Term
| How do you count down the rate on EKG |
|
Definition
| 300, 150, 100, 75, 60, 50 |
|
|
Term
| If the heart rate is irregular how do you estimate rate on EKG |
|
Definition
| count cycles on whole strip and x by 10 |
|
|
Term
| how much time is one small box |
|
Definition
|
|
Term
| how much time is 1 large box |
|
Definition
|
|
Term
| how many boxes is 1 second |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
primary: prolonged PR
secondary 1: progressively prolonging PR followed by dropped beat
secondary 2: some p waves dont make QRS (dropped beats occassionally)
tertiary: no association twix P waves and QRS |
|
|
Term
|
Definition
| irreg ryhtm (usually with respirations and normal). all the P waves look the same |
|
|
Term
|
Definition
| irreg rythm with change in P wave shape as the location changes. |
|
|
Term
| rate in wandering pacemaker |
|
Definition
|
|
Term
| what looks like a wandering pacemaker but with a higher rate |
|
Definition
| multifocal atrial trachycardia. |
|
|
Term
| speed of the different escape ryhtms |
|
Definition
atrial: 60-80
junctional: 40-60
ventricular: 20-40 (will have a wider QRS) |
|
|
Term
|
Definition
| when the SA node doesnt fire and a new focus gives a rescue beat before SA resumes |
|
|
Term
| What is the qrs is wide in an escape beat? |
|
Definition
| the beat is coming from the ventricle |
|
|
Term
| what are the premature beats? |
|
Definition
1. PAC
2. premature junctional beat
3. PVC |
|
|
Term
|
Definition
abnormal p wave shape compared to the other P waves
may or may not have a QRS |
|
|
Term
|
Definition
abnormal QRS interval
weird, wide QRS
bigeminy, trigeminy, quadrigeminy |
|
|
Term
| paroxsysmal atrial tachycardia |
|
Definition
| irritable atrial focus at 150-250 bpm |
|
|
Term
|
Definition
look at the QRS in V1 or V2
has an R and R' |
|
|
Term
|
Definition
look at QRS in V5 or V6
has R and R' |
|
|
Term
| What leads do you look at to determine axis? |
|
Definition
|
|
Term
| When can you NOT comment on atrial hypertrophy |
|
Definition
| if there is a flut or a fib |
|
|
Term
| What lead do we look at for atrial hypertrophy |
|
Definition
|
|
Term
| How do we determine atrial hypertrophy? |
|
Definition
R: large diphasic P wave with tall initial component in V1
L: large diphasic P wave with tall terminal component in V1 |
|
|
Term
| What does RVH look like on EKG |
|
Definition
1. R>S in V1
2. The R gets smaller as you move from V1 to V6
3. S wave persists in V5 and V6
4. R axis deviation |
|
|
Term
| What does LVH look like on EKG |
|
Definition
S in V1 + R in V5 > 35mm
also get left axis deviation
also get inverted T waves with rapid upstroke |
|
|
Term
|
Definition
1. Q waves
2. Inverted T
3. ST elevation or depression |
|
|
Term
| What does each of the EKG signs of infarct mean? |
|
Definition
q= necrosis
inverted t= ischemia
ST ele= injury |
|
|
Term
| what does it mean to have a "Q wave" |
|
Definition
| q wave greater than 1 small square wide |
|
|
Term
| features of LAD occlusion |
|
Definition
1. Anterior infarct
2. q waves in V1-V4 |
|
|
Term
| features of circumflex occlusion |
|
Definition
|
|
Term
| features of RCA occulsion |
|
Definition
1. RCA can be posterior or inferior
2. V1 and V2 ST depression and large R wave |
|
|
Term
| Features of LCA occlusion |
|
Definition
1. Inferior infarct
2. Qs in II, III, AVF |
|
|
