Shared Flashcard Set

Details

EKG jourdan
EKG
61
Medical
Professional
05/05/2010

Additional Medical Flashcards

 


 

Cards

Term
what the 6 step process in 12-lead?
Definition
general impression-calibration-rhythm interpration-QRS COmplex-Hypertrophy-Ischemia infarction
Term
Whats standard print speed?
Definition
25mm/sec
Term
What do you look for in the QRS assessment?
Definition
axis, R-wave Progression, BBB/FB
Term
What do you look for in hypertrophy assesment?
Definition
Atrial and ventricular
Term
What do you look for in ischemia and infarction?
Definition
ST depression/elevation, pathological Q-waves
Term
purpose of the left bundle branch?
a.perfuse the septum
b.depolarize the septum
c.bifurcate
d.depolarize the left ventricle
Definition
C. bifurcate
Term
Where do the anterior and posterior fasicles originate?
a.bundle of kent
b.bifurcation of RBB
c.His bundle
d.bifurcation of the LBB
Definition
D. Bifurcation of the LBBB
Term
What kind of intraventricular block does the following criteria describe?
q1,r3
lead 1-positive
lead 2-negative
lead 3-negative
lead AVF- negative
Definition
LAFB
Term
How is normal septal depolariztion seen on the 12-lead?
a.large profound Q wave in any lead
b.Upright q wave in inferior leads
c.very small q wave in the lateral leads
d.normal septal depolariztion is not seen on the 12 lead.
Definition
C. very small q wave in inferior leads
Term
How is normal septal depolariztion seen on the 12-lead? a.large profound Q wave in any lead b.Upright q wave in inferior leads c.very small q wave in the lateral leads d.normal septal depolariztion is not seen on the 12 lead.
Definition
C. very small q wave in lateral leads
Term
There needs to be an absence of RVH, COPD, and ALWMI in which block?
Definition
LPFB
Term
Normal septal depolariztion in the ventricles travels from ___to___.
Definition
Left, right
Term
Which of the following criteria is not part of the RBB?
a.M rabbit ears QRS complex in anterior leads

b.slurred or prolonged S wave in lead 1 and v6

c.flattened T wave

d.rsR or rR in v1 or v2?
Definition
A. M or rabbit ears QRS complex in the ANTERIOR leads
Term
what is commonly associated with the RBBB?
Definition
LAFB
Term
what kind of block has this criteria?
-r1,q3
lead 1 -
lead 3 -
lead avF +
Definition
LPFB
Term
enlargement of overgrowth of an organ or body part due to an increase in work load of a muscle defines what?
Definition
hypertrophy
Term
LAE is commonly reffered to as?
Definition
P-mitrale
Term
RAE is commonly reffered to as?
Definition
P-Pulmonale
Term
If V5 has about 45mm positive deflection what is most likely going on with the patients heart?
Definition
LVH
Term
In RAE the P-wave "teepee" has to be how tall?
Definition
2.5mm
Term
Whats the criteria for RVH?
Definition

R:S ratio >1mm in the septal leads

strain pattern

RAD

RAE

Term
In RVH the R-wave has to be_____ than the S-wave.
Definition
Taller
Term
What criteria is exclusionary when looking for RVH?
Definition
RBBB
Term
What leads do you look at to identify RVH?
Definition
v1.v2
Term
Where is lead V3 placed on the patients chest?
Definition
Midway between V2 and V4
Term
What leads do you look at to look at the inferior view of the heart?
Definition
2,3,aVF
Term
Where is precordial lead V4 placed on the patients chest?
Definition
Left midclavicular 5th intercostalspace
Term
To acquire lead 3 how are the electrodes placed?
Definition
LF +
LA -
RA ground
Term
To acquire lead 2 how are the leads suppose to be placed?
Definition
LF +
RA -
LF ground
Term
what leads to you look at to assess the left lateral side of the heart wall?
Definition
Lead 1,AVL,v5,v6
Term
where is the precordial lead v6 placed on the patients chest?
Definition
left midaxillary line at the same level as V4
Term
Leads that are labeled as avr,avl, and avf are considered to be what kind of leads?
Definition
unipolar
Term
what leads do you look at to assess the interventricular septum?
Definition
v1.v2
Term
what kind of axis deviation is it when lead 1 points up and avF points down?
Definition
Left axis deviatino
Term
RVH could cause what kind of axis devation?
Definition
Right
Term
on the hexaxial plane RAD is considered to be from___to___.
Definition
+90 to +=180
Term
A mechanical shift caused by obese or pregnant patients would cause what kind of axis deviation?
Definition
Left
Term
What would you axis be if you had a net vector of +7 in lead 1 and -5 in lead AVF?
Definition
Left
Term
Whats the definition of the term "axis"?
Definition
the average of all the directions to give you one main direction
Term
Which of the following does not follow the average electrical flow of the heart?
a.angled right
b.anteriorly
c.angled left
d.down
Definition
a.angled right
Term
on the hexaxial plane, a left axis deviation is considered to be from____to____.
Definition
0,-90
Term
The point of maximal impulse where the heartbeat can be heard or felt the best is called what?
Definition
Point of Maximal Impulse
Term
What Signs or symptoms could result when the patient is experiencing a lowered brain perfusion of oxygen?
Definition
Restlessness or anxiety (Secondary to Jourdan forgetting to take his Benzo's
Term
When asking a patient with cardiovascular complaints "What makes the symptoms better?" what part of the OPQRST questioning are you asking?
A.Provocation
B.Palliation
Definition
B.Palliation
Term
How can discomfort from cardiac events manifest itself?
a.neck,jaw pain
b.shoulder pain
c.chest,arm pain
d.not at all
e.any of these
Definition
E.any of these
Biatch!!!
Term
Closure of the AV valves during ventricular systole creates which heart tone?
Definition
S1
Term
When assessing how bad the pain is what part of the OPQRST is it?
Definition
Severity
Term
The term diaphoretic means what?
Definition
Profuse sweating
Term
The point of maximal impulse is best heard where on the chest cavity?
Definition
5th intercostal space midclavicular line
Term
The point of maximal impulse is best heard where on the chest cavity?
Definition
5th intercostal space midclavicular line
Term
The "wooshing" sound heard in the carotid artery with a stethoscope describes what?
Definition
A bruit
Term
Sudden cardiac death is most likely to occur within how much time from the onset of symptoms?
Definition
4 hours?
Term
What is the treatment that uses high velocity saline to break apart an unorganized or unstable clot?
Definition
Angiojet Thrombectomy
Term
Aspirin-Immediate or in the intial assessment?
Definition
Immidiate
Term
12-lead EKG-Immediate or in the intial assessment?
Definition
Initial
Term
IV access-Immediate or in the intial assessment?
Definition
Initial
Term
Nitro-Immediate or in the intial assessment?
Definition
Immediate
Term
Vital Signs--Immediate or in the intial assessment?
Definition
intial assessment
Term
Fibrinolytic Checklist--Immediate or in the intial assessment?
Definition
initial
Term
O2 4L/nc
Definition
immediate
Term
Brief Targeted history-Immediate or in the intial assessment?
Definition
Initial assessment
Supporting users have an ad free experience!