Shared Flashcard Set

Details

VC college - EKG Review
Basic EKG overview for ACLS and beyond
20
Medical
Not Applicable
12/12/2011

Additional Medical Flashcards

 


 

Cards

Term
1st step to look for
Definition
Electrical Rate:
Normal 60-100 Tach- >100 Brady <60
Term
2nd thing to look for
Definition
Rhythm
Occasionally irregular? Only one or two intervals irregular
Regularly irregular? Patterned irregularity
Irregularly irregular- No relationship between intervals
Term
3rd thing to look for
Definition
P waves
Are there any? One p for each QRS? All look a like?
Regular? Upright or inverted?
Term
4th thing to look for
Definition
P-R interval .12-20 3-5 small boxes
Term
5th thing to look for
Definition
QRS complex
All look alike? <.12 (3 Boxes) or <0.12
Term
6th thing to look for
Definition
Patient Assesment
ALOC? hypotension-skin signs, BP
Ches pain or shortness of Breath?
Term
Regular Rhythm with normal P waves, PR interval and QRS means?
Definition
Sinus- just determine the rate
Term
No P waves, (not just unable to read cause there to fast) can mean which two types of rhythms?
Definition
Either Junctional/nodal or Ventricular

(dont forget this can include premature junctional or ventricular) PJC's and PVC's
Term
If there is no P wave, and a narrow QRS, than it is a?
Definition
Junctional Rhythm- just determine the rate

Escape Junctional- 40-60 Accelerated Junctional: 60-100
Junctional Tachycardia- >100
Term
If there is no P wave, and wide QRS than it is a?

More important almost all wide QRS?
Definition
Ventricular--- Idioventricular <40
Accelerated ventricular 40-60
V-Tachycardaia - >100
Term
Saw tooth P Wave?
Definition
Atrial Flutter
Term
> than 150 with no P waves? what if there are P waves?
Definition
Supra Ventricular Tachycardia-

If distinguishable P waves, than sinus Tachycardia
Term
If P-R interval is wide than look for?
Definition
First degree Block
Term
If you see a premature complex, what different kinds and what differentiates them?
Definition
PAC-Has P waves, but R come premature
PJC- No P waves but narrow QRS
PVC-No P waves but wide QRS

PVC has
Term
No P waves can only be basicly which 2 types
Definition
Junctional (narrow QRS)

or Ventricular (Wide QRS)
Term
Junctional Rates?
Definition
Escape Junctional- 40-60
Accelerated Junctional 60-100
Junctional Tachycardia >100
Term
All over the place, crazy mess?
Definition
Ventricular Fibrillation or torsades if it is multifocal, (up down around)
Term
Break down of measuring the strip by counting the 300 way?
Definition
300, 150,100,(down by 6 each so94,88,82) 75, down X3 so (71,68,65,62) ,60,50
Term
If you think it might be a block...what things can you look at to help determine which kind?
Definition
Wide P-R (>5boxes) 1degree
P-R longer longer longer drops 2nd mobitz type 1
Extra P to QRS mobitz type 2 and finally ** P-R irregular-3rd
Term
If premature complex think, Wide QRS? if so then it is? in not than is there a p wave? if so then its a? if not then its a?
Definition
Wide QRS?.....PVC - if not wide than has to be PAC or PJC
P wave? If so than its PAC cant be PJC (PJC-no P wave)
No P wave but narrow? PJC
Supporting users have an ad free experience!