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140 Cards in this Set

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  • Back
What is the rhythm for Sinus Rhythm?
Regular
What is the rate for Sinus Rhythm?
60-100 BPM
What do the P-waves look like in Sinus Rhythm?
Upright 1:1
How long is the PRI in Sinus Rhythm?
0.12-0.20 seconds
How long is the QRS in SInus Rhythm?
<0.12 seconds
What is the rhythm for Sinus Brady?
Regular
What is the rate for Sinus Brady?
<60 BPM
What are the causes of sinus brady?
Vagal stim, MI, hypoxia, digitalis, toxicity, athletes
What are the adverse effects of Sinus Bradycardia?
Dizzy, pallor, weakness, syncope, diaphoresis, hypotension
What is the treatment for Sinus Brady?
Atropine, O2, pacemaker, hold-bradycardia inducing drugs
Why do you give atropine to bradycardia patients?
Decreases vagal effect on the heart
What is the rhythm for Sinus Tach?
101-160
What are some causes of Sinus Tach?
Atropine, emotions, pulmonary embolus, MI
What are the adverse effects of Sinus Tach?
Decreased CO
What is the treament for Sinus Tach?
Treat the cause, consider beta-blockers
What is the rhythm for Sinus Arrhythmia?
Irregular
What does the p-wave look like in Sinus Arrhythmia?
Upright, 1:1
What is the rate for Sinus Arrythmia?
Varies
What are the causes of Sinus Arrythmia?
Heart disease, respiratory pattern
What are the adverse effects of Sinus Arrythmia?
none
What is the rhythm for Sinus Arrest?
Regular, but interrupted by a pause
What is the rate for Sinus Arrest?
Occurs at any rate
What do the p-waves look like in Sinus Arrest?
Upright, 1:1
What is the time for the PRI?
0.12-0.20 seconds
What is the time for the QRS?
<0.12 seconds
What are the causes of Sinus Arrest?
Sinus node ischemia, hypoxia digitalis toxicity, medications
What are the adverse effects for Sinus Arrest?
Decreased CO
What is the treatment for Sinus Arrest?
Atropine, O2, hold bradycardia inducing medications
What is the rhythm for Sinus Block?
Regular but interrupted by a pause
What is the rate for Sinus Block?
Occurs at any rate
What are the causes for Sinus Block?
Medications, hypoxia, vagal stimulation
What are the adverse effects for Sinus Block?
Decreased CO
What is the treatment for Sinus Block?
Atropine, hold bradycardia-inducing meds
What is the rhythm for a Wandering Atrial Pacemaker?
Irregular
What is the rate for a Wandering Atrial Pacemaker?
<100
What do the p-waves look like in a Wandering Atrial Pacemaker?
At least 3 different shapes
What is the QRS length in a Wandering Atrial Pacemaker?
<0.12 seconds
What is the cause of Wandering Atrial Pacemaker?
Medications, hypoxia, MI, vagal stimulation
What are the adverse effects of Wandering Atrial Pacemaker?
Usually none
What is the treatment for a Wandering Atrial Pacemaker?
Usually none needed
What is the rhythm for a Premature Atrial Contraction?
Regular, interrupted by a premature beat
What is the rate for a Premature Atrial Contraction?
Occurs at any rate
What do the p-waves look like in a Premature Atrial Contraction?
Shaped differently
What is the PRI length in a Premature Atrial Contraction?
0.12-0.20 seconds
What is the QRS length in a Premature Atrial Contraction?
<0.12 seconds
What are the causes of a Premature Atrial Contraction?
Stimulants (caffeine), hypoxia, heart disease
What are the adverse effects of Premature Atrial Contraction?
Other dysrhythmias, early sign of CHF
What are the treatments for Premature Atrial Contraction?
Digitalis, guinidine, O2, omit stimulants
What is the rhythm for Paroxysmal Atrial Tachycardia?
Regular, interrupts a slower rhythm
What is the rate for Paroxysmal Atrial Tachycardia?
160-250
What do the p-waves look like in Paroxysmal Atrial Tachycardia?
Different from sinus waves
What is the PRI length for Paroxysmal Atrial Tachycardia?
0.12-0.20 seconds
What is the QRS length for Paroxysmal Atrial Tachycardia?
<0.20 seconds
What are some causes for Paroxysmal Atrial Tachycardia?
Stimulants, hypoxia, heart disease
What are some adverse effects for Paroxysmal Atrial Tachycardia?
Decreased CO
What is the treatment for Paroxysmal Atrial Tachycardia?
Digitalis, calcium-channel blockers, beta-blockers, sedation, amiodarone, adenosine, O2
What is the first choice treatment drug for Paroxysmal Atrial Tachycardia?
Adenosine
What is the rhythm for Atrial Flutter?
Regular or Irregular
What is the rate for Atrial Flutter?
Atrial: 250-350
Ventricular: varies
What do the P-waves look like in Atrial Flutter?
None, flutter waves instead (f-waves, __:__)
What is the PRI length for Atrial Flutter?
Not applicable
What is the QRS length for Atrial Flutter?
<0.12 seconds
What are some causes of Atrial Flutter?
Pulmonary emboli, valvular heart disease, lung disease, thyrotoxicosis
What are some adverse effects of Atrial Flutter?
Decreased CO
What is the treatment for Atrial Flutter?
Digitalis, calcium-channel blockers, beta-blockers, adenosine, Cardioversion
What is the rhythm for Atrial Fibrillation?
Irregularly Irregular
What is the rate for Atrial Fibrillation?
Atrial: 350-700
Ventricle: Varies
What do the p-waves look like in Atrial Fibrilation?
None, wavy baseline between QRS instead
What is the PRI length in Atrial Fibrillation?
Not applicable
What is the QRS length in Atrial Fibrillation?
<0.12
What are the causes of Atrial Fibrillation?
MI, lung disease, valvular heart disease, hyperthyroidism,
What are the adverse effects of Atrial Fibrillation?
Decreased CO, blood clots causing stroke or pulmonary emboli
What is the rhythm for Supraventricular Tachycardia?
Regular
What is the rate for Supraventricular Tachycardia?
150-160 >160
What do the p-waves look like in Supraventricular Tachycardia?
Not seen
What is the PRI length in Supraventricular Tachycardia?
Not measurable
What is the QRS length in Supraventricular Tachycardia?
<0.12
What are some causes of Supraventricular Tachycardia?
Stimulant, hypoxia, heart disease
What are some adverse effects of Supraventricular Tachycardia?
Decreased CO
What is the treatment for Supraventricular Tachycardia?
Digitalis, calcium-channel blockers, beta-blockers, O2
What is the rhythm for a Premature Junctional Complex?
Regular interrupted by a premature beat
What is the rhythm for a Premature Junctional Complex?
Regular interrupted by a premature beat
What is the rate for a Premature Junctional Complex?
Any rate
What do the p-waves look like in a Premature Junctional Complex?
Inverted or absent
What is the rate for a Premature Junctional Complex?
Any rate
What is the PRI length in a Premature Junctional Complex?
0.12 seconds (If p-wave is before QRS)
What do the p-waves look like in a Premature Junctional Complex?
Inverted or absent
What are some causes for a Premature Junctional Complex?
Stimulants, hypoxia, heart disease, nicotine
What is the PRI length in a Premature Junctional Complex?
0.12 seconds (If p-wave is before QRS)
What are the adverse effects of a Premature Junctional Complex?
Usually none
What are some causes for a Premature Junctional Complex?
Stimulants, hypoxia, heart disease, nicotine
What is the treatment for a Premature Junctional Complex?
Treat the cause
What are the adverse effects of a Premature Junctional Complex?
Usually none
What is the rhythm for Junctional Bradycardia?
Regular
What is the treatment for a Premature Junctional Complex?
Treat the cause
What is the rate for Junctional Bradycardia?
<40
What is the rhythm for Junctional Bradycardia?
Regular
What do the p-waves look like in Junctional Bradycardia?
Inverted or absent
What is the rate for Junctional Bradycardia?
<40
What do the p-waves look like in Junctional Bradycardia?
Inverted or absent
What is the PRI length for Junctional Bradycardia?
<0.12 seconds (If p-wave precedes QRS)
What is the QRS length for Junctional Bradycardia?
<0.12 seconds
What are some causes for Junctional Bradycardia?
Vagal stimulation, hypoxia, sinus node ischemia, heart disease
What are some adverse effects for Junctional Bradycardia?
Decreased CO
What is the treatment for Junctional Bradycardia?
Atropine, pacemaker, O2, hold bradycardia-inducing drugs
What is the rhythm for Junctional Rhythm?
Regular
What is the rate for Junctional Rhythm?
40-60
What do the p-waves look like in a Junctional Rhythm?
Inverted or absent
What is the PRI length in Junctional Rhythm?
<0.12 seconds, if p-wave is before QRS
What are some causes of Junctional Rhythm?
Vagal stimulation, hypoxia, sinus node ischemia, heart disease
What are some adverse effects of Junctional Rhythm?
Decreased CO
What is the treatment for Junctional Rhythm?
Atropine, pacemaker, O2, hold bradycardia-inducing drugs
What is the rhythm of an Accelerated Junctional Rhythm?
Regular
What is the rate of an Accelerated Junctional Rhythm?
60-100 BPM
What do the p-waves look like in an Accelerated Junctional Rhythm?
Inverted or absent
What is the PRI length in an Accelerated Junctional Rhythm?
<0.12 seconds
What is the QRS length in an Accelerated Junctional Rhythm?
<0.12
What are some causes of an Accelerated Junctional Rhythm?
Heart disease, stimulants (caffeine)
What are some adverse effects of an Accelerated Junctional Rhythm?
Usually none
What is the treatment for an Accelerated Junctional Rhythm?
Usually none needed
What are some adverse effects of Junctional Rhythm?
Decreased CO
What is the treatment for Junctional Rhythm?
Atropine, pacemaker, O2, hold bradycardia-inducing drugs
What is the rhythm of an Accelerated Junctional Rhythm?
Regular
What is the rate of an Accelerated Junctional Rhythm?
60-100 BPM
What do the p-waves look like in an Accelerated Junctional Rhythm?
Inverted or absent
What is the PRI length in an Accelerated Junctional Rhythm?
<0.12 seconds
What is the QRS length in an Accelerated Junctional Rhythm?
<0.12
What are some causes of an Accelerated Junctional Rhythm?
Heart disease, stimulants (caffeine)
What are some adverse effects of an Accelerated Junctional Rhythm?
Usually none
What is the treatment for an Accelerated Junctional Rhythm?
Usually none needed
An Accelerated Junctional Rhythm is also known as what?
Nonparoxysmal Junctional Tachycardia
What is the rhythm for Junctional Tachycardia?
Regular
What is the rate for Junctional Tachycardia?
>100
What do the p-waves look like in Junctional Tachycardia?
Inverted or absent
What is the PRI length in a Junctional Tachycardia?
<0.12 seconds, if p-wave is before QRS
What is the QRS length in Junctional Tachycardia?
<0.12 seconds
What are some causes of Junctional Tachycardia?
Digitalis toxicity, heart disease, stimulants
What are some adverse effects of Junctional Tachycardia?
Decreased CO at faster HR's
What is the treatment for Junctional Tachycardia?
Beta-blockers, calcium-channel blockers, adenosine, O2
Junctional Tachycardia is also known as what?
Paroxysmal Junctional Tachycardia