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45 Cards in this Set

  • Front
  • Back
The ability of the heart to initiate an electrical impulse is called _____________.
Automaticity
The ability of the heart to respond to an electrical impulse is called ________.
excitability
The ability of the heart to transmit an electrical impulse from one cell to another is called ________.
Conductivity
An impulse that originates in the sinoatrial node and that has a slow rate is called a ________ _________.
sinus bradycardia
Electrical stimulation of the heart is called ________. This causes the mechanical stimulation of the heart known as _________.
Depolarization
Systole
Electrical relaxation is called __________.
Repolarization
Mechanical relaxation is called _______.
Depolarization
The __ wave represents atria depolarization.
P
The __ wave represents ventricular muscle repolarization.
T
The __ segment represents early ventricular repolarization.
ST
______ _______ occurs when the sinus node creates an abnormally fast rhythm.
Sinus tachycardia
________ ________ occurs when the sinus node creates an irregular rhythm. The rate usually increases with inspiration and decreases with expiration.
Sinus Arrhythmia
In _______ _______, there is rapid disorganized and uncoordinated twitching of atrial muscularture. Atrial rate is 300-600 and Ventricular rate is 120-200 resulting in reduced stroke volume, a pulse deficit, and possible emboli formation (stroke).
Atrial fibrilization
In ______ ______ the atrial rate is between 250-400 times per minute and the Ventricular rate is only 75-150. This is due to a therapeutic block at the AV node causing the ventricles not to contract as often.
Atrial flutter
______ degree heart block occurs when all atrial impulses are conducted through the AV node into the ventricles at a slower than normal rate.
First degree heart block
___________________ occurs when all but one of the atrial impulses are conducted through the AV node into the ventricles.
Second degree AV heart block, Type 1
______________________ occurs when only some of the atrial impulses are conducted through the AV node into the ventricles.
Second degree AV heart block, Type II. (Mobitz)
_______ _________ is a rapid but disorganized ventricle rhythm that causes ineffective quivering of the ventricles. There is no atrial activity seen on the ECG.
Ventricular fibrillation
________ is characterized by an absent QRS complex; although P waves may be present for a short time. There is no heartrate, no respirations, and no pulse.
Asystole
Dopamine increases renal perfusion at the low dose of __-__ mcg/kg/min.
1-2
Dopamine increases contractility and CO at _______ doses of __ ___ mcg/kg/min.
moderate
5-10
________ is a vasoconstrictor that has both alpha and beta effects. It increases contractility, CO, and Blood pressure. It also causes bronchial smooth musle dilation and treats anaphylactic shock. __ mg is given IV push every 3-5 minutes.
Epinephrine
1
Vasopressin is a potent _______. You must be cautious because it may decrease __ perfusion.
Vasoconstrictor
GI
_______ decrease preload and afterload by decreasing venous return.
Vasodilators
Dobutamine and Primacor are examples of ________.
Inotropes.
_____ is an inotrope that is more effective in increasing Right ventricle contractility and pulmonary artery vasodilation
Primacor
_________ is an antiarrhythmic used to influence heart rate during A-fib, A-flutter, PVCs, VT/VFib.
Amiodarone
Calcium Channel Blockers and Beta Blockers ________ the heart rate.
decrease
________ is used to slow the conduction through the AV node to restore normal rhythms. It is the first drug of choice during SVTs. It's dose is ___ mg rapid IV push.
Adenosine
6mg
_______ is used to treat symptomatic bradycardias, asystole, or pulseless electrical activity at __ mg q 3-5minutes IV push. It can be given a max of __ times.
Atropine
1
3
Normal SVR is _____-_______, and it measures how constricted or dilated the ______ is (afterload)
800-1200
aorta
PVR or _________ Vascular Resistance tells how dilated or constricted the pulmonary artery is.
Pulmonary
A _______ _______ ________ takes over the pumping of the Left Ventricle. This increases ________.
Ventricular Assist Device
Contractility
Rhythms such as Afib and Junction Rhythm do not allow the _____ _____ component of CO.
Atrial Kick
____ measures preload on the Swan Ganz Cathetar from the Right Atrium. The normal value is __-__. ___ indicates hypovolemia and ___ indicates hypervolemia
CVP
2-12
2
12
__ __ is determined by the temperature reading on the Swans Ganz Cathetar.
Cardiac Output.
The ______ reading on the Swans Ganz Cathetar comes from the Pulmonary Artery and tells how much oxygen is being extracted by the tissues. The normal value is ___. If it is less, the tissues are using too much.
SVO2
70
The Phlebostatic Axis is placed on the __________ line.
midaxillary
A pulse occurs as a result of ____ ______ contraction.
Left.
An elevated ST segment indicates an ________. A depressed ST segment indicates ________.
MI
ischemia
A normal PR interval is ___-___ if a second. It is an indicator of ____ nodal function.
0.12-0.20
AV
To get heart rate, count the QRS's in six seconds and multiply by ___.
10
The QRS should be no longer than ____ of a second.
.10
During ______, there are wide bizarre QRS waves
Vtac
During ______ Heart Block, no atrial impulses can conduct through the AV node to cause Ventricular depolarization.
Third degree or Complete heart block.