Term
| Describe the electrical activity in the heart during flat line |
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Definition
| There is no electrical current, Ventricular Asystole |
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Term
|
Definition
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|
Term
| A-fib exhibits which type of rhythm? |
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Definition
|
|
Term
| Atrial tachycardia is also called? |
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Definition
| Super Ventricular Tachycardia (SVT) |
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Term
| Which ECG shows saw-tooth waveforms? |
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Definition
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Term
| The HR of normal sinus is equal to? |
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Definition
| 60-100 bpm, Sinus Arrhythmia |
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Term
| In normal sinus rythm the P-R interval is at what ratio to the QRS complex? |
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Definition
| 2:1- 2 boxes wide: 1 box wide |
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Term
| What is the HR of Bradycardia? |
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Definition
|
|
Term
| The P-R interval is described as: |
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Definition
| From the start of the P-wave to the start of the Q-wave. |
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Term
| An ECG tracing is a graph of: |
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Definition
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Term
| How should ECG administration be modified for a patient with bilateral breast implants? |
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Definition
| Apply V1 and V2 higher on the chest |
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Term
| How should a CCMA modify ECG administration on a patient who has large breasts? |
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Definition
| Ask the patient to move breast tissue aside if it is in the way and proceed normaly |
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Term
| Which of the following can a CCMA do to minimize somatic tremor? |
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Definition
| Make sure the patient is warm enough |
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Term
| Which of the following types of rhythms is present with inverted or absent P waves? |
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Definition
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Term
| A patient goes into ventricular fibrilation during an ECG. Which of the following should the CCMA do first? |
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Definition
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Term
| If there are 37 small boxes between R waves on an ECG strip, which of the following is the correct heart rate? |
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Definition
| 40/min, 37/5=7.4 300/7.4=40.54 bpm |
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Term
| An 80-year old man is scheduled for a routine ECG. He has a history of Parkinson's disease. Which of the following artifacts most likely will be present on the ECG due to this condition? |
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Definition
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Term
| When performing an ECG on a left-leg amputee, where should the CCMA place the lower electrodes? |
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Definition
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|
Term
| Which of teh following would indicate a normal sinus rhythm? |
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Definition
| The PR interal is 0.16 seconds |
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Term
| For an R-R interval of 20 small boxes, what is the heart rate? |
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Definition
| 75/min 20/5=4, 300/4=75/min |
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Term
| A CCMA is performing a ECG on a patient in the fetal position. Which fo the following acttions should the CCMA take? |
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Definition
| Notate the patient's position on the tracing. |
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Term
| A physician asks you to set up a Holter monitor for a patient. If you are unsure how to do this, you could find information in: |
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Definition
| Printed materials from the manufacturer |
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Term
| A greasy layer of lotion on a patient's skin might prevent an accurate EKG reading, resulting in: |
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Definition
| A broken recording, because the electrodes are not in contact with skin. |
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Term
| When performing a stress test, which of the following is NOT a reason to discontinue testing? |
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Definition
| Blood pressure outside a normal range |
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Term
| A typical EKG pater will run at which of the following rates? |
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Definition
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|
Term
| What step of the conduction system within the heart comes immediately before the Purkinje fibers and is located in the inter ventricular septum? |
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Definition
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Term
| A CCMA is applying a telemetry pack for an ECG. Which of the following is the appropriate area for lead placement? |
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Definition
|
|
Term
| The His-Purkinje system is located in the: |
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Definition
|
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Term
| The start fo teh His-Purkinje system is located in the: |
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Definition
| Junction of the atria and ventricles |
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Term
| Which of the following is true of Holter monitoring? |
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Definition
| Patients should keep a log of activities |
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Term
| A patient with fragile skin requires electrode placement. How can you improve the practice to adapt to his skin's fragility? |
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Definition
| Check the skin for turgor and avoid areas with visible irritation. |
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Term
| The P-R interval begins at the start of the : ________ and ends a the start of the: ____________ |
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Definition
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Term
| What type of physician is likely to treat diseases of the lung? |
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Definition
|
|
Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
| Interruption of the normal conducting pathways of the heart. |
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Term
|
Definition
| Sheath that envelops the heart and provides lubrication for the hearth to contract and expand without excessive rubbing. |
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Term
|
Definition
| The area beneath the arm pit extending down the side of the body. |
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Term
|
Definition
| Bone in the center of rib cage. |
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Term
|
Definition
| Bones extending from sternum to shoulder blade. |
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Term
|
Definition
|
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Term
|
Definition
| Lowest part of the sternum. |
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Term
|
Definition
| Chest pain due to complications in the heart. |
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Term
| Precordial Leads-Unipolar |
|
Definition
V1: 4th IC space right of sternum
V2: 4th IC space left of sternum
V3: halfway between V2 adn V4
V4: 5th IC space midclavicular line
V5: same level as V4, in anterior axillary line
V6: same level as V4 in midaxillary line |
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Term
|
Definition
| 4th ICS right sternal border |
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Term
|
Definition
| 4th ICS left sternal border |
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|
Term
|
Definition
|
|
Term
|
Definition
| 5th ICS @ mid-clavicular line |
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|
Term
|
Definition
| 5th ICS @ anterior axillary line (straight line) |
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|
Term
|
Definition
| 5th ICS @ mid-axillary line in straight line from V4 |
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Term
|
Definition
| 3 augmented limb leads- aVR, aVL, aVF |
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|
Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
|
|
Term
|
Definition
| The heart cannont contract again. Too much Na+ in the cell. Atrial fibrillation & flutter may show rapidity in the electrical waves recorded on the ECG. |
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|
Term
|
Definition
| 3 standard limb leads I, II, III |
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| An imaginary equilateral triangle having the heart at its center and formed by lines that represent the three standard limb leads of the electrocardiogram. I, II, III |
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|
Term
| ECG strip is a continuous graph of: |
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Definition
|
|
Term
| One Small Box (ECG Strip0 |
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Definition
|
|
Term
| One Big Box (Five Small Boxes) |
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Definition
| 0.04 second x 5 0.2 second- Estimate the HR by dividing: 300 divided by the number of big boxes. |
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|
Term
|
Definition
| Representing the depolarization and depolarization of the myocardium with respect to time. Tells us how the electricity of the heart. Electrical movement. Voltage over time. |
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|
Term
|
Definition
| Problem in the heart itself. Axis deviated. MI |
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|
Term
|
Definition
| Operator error. Lead reversal |
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|
Term
|
Definition
| All ECGs should be run at a speed of 25/mm sec. Other setting include 10mm/sec & 50mm/sec |
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|
Term
| Electrical Calibration Standard |
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Definition
| Standard amplitude of voltage is 10mm/1mV. Other settings include 5mm/m |
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|
Term
| Describe the electrical activity in the heart during flatline |
|
Definition
|
|
Term
|
Definition
|
|
Term
| A-fib exhibits which type of rhythm? |
|
Definition
|
|
Term
| Which of the following is true of holter monitoring? |
|
Definition
| Patients should keep a log of activities |
|
|
Term
|
Definition
| Release of potential across the cell membrane, contraction, ions move in, FAST |
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|
Term
|
Definition
| Reestablishment of the membrane potentional, relaxation, ions pump out, SLOW |
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Positive P, QRS and T waves |
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|
Term
|
Definition
| Negative P, QRS and T waves |
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|
Term
|
Definition
| flat portion of the base signal between waves. Represents a lack of electrical activity. |
|
|
Term
| How many electrodes are placed for a 12 lead ECG? |
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Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Isoelectric Line/ Base Line |
|
Definition
| flat portion of the baseline signal between waves; no electrical activity |
|
|
Term
| What tracing needs drugs to restart the heart? |
|
Definition
|
|
Term
| What tracing needs paddles on patient to help heart? |
|
Definition
| Ventricular Tachycardia and Ventricular Fibrillation |
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|
Term
|
Definition
|
|
Term
| Normal Sinus Rhythm HR P wave-PR interval- QRS- Rhythm |
|
Definition
HR 60-100
P-Wave- Before QRS
PR Interval- .12-.20
QRS- <0.12
Rhythm- regular |
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|
Term
| Sinus Tachycardia HR P Wave PR Interval QRS Rhythm |
|
Definition
HR>100
P Wave- Before QRS
PR Interval- .12-.20
QRS- <0.12
Rhythm- Regular |
|
|
Term
| Sinus Bradycardia HR P wave PR Interval QRS Rhythm |
|
Definition
HR<60
P Wave- Before QRS
PR Interval- .12-.20
QRS- <0.12
Rhythm- Regular |
|
|
Term
Sinus Arrhythmia (palipaltation)
HR
P Wave
PR Interval
QRS
Rhythm |
|
Definition
HR 60-100
P Wave- Before QRS
PR Interval- .12-.20
QRS- <0.12
Rhythm- Irregular |
|
|
Term
Sinus Arrest/Pause
HR
P Wave
PR interval
QRS
Rhythm |
|
Definition
HR N/A
P Wave- Before QRS- P to P Disturbed
PR Interval- .12-.20
QRS- <0.12
Rhythm- irregular |
|
|
Term
Premature Atrial Contractions (PAC)
HR
P Wave
PR interval
QRS
Rhythm |
|
Definition
HR N/A
P wave- Premature and abnormal or absent
PR Interval- <.20
QRS- <0.12
Rhythm- Irregular
Contration in Atria was set off but not by SA Node |
|
|
Term
Super ventricular Tachycardia (ATRIA)
HR
P Wave
PR Interval
QRS
Rhythm |
|
Definition
HR 140-250
P wave- Abnormal
PR Interval- <.20
QRS- <0.12
Rhythm- Regular |
|
|
Term
Atrial Flutter
HR
P wave
PR interval
QRS
Rhythm |
|
Definition
HR 220-430
P wave- Saw-Toothed
PR Interval-N/A
QRS- <0.12
Rhythm- Regular or variable |
|
|
Term
|
Definition
|
|
Term
Ventricular Asystole
HR
P wave
PR interval
QRS
Rhythm |
|
Definition
HR None
P wave- None
PR Interval- None
QRS- None
Rhythm- None |
|
|
Term
Atrial Fibrillation
HR
P wave
PR Interval
QRS
Rhythm |
|
Definition
HR- 350-650
P wave- Fibrillary
PR interval- N/A
QRS- <0.12
Rhythm- Irregular
Walls of Atria are Quivering |
|
|
Term
First Degree AV Block
HR
P wave
PR interval
QRS
Rhythm |
|
Definition
HR N/A
P wave- before QRS
PR interval- >.20
QRS- <0.12
Rhythm- Regular
PR segment- Larger than 1 block |
|
|
Term
Second Degree Moritz Type 1 (AV Block)
HR
P wave
PR interval
QRS
Rhythm |
|
Definition
HR N/A
P wave- Conduction intermittent
PR interval- Increasingly prolonged
QRS- <0.12
QRS dropped in repeating pattern |
|
|
Term
Second Degree Mobitz Type II (AV Block)
HR
P wave-
PR interval-
QRS-
Rhythm- |
|
Definition
HR- N/A
P Wave- Conduction intermittent
PR interval- constant when conducted
QRS-<0.12
QRS Dropped in unpredictable pattern |
|
|
Term
Premature Ventricular Complex (Wide Comple) (PVC)
HR
P wave
PR interval
QRS
Rhythm |
|
Definition
HR varies
P wave- no P wave before PVC
PR interval- N/A
QRS- >.14
Rhythm- N/A |
|
|
Term
Ventricular Tachycardia
HR
P wave
PR interval
QRS
Rhythm |
|
Definition
HR >100
P wave- absent/not related
PR interval- N/A
QRS- <0.12
Rhythm- Regular |
|
|
Term
|
Definition
HR 300-600
P wave- absent
PR interval- N/A
QRS- Fibrillatory
Rhythm- irregular |
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|
