECTRODE CAUSES WHAT DEFLECTION?
Definition
POSITIVE
Term
A WAVE OF REPOLARIZATION MOVING TOWARDS THE + ELECTRODE CAUSES WHAT DEFLECTION?
Definition
NEGATIVE
Term
A WAVE OF DEPOLARIZATION MOVING TOWARDS THE - ELECTRODE CAUSES WHAT DEFLECTION?
Definition
NEGATIVE
Term
A WAVE OF REPOLARIZATION MOVING TOWARDS THE - ELECTRODE CAUSES WHAT DEFLECTION?
Definition
POSITIVE
Term
WAVES OF DEPOLARIZATION AND REPOLARIZATION THAT MOVE PERPENDICULAR TO THE IMAGINARY LINE CONNECTING THE ELECTRODES CAUSE WHAT KIND OF DEFLECTION?
Definition
NO DEFLECTION
Term
HOW DOES THE SA NODE DEPOLARIZE?
Definition
EVERY MYOCYTE IS LINKED TO EVERY OTHER MYOCYTE VIA GAP JUNCTIONS. WHEN ONE CELL DEPOLARIZES, WHEN POSITIVE CHARGE COMES IN THE SA NODE, IT IS GOING TO DEPOLARIZE ITS NEIGHBORING CELLS.
Term
WHY CAN WE THINK OF THE RIGHT AND LEFT ATRIA AS BEING ONE CELL?
Definition
I CAN MAKE MY WAY COMPLETELY THROUGH, CELL TO CELL, ALL THE WAY THROUGH THE LATERAL ATRIA WALL WITHOUT EXITING THROUGH THE PLASMA MEMBRANE.
Term
BETWEEN THE "ATRIA" AND "VENTRICLE" CELL IS KNOWN AS WHAT IN RELATION TO WHERE THE VALVES ARE?
Definition
THE VALVES ARE EMBEDDED IN A CONNECTIVE TISSUE RING CALLED THE FIBROUS TRIGONE. IT IS NON-CONDUCTIVE CONNECTIVE TISSUE.
Term
WHAT IS THE ONLY WAY ELECTRICAL ACTIVITY CAN MOVE FROM THE ATRIA TO THE VENTRICLES?
Definition
BUNDLE OF HIS
Term
WHERE IS THE SA NODE LOCATED AT?
Definition
IN SUPERIOR POSTERIOR RIGHT ATRIAL WALL
Term
WHERE IS THE AV NODE LOCATED AT?
Definition
INFERIOR PORTIONS OF THE INTERATRIAL SEPTUM (THE SEPTUM BETWEEN THE RIGHT AND LEFT ATRIA BELOW THE FOSSA OVALIS).
Term
WHERE IS THE FORAMEN OVALE AND WHAT IS IT CALLED IN THE ADULTS.
Definition
THE FORAMEN OVALE IN UTERO IS A HOLE BETWEEN THE RIGHT AND LEFT ATRIA THAT ALLOWS BLOOD TO BYPASS THE PULMONARY CIRCUIT. IN THE INTERATRIAL SEPTUM I HAVE IN UTERO A FORAMEN OVALE. WHICH BECOMES IN ADULTS THE FOSSA OVALIS.
Term
WHERE IS THE DUCTUS ARTERIOSUS IN UTERO AND WHAT IS IT CALLED IN THE ADULT?
Definition
IT CONNECTS THE PULMONARY ARTERY AND AROTIC ARCH. IN ADULTS IT BECOMES THE LIGAMENTUM ARTERISUM. BLOOD IS GOING TO PASS FROM THE PULMONARY ARTERY INTO THE AORTIC ARCH IN UTERO.
Term
WHAT IS A PDA AND WHERE DOES BLOOD GO?
Definition
PATENT DUCTUS ARTERIOSUS. IF I GET A PDA BLOOD IS EJECTED IN THE AORTA IS NOT GOING TO GO TO THE SYSTEMIC CIRCUIT. IT IS GOING TO GO INTO THE PULMONARY CIRCUIT.
Term
WHERE DOES THE AV NODE PROJECT THROUGH?
Definition
THE AV NODE IS BELOW THE FOSSA OVALIS, IN THE INTERATRIAL SEPTUM, PROJECTING THROUGH THE FIBROUS TRIGONE.
Term
LIST THE WAYS OF HEART CONDUCTION.
Definition
SA NODE, TO AV NODE, PROJECTING THROUGH THAT ELECTRICAL INSULATOR IS NOT THE BUNDLE OF HIS, THE ATRIOVENTRICULAR BUNDLE. I AM NOT IN THE INTERVENTRICULAR SEPTUM, I BIFURCATE IN TO RIGHT AND LEFT BUNDLE BRANCHES. WHEN I GET TO THE APEX OF THE HEART THAT COMES BACK UP THE LATERAL WALLS AND GIVES RISE TO THE PURKINJE FIBERS.
Term
DESCRIBE THE WAVE OF DEPOLARIZATION.
Definition
IT IS RELATED TO ONE ATRIAL CELL AND ONE VENTRICLE CELL BECAUSE THEY ARE ALL CONNECTED BY GAP JUNCTIONS. THE WAVE OF DEPOLARIZATION IS THE DIRECTION THE CELLS ARE DEPOLARIZING. MYOCYTES DEPOLARIZE AND REPOLARIZE AND WE HAVE A WAVE OF DEPOLARIZATION.
Term
WHAT IS THE DIFFERENCE BETWEEN AN ELECTRODE AND A LEAD?
Definition
ELECTRODES EXIST. LEADS DO NOT EXIST. THEY ARE IMAGINARY LINES BETWEEN ELECTRODES.
Term
DESCRIBE THE WAVE OF DEPOLARIZATION THAT TRAVELS PARALLEL WITH THE LEAD TOWARD THE POSITIVE SIDE AND THEN AGAIN AT 45 DEGREE ANGLE AWAY FROM IT.
Definition
IF IT TRAVELS IN PARALLEL WAY IT WILL GIVE A MAXIMAL DEFLECTION IN THAT LEAD. FOR THE 45 DEGREE ANGLE IT IS GOING TO HAVE HALF AS MUCH AMPLITUDE. IT IS STILL POSITIVE DEFLECTION BUT WE SEE ONLY HALF THE AMPLITUDE.
Term
WHAT 2 THINGS DOES VECTORS HAVE?
Definition
DIRECTION AND MAGNITUDE
Term
WHAT WAVE IS OF DIFFERENT AMPLITUDES ON A 12 LEAD EKG?
Definition
THE R WAVE. IT IS BECAUSE YOU ARE LOOKING AT IT IN DIFFERENT DIRECTIONS. AS FAR AS THE ANGLE AND THE DEFLECTION OF THE WAVE.
Term
WHAT ARE THE INTRINSIC FIRING RATES OF THE SA NODE, ATRIAL CELLS, AV NODE, BUNDLE OF HIS, BUNDLE BRANCH, PURKINJE FIBERS, AND MYOCARDIAL CELLS?
Definition
SA NODE 60-100, ATRIAL CELLS 55-60, AV NODE 45-50, BUNDLE OF HIS 40-45, BUNDLE BRANCH 40-45, PURKINJE FIBERS 35-40, AND MYOCARDIAL CELLS 30-35.
Term
WHERE DOES THE ELECTRICAL CONDUCTION SYSTEM BEGIN AT?
Definition
THE SA NODE. IT IS USUALLY LESS THAN THAT BECUASE WE HAVE PARASYMPATHETIC AND SYMPATHETIC INFLUENCES THAT ARE GOING TO REGULATE THAT.
Term
WHAT IS THE SLOPE OF PHASE 4 OF THE AV NODE?
Definition
IT WOULD BE DECREASED BECAUSE IT HAS A SLOWER RATE. THE AV NODE HAS A SLOWER INTRINSIC FIRING RATE BECAUSE THE SLOPE OF PHASE 4 OF THE AV NODE IS LESS.
Term
WHAT ELECTRICAL PATHWAY TAKES OVER IS THE BUNDLE OF HIS GETS WIPED OUT?
Definition
THE PURKINJE FIBERS.
Term
WHY IS A JUNCTIONAL RHYTHM SLOWER THAN A SINUS RHYTHM?
Definition
THAT IS BECASUE OF THE SLOW INTRINSIC RATE OF THE AV NODE IS DECREASED. IT HAS NOTHING TO DO WITH THE PARASYMPATHETIC NERVOUS SYSTEM. THAT IS INTRINSIC. IT IS A FUNCTION OF THE AV NODE.
Term
WHY DOES THE AV NODE CAUSE A DELAY IN CONDUCTION?
Definition
IT ALLOWS THE ATRIA TIME TO DEPOLARIZE (THEY HAVE ALREADY DEPOLARIZE BY THE TIME THE AV NODE GETS THE SIGNAL BUT THEY HAVE NOT CONTRACTED). IT AFFORDS THE ATRIA ENOUGH TIME TO CONTRACT BEFORE THE SIGNAL GETS SENT DOWN INTO THE VENTRICLE TO FORCE THEM TO CONTRACT. IF THE DELAY WASNT THERE THE ATRIA AND VENTRICLES WOULD CONTRACT SIMULTANEOUSLY AND MY ATRIAL KICK WOULD BE LOST. SO THE AV NODE DELAY IS PARTLY IS BECAUSE IT ALLOWS US TO COMPLETE THE ATRIAL CONTRACTION BEFORE THE VENTRICLES EVER GET THE SIGNAL TO CONTRACT.
Term
WHAT DOES THE BUNDLE OF HIS BIFURCATE INTO AND WHERE IS THIS LOCATED AT? WHAT DO THEY FURTHER BIFURCATE INTO?
Definition
RIGHT AND LEFT BUNCH BRANCH. THEY ARE BOTH FOUND IN THE INTERVENTRICULAR SEPTUM. THE LBB WILL FURTHER BIFURCATE INTO A POSTERIOR AND AN ANTERIOR BRANCH, THIS IS BECAUE IF WE COMPARE THE MUSCLE MASS OF THE RIGHT VENTRICLE TO THE LEFT. I HAVE A LOT MORE MYOCYTES ON THE LEFT SIDE THAT NEEDS THE SIGNAL MORE THAN THE RIGHT.
Term
WHAT ARE HEMIBLOCKS?
Definition
THEY DEAL WITH THE BLOCKING OF EITHER THE ANTERIOR OR THE POSTERIOR FASCILE.
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