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46 Cards in this Set

  • Front
  • Back
What does NSR stand for
Normal sinus rhythm
What is the rate of normal sinus rhythm
60-100 beats per minute
What is the P wave look like an HQ lead normal sinus rhythm
All upright
In a MCL one how are P waves displayed in a normal sinus rhythm
Biphasic
In a normal sinus rhythm what is the upper limits of the PR interval
.2 seconds
What are the upper limits for the QRS complex in normal sinus rhythm
.1 seconds
How is it T-wave in normal sinus rhythm
Upright
How is the ST segment described in a normal sinus rhythm
Flat
What is the upper limits of the QT variable
.42
What is the formula if the heart is greater than 60 for the QT interval for normal sinus rhythm
QTc=qt/sqrtr-r
What arrhythmia has an irregular regular rhythm
Sinus arrhythmia
What determines a sinus arrhythmia
The phases of respiration
What are the symptoms of sinus arrhythmia
Asymptomatic
What two medications may cause a sinus arrhythmia
Digoxin and morphine
Changes and sinus arrhythmia are due to changes in--------pressure
Intrathoracic pressure
In sinus arrhythmia if someone has more intrathoracic pressure what will happen to the amount of blood in the heart
It decreases
Who is sinus arrhythmia most common seen in
Children
In sinus bradycardia all symptoms of the EKG appear normal except for the-----
Heart rate which is less than 60 beats for minute
Name five drugs that may cause sinus Brady cardia
Digoxin, inderal, demoral, morphine, ca channel blockers
What two physiological responses will result in sinus bradycardia
Responses to Sleep and light
What to myocardial infarctions may result in sinus bradycardia
Inferior. Myocardial infraction or right ventricular MI
What condition of the thyroid may result in sinus bradycardia
Hypothyroidism
What disorders involving increases of pressure cause sinus bradycardia
Glaucoma and increased intracranial pressure
Why will an inferior myocardial infarction cause sinus bradycardia
Inferior sinuses of the heart are supplied by the right coronary artery blockages of inferior myocardial infarction's will ultimately result in less blood supply to the areas supplying blood to the sinus node
A patient is just gone through heart surgery is most likely to have what type of arrhythmia
Sinus bradycardia
Hypothermia will cause what type of arrhythmia
Sinus bradycardia
Name a treatment of bradycardia that involves a pharmacological component
The drug of choice for bradycardia is atropine 0.5 to 1 mg IV push
How does atropine affect heart rate
Atropine is a cholenergic blocker which works against the parasympathetic system in other words it blocks the brakes
Name some symptoms that may occur with. Sinus bradycardia
Hypertension
Diaphoresis
Confusion
Loss of consciousness
Chest pain
PVCs
What is a nursing consideration for someone has sinus bradycardia
Avoid anything that will increase vagal tone such as the valsava menuever or drugs
What part of surgical experience will result in sinus bradycardia
Anesthesia
What is a long-term treatment of sinus bradycardia
Pacemaker
What is a temporary nonpharmacologic treatment that nurses may perform in order to counteract the symptoms of sinus bradycardia
Raise the legs to increase venous return to the heart
What part of surgical experience will result in sinus bradycardia
Anesthesia
What is a long-term treatment of sinus bradycardia
Pacemaker
What is a temporary nonpharmacologic treatment that nurses may perform in order to counteract the symptoms of sinus bradycardia
Raise the legs to increase venous return to the heart
What to myocardial infarctions may result in sinus bradycardia
Inferior. Myocardial infraction or right ventricular MI
What condition of the thyroid may result in sinus bradycardia
Hypothyroidism
What disorders involving increases of pressure cause sinus bradycardia
Glaucoma and increased intracranial pressure
Why will an inferior myocardial infarction cause sinus bradycardia
Inferior sinuses of the heart are supplied by the right coronary artery blockages of inferior myocardial infarction's will ultimately result in less blood supply to the areas supplying blood to the sinus node
A patient is just gone through heart surgery is most likely to have what type of arrhythmia
Sinus bradycardia
Hypothermia will cause what type of arrhythmia
Sinus bradycardia
Name a treatment of bradycardia that involves a pharmacological component
The drug of choice for bradycardia is atropine 0.5 to 1 mg IV push
How does atropine affect heart rate
Atropine is a cholenergic blocker which works against the parasympathetic system in other words it blocks the brakes
Name some symptoms that may occur with. Sinus bradycardia
Hypertension
Diaphoresis
Confusion
Loss of consciousness
Chest pain
PVCs
What is a nursing consideration for someone has sinus bradycardia
Avoid anything that will increase vagal tone such as the valsava menuever or drugs