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40 Cards in this Set

  • Front
  • Back
sinus:
Rate: 101 - 160
sinus tachy

Rate: 101 - 160
sinus:
Rate: < 59
sinus brady

Rate: < 59
sinus:
Irregular; difference between shortest R-R interval and longest R-R interval is at least 0.12 second
sinus arrhythmia

Irregular; difference between shortest R-R interval and longest R-R interval is at least 0.12 second
sinus:
Irregular; length of the pause is the same as 1 cycle, or multiples of cycles - the same rate resumes after the pause; measure the P – P interval
sinoatrial (sinus exit) block

Irregular; length of the pause is the same as 1 cycle, or multiples of cycles - the same rate resumes after the pause; measure the P – P interval
sinus:
Irregular; the length of the pause is not a multiple of the normal cycle; the
rate differs after the pause; measure the P - P interval; document the length of the pause
sinus arreest

Irregular; the length of the pause is not a multiple of the normal cycle; the
rate differs after the pause; measure the P - P interval; document the length of the pause
atrial:
irregular; P waves vary (at least 3 differently shaped P waves); PR intervals vary; rate ≤ 100
wandering atrial pacemaker

irregular; P waves vary (at least 3 differently shaped P waves); PR intervals vary; rate ≤ 100
atrial:
rate: 101-250; regular; P waves of at least 3 different shapes, if present; PR intervals vary
multifocal (chaotic) atrial tachycardia

rate: 101-250; regular; P waves of at least 3 different shapes, if present; PR intervals vary
atrial:
rate 161-250; regular; P waves are all the same (if no P waves present, then it is referred to as _____________)
Atrial Tachycardia

rate 161-250; regular; P waves are all the same (if no P waves present, then it is referred to as supraventricular tachycardia)
atrial:
rate: 161-250; abrupt onset and/or termination (if no P waves present, then it is referred to as ____________________)
Paroxysmal Atrial Tachycardia

rate: 161-250; abrupt onset and/or termination (if no P waves present, then it is referred to as Paroxysmal Supraventricular Tachycardia)
atrial:
Flutter ("F") waves cause saw tooth or picket fence pattern Ps; regular (variable block may be irregular)
atrial flutter

Flutter ("F") waves cause saw tooth or picket fence pattern Ps; regular (variable block may be irregular)
atrial:
ventricular rate: 70-100; irregular, no discernible P waves
controlled atrial fibrillation

ventricular rate: 70-100; irregular, no discernible P waves
atrial:
Ventricular rate: 101-220; irregular; no discernible P waves
uncontrolled atrial fibrillation

Ventricular rate: 101-220; irregular; no discernible P waves
Rate: 40 - 60; regular; inverted or biphasic P waves before, during (not visible), or after the QRS
junctional rhythm

Rate: 40 - 60; regular; inverted or biphasic P waves before, during (not visible), or after the QRS
Rate: 61 -100; regular; inverted or biphasic P waves before, during (not visible), or after the QRS
accelerated junctional rhythm

Rate: 61 -100; regular; inverted or biphasic P waves before, during (not visible), or after the QRS
Rate: 101 - 180; regular; inverted or biphasic P waves before, during (not visible), or after the QRS
junctional tachycardia

Rate: 101 - 180; regular; inverted or biphasic P waves before, during (not visible), or after the QRS
Rate: 20-40; P waves present; Wide QRS; usually regular, but may be irregular
ventricular rhythm

Rate: 20-40; P waves present; Wide QRS; usually regular, but may be irregular
rate: 20-40; absent P waves; wide QRS; usually regular, but may be irregular
Idioventricular Rhythm

rate: 20-40; absent P waves; wide QRS; usually regular, but may be irregular
Rate: 41-100; absent P waves; wide QRS; usually regular, but may be irregular
Accelerated Idioventricular Rhythm

Rate: 41-100; absent P waves; wide QRS; usually regular, but may be irregular
Rate: 101-250; QRS wide and bizarre - same configuration as PVC; usually regular but may be irregular, 3 or more PVCs in a row
Ventricular Tachycardia
(VT)

Rate: 101-250; QRS wide and bizarre - same configuration as PVC; usually regular but may be irregular, 3 or more PVCs in a row
Rate: 150-300; peculiar form of VT; may be initiated by a PVC occuring on a prolonged QT interval; R-R interval is irregular; has a spindle effect
Torsades de Pointes

Rate: 150-300; peculiar form of VT; may be initiated by a PVC occuring on a prolonged QT interval; R-R interval is irregular; has a spindle effect
Rapid, irregular, wide QRS without specific pattern; amplitude > 3 mm
Coarse Ventricular Fibrillation

Rapid, irregular, wide QRS without specific pattern; amplitude > 3 mm
Rapid, irregular QRS without specific pattern; amplitude < 3 mm
Fine Ventricular Fibrillation

Rapid, irregular QRS without specific pattern; amplitude < 3 mm
Straight or wavy line; no QRS; (may be P waves, if so - Primary Ventricular Standstill)
Ventricular Asystole

Straight or wavy line; no QRS; (may be P waves, if so - Primary Ventricular Standstill)
One P wave for each QRS complex; PR interval is greater than 0.20 second; normal QRS; document the underlying rhythm
first degree block

One P wave for each QRS complex; PR interval is greater than 0.20 second; normal QRS; document the underlying rhythm
more P waves than QRS complexes; PR interval increases progressively until a P is blocked; displays group beating
Second Degree AV block - Type 1 (Mobitz I or Wenckebach)

more P waves than QRS complexes; PR interval increases progressively until a P is blocked; displays group beating
more P waves than QRS complexes; PR interval is normal or prolonged but constant; displays group beating; note the conduction ration of P:QRS and document
Second degree AV block - type II (Mobitz II)

more P waves than QRS complexes; PR interval is normal or prolonged but constant; displays group beating; note the conduction ration of P:QRS and document
More P waves than QRS complexes; P-P interval is regular, R-R interval is usually regular; P waves and QRS complexes are not related to one another; complete AV dissociation
third degree block (complete heart block)

More P waves than QRS complexes; P-P interval is regular, R-R interval is usually regular; P waves and QRS complexes are not related to one another; complete AV dissociation
Ectopic beat occuring early (before the next expected sinus beat); upright P wave or distortion of the preceding T wave; narrow QRS unless non-conducted or aberrantly conducted.
PAC

Ectopic beat occuring early (before the next expected sinus beat); upright P wave or distortion of the preceding T wave; narrow QRS unless non-conducted or aberrantly conducted.
Ectopic beat occurring early (before the next expected sinus beat); inverted or biphasic P wave before, during (not visible), or after a narrow QRS
PJC

Ectopic beat occurring early (before the next expected sinus beat); inverted or biphasic P wave before, during (not visible), or after a narrow QRS
Ectopic beat occuring early ( before the next expected sinus beat); no P wave; wide and bizarre QRS; T wave deflection is opposite that of the complex; pause following the PVC fully compensatory
PVC

Ectopic beat occuring early ( before the next expected sinus beat); no P wave; wide and bizarre QRS; T wave deflection is opposite that of the complex; pause following the PVC fully compensatory (R - PVC - R = R - R - R)
Ectopic beat occuring late (after the next expected sinus beat); inverted or biphasic P wave before, during (not visible), or after a narrow QRS
junctional escape beat

Ectopic beat occuring late (after the next expected sinus beat); inverted or biphasic P wave before, during (not visible), or after a narrow QRS
Ectopic beat occuring late (after the next expected sinu beat); no P wave, wide and bizarre QRS
ventricular escape beat
large EKG grids =

small EKG grids =

5 large squares represent =
large EKG grids = 0.20 seconds

small EKG grids = 0.04 seconds

5 large squares represent 1 sec
triplicates
300, 150, 100, 75, 60, 50, 43, 37, 33, 30
PR interval:
PR interval: 0.12-0.20 seconds
(3 - 5 small grids)
QRS interval:
QRS interval: 0.04-0.12 seconds

(1 - 4 small grids)
QT interval:
QT interval: 0.36-0.44

(9 - 11 small grids)
Refers to the change in the speed of conduction through the AV node
dromotropic
This innervation inhibits the SA node, the atrial and junctional foci, but not the ventricular foci
Parasympathetic innervation inhibits the SA node, the atrial and junctional foci, but not the ventricular foci.
Increases in heart rate shorten all phases of the cardiac cycle, but the most important effect is a decrease in _________________, which results in a decrease in ventricular filling and a decrease in cardiac output.
Increases in heart rate shorten all phases of the cardiac cycle, but the most important effect is a decrease in the length of time spent in diastole, which results in a decrease in ventricular filling and a decrease in cardiac output.