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46 Cards in this Set
- Front
- Back
What does NSR stand for
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Normal sinus rhythm
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What is the rate of normal sinus rhythm
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60-100 beats per minute
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What is the P wave look like an HQ lead normal sinus rhythm
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All upright
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In a MCL one how are P waves displayed in a normal sinus rhythm
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Biphasic
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In a normal sinus rhythm what is the upper limits of the PR interval
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.2 seconds
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What are the upper limits for the QRS complex in normal sinus rhythm
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.1 seconds
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How is it T-wave in normal sinus rhythm
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Upright
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How is the ST segment described in a normal sinus rhythm
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Flat
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What is the upper limits of the QT variable
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.42
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What is the formula if the heart is greater than 60 for the QT interval for normal sinus rhythm
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QTc=qt/sqrtr-r
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What arrhythmia has an irregular regular rhythm
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Sinus arrhythmia
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What determines a sinus arrhythmia
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The phases of respiration
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What are the symptoms of sinus arrhythmia
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Asymptomatic
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What two medications may cause a sinus arrhythmia
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Digoxin and morphine
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Changes and sinus arrhythmia are due to changes in--------pressure
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Intrathoracic pressure
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In sinus arrhythmia if someone has more intrathoracic pressure what will happen to the amount of blood in the heart
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It decreases
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Who is sinus arrhythmia most common seen in
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Children
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In sinus bradycardia all symptoms of the EKG appear normal except for the-----
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Heart rate which is less than 60 beats for minute
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Name five drugs that may cause sinus Brady cardia
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Digoxin, inderal, demoral, morphine, ca channel blockers
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What two physiological responses will result in sinus bradycardia
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Responses to Sleep and light
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What to myocardial infarctions may result in sinus bradycardia
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Inferior. Myocardial infraction or right ventricular MI
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What condition of the thyroid may result in sinus bradycardia
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Hypothyroidism
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What disorders involving increases of pressure cause sinus bradycardia
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Glaucoma and increased intracranial pressure
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Why will an inferior myocardial infarction cause sinus bradycardia
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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
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A patient is just gone through heart surgery is most likely to have what type of arrhythmia
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Sinus bradycardia
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Hypothermia will cause what type of arrhythmia
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Sinus bradycardia
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Name a treatment of bradycardia that involves a pharmacological component
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The drug of choice for bradycardia is atropine 0.5 to 1 mg IV push
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How does atropine affect heart rate
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Atropine is a cholenergic blocker which works against the parasympathetic system in other words it blocks the brakes
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Name some symptoms that may occur with. Sinus bradycardia
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Hypertension
Diaphoresis Confusion Loss of consciousness Chest pain PVCs |
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What is a nursing consideration for someone has sinus bradycardia
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Avoid anything that will increase vagal tone such as the valsava menuever or drugs
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What part of surgical experience will result in sinus bradycardia
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Anesthesia
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What is a long-term treatment of sinus bradycardia
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Pacemaker
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What is a temporary nonpharmacologic treatment that nurses may perform in order to counteract the symptoms of sinus bradycardia
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Raise the legs to increase venous return to the heart
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What part of surgical experience will result in sinus bradycardia
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Anesthesia
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What is a long-term treatment of sinus bradycardia
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Pacemaker
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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
|