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Oct. 27 Lecture EKG rhythm strips
part 1
28
Nursing
Graduate
10/28/2014

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Term
WHAT ARE THE 2 FORMULAS FOR CO?
Definition
CO= SV*HR. OR THROUGH OHM'S LAW Q= DELTA P/ R
Term
IF A PATIENT EJECTS 90% OF BLOOD PER MINUTE HOW DO YOU CALCULATE THE CO?
Definition
FIRST CALCULATE THE BLOOD VOLUME, MULTIPLY BY 0.9 AND YOU'VE GOT CARDIAC OUTPUT.
Term
WHAT IS THE NML EF?
Definition
65-70%
Term
WHAT IS THE EQUATION FOR EF?
Definition
SV/LVEDV. IT'S A RATIO OF HOW MUCH WE ARE EJECTING AND HOW MUCH WE HAVE FILLED.
Term
DESCRTIBE THE 300 METHOD.
Definition
THE METHOD FOR CALCULATED HR. ALL YOU DO IS FINE AN R WAVE AND COUNT HOW MANY DARK LINES ARE BETWEEN THEM. <1 HR>300 1 DARK LINE 300, 2=150, 3=100, 4=75, 5=60, 6=50
Term
WHAT ARE THE CHARACTERISTICS OF NSR?
Definition
NML RATE, NML RHYTHM, NML P WAVES, EVERY P WAVE HAS A QRS COMPLEX.
Term
WHERE DOES SINUS COME FROM?
Definition
SA NODE
Term
WHAT IS THE ONLY THING THAT CHANGES WITH SA?
Definition
DISTANCE BETWEEN SUCCESSIVE R WAVES
Term
WHAT CAUSES SA?
Definition
CHANGES IN INTRAPLEURAL PRESSURE AND IN VENTRICULAR FILLING.
Term
WHAT HAPPENS AS YOU TAKE A DEEP NEGTIAVE BREATH?
Definition
INTRAPLEURAL PRESSURE DECREASES, THAT INCREASES THE VENOUS RETURN TO THE RIGHT SIDE OF THE HEAT AND INCREASE VOLUME MEANS THAT I HAVE TO HAVE AN INCREASED RATE TO KEEP UP.
Term
WHAT HAPPENS WITH YOU HAVE A POSITIVE BREATH?
Definition
INTRAPLEURAL PRESSURE IS GOING TO INCREASE, VASCULAR RESISTANCE IN THORACIC CAVITY INCREASES, THEREFORE THE VENOUS RETURN IS GOING TO DECREASE.
Term
WHAT DOES THE VAGUS RESPOND TO R/T SA?
Definition
VENTRICULAR STRETCH
Term
PROLONGED INHALATION __ HR AND DURING PROLONGED EXHALATIONS HR ___.
Definition
INCREASES, DECREASES
Term
WHERE IS THE PM WITH AN IDIOVENTRICULAR RHYTHM?
Definition
ECTOPIC VENTRICULAR PM SOMEWHERE NEAR ONE OF THE BUNDLE BRANCHES
Term
WHAT WOULD AN ECTOPIC VENTRICULAR PM SOMEWHERE IN THE LATERAL FREE WALLS OF THE LEFT AND RIGHT VENTRICLE LOOK LIKE?
Definition
WIDER AND ROUNDED.
Term
DESCRIBE THE APPEARANCE OF AN IDIOVENTRICULAR RHYTHM.
Definition
RR PRIME OR A NOTCHED QRS COMPLEX.
Term
WHERE ARE THE P WAVES WITH AN IDIOVENTRICULAR RHYTHM?
Definition
HIDDEN IN MY QRS COMPLEX R/T RETROGRADE PROGRESSION OF THE WAVE OF DEPOLARIZATION.
Term
WILL YOU SEE T WAVES IN IDIOVENTRICULAR RHYTHM?
Definition
YOU MAY OR MAY NOT SEE INVERTED T WAVES
Term
DESCRIBE HOW V-TACH HAPPENS.
Definition
SLOWED CONDUCTION IN MARGIN OF ISCHEMIC AREA PERMITS CIRCULAR COURSE OF IMPULSE AND REENTRY WITH RAPID REPETITIVE DEPOLARIZATION.
Term
HOW CAN YOU DISTINGUISH A NON-SINUS ATRIAL RHYTHM?
Definition
INVERTED P WAVES ON LEAD II,III, AND AVF.
Term
WITH NON-SINUS ATRIAL RHYTHM DESCRIBE THE WAVE OF ATRIAL DEPOLARIZATION.
Definition
IT IS MOVING TOWARDS THE NEGATIVE ELECTRODES.
Term
WHERE IS THE PM AT FOR NON-SINUS ATRIAL RHYTHM?
Definition
NOT THE SA NODE. ATRIAL ECTOPIC PM.
Term
TYPICALLY, WHAT ARE THE PRI FOR A NON-SINUS ATRIAL RHYTHM? WHY?
Definition
SHORTENED BECAUSE THE ATRIAL ECTOPIC PM IS CLOSER TO THE AV NODE.
Term
FOR A NON-SINUS ATRIAL RHYTHM WHAT WOULD YOU FORMULATE WHEN YOU SEE INVERTED P WAVES IN LEAD I?
Definition
THE WAVE OF DEPOLARIZATION IS GOING FROM LEFT ATRIA TO RIGHT ATRIA.
Term
WHAT IS THE ATRIAL RATE FOR A PAT?
Definition
160-220BPM
Term
DESCRIBE THE P WAVES IN PAT AND WHERE DO THEY COM FROM?
Definition
THEY ARE INVERTED R/T PM IS COMING FROM A DIFFERENT AREA. THE QRS CAN BE REGULAR OR IRREGULAR. THE P WAVES ARE REGULAR AND OFTEN INVERTED.
Term
DESCRIBE THE WAVE OF DEPOLARIZATION WITH A-FLUTTER.
Definition
THE WAVES OF DEPOLARIZATION ARE SPINNING IN CIRCLES. THIS PRODUCES SIGN WAVES.
Term
WHAT IS THE TYPICAL ATRIAL RATE FOR A-FLUTTER?
Definition
220-300BPM
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