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55 Cards in this Set
- Front
- Back
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P- Wave is 2mm high and .10seconds
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Normal P-wave
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P-Wave upright in I,II, AVF
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Normal P-wave
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Indicated by varying P-waves
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Wandering Pacemaker, Irritable atrial tissue
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Normal Sinus
Rhythm Rate P-wave PR Interval QRS Complex T Waves QT Interval Other compents |
Rhythm: Regular <0.04 second different
Rate: Adults =60-100 P-wave: every P has QRS And every QRS has a P PR Interval :0.12-0.20 seconds QRS Complex: same size and shape. 0.06-0.10 seconds, or half the pr interval T Waves: Same deflection as QRS, round and smooth QT Interval :Shouldnt be greater than half of R-R Other compents |
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Irregular and correspondds to breathing
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Sinus Arrhythmia
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Sinus Arrhythmia
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm: Irregular
Rate:Normal P-wave:Normal PR Interval : 0.16 QRS Complex:0.06 T Waves:Normal QT Interval: 0.36 Other: phasoc slowing and quickening |
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Sinus Bradycardia
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm: Regular
Rate< 60 P-wave: Normal PR Interval : 0:16 normal QRS Complex:0.08 Normal T Waves:Normal QT Interval:0.50 seconds Other |
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Causes of sinus Brady
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Sleep, Hypothyroidism, Glaucoma, Increased ICP, HyperKalemia,Vagal Stimulation,
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Sinus Tachycardia
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm: Regular
Rate: >100 P-wave: Normal PR Interval : 0:16 normal QRS Complex:0.08 Normal T Waves:Normal QT Interval:Shortened Other |
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Sinus Arrest
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm:Normal except missing PQRST
Rate: normal when QRS is present P-wave: normal when QRS is present PR Interval : normal when QRS is present QRS Complex:normal when P wave is present T Waves: normal when QRS is present QT Interval normal when QRS is present Other |
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Sick Sinus Syndrom
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm:Irregular
Rate:Atrial 60Bpm Ventrical BPM P-wave:Varies PR Interval: Varies QRS Complex:0.10 Seconds T Waves:Varies QT Interval:Varies Other :Fast Rhythm Sinus Arrest Slow rhythm |
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Premature Atrial Contraction (PAC)
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm:Irregular
Rate:Normal P-wave:Abnormal may be lost in T wave PR Interval: normal QRS Complex:normal T Waves:abnormal embeded in p waves QT Interval:normal Other :Non compensatory pause |
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Atrial Tachycardia
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm: Regular
Rate:Atrial Rate 150 - 250 P-wave:Abnormal or hidden in T wave PR Interval:normal QRS Complex:normal T Waves:Distorted by P wave QT Interval:Normal Other : |
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Atrial Flutter
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm:Atrial regular Ventricular irregular
Rate:Atrial 300 Ventricular100 P-wave:Saw tooth PR Interval: Unmeasurable QRS Complex: Normal T Waves: Unidentifiable QT Interval:'unidentifiable Other : |
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Atrial Fibrillation
Rhythm Rate P wave PR Interval QRS Complex T Waves QT Interval Other |
Rhythm:Irregularly irregular
Rate:Atrial unidentifiable Ventricular: normal P-wave: Fine fibrillatory waves PR Interval: Indescribable QRS Complex: normal T Waves: indiscernible QT Interval:unmeasurable Other : |
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Wondering Pacemaker
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm: Irregular
Rate:normal maybe slower P-wave: Change Shape PR Interval:vary QRS Complex:Normal T Waves:Normal QT Interval:Normal Other : |
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PJC Premature Junctional Contraction
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm:Irregular
Rate:Normal P-wave:Inverted or hidden PR Interval:less than 0.12 seconds QRS Complex:normal T Waves:normal QT Interval: normal Other :pause after PJC |
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Junctional Escape Rhythm
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm: irregular
Rate:40-60 P-wave:inverted PR Interval:less than 0.12 seconds QRS Complex:normal T Waves:normal QT Interval: normal Other : |
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Accelerated Junctional Rhythm
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm:regular
Rate:60-100 P-wave:absent or inverted PR Interval:less than 0.12 seconds QRS Complex:normal T Waves:normal QT Interval: normal Other : |
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Junctional Tachycardia
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm:regular
Rate:100-200 P-wave: absent or inverted PR Interval:less than 0.12 seconds QRS Complex:normal T Waves:normal or undetectable if rhythm is to fast QT Interval: normal Other : |
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Premature Ventricular contraction PVC
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm: Irregular
Rate:normal P-wave:Absent PR Interval:unmeasurable QRS Complex:early exceeds 0.12 seconds T Waves: opposite of QRS QT Interval: Other :pause after PVC |
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Idioventricular Rhythms
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm: regular
Rate:Atrial none Ventricular 20-40 P-wave:absent PR Interval:none QRS Complex:wide bizarre >0.12 seconds T Waves:deflection opposite of QRS QT Interval: Prolonged Other : |
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ventricular tachycardia
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm: ventricular rate regular slightly irregular
Rate:ventricular rapid 150-300 P-wave:absent PR Interval:unmeasurable QRS Complex:wideand bizzare T Waves:opposite of QRS if visible QT Interval: unmeasurable Other : |
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Ventricular Fibrillation
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm: fibrillatory waves
Rate:cant be determined P-wave:none PR Interval:none QRS Complex:none T Waves:none QT Interval: none Other :fibrillatory waves |
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Asystole
Rhythm: Rate: P-wave: PR Interval: QRS Complex: T Waves: QT Interval: Other : |
Rhythm: none
Rate:none P-wave:none PR Interval:none QRS Complex:none T Waves:none QT Interval: none Other :Flat line |
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Treatment of Sinus Arrhythmia
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No treatment possiable treat underlining cause
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Treatment of asymptomatic Bradycardia
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no treatment needed
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Treatment of Symptomatic Sinus bradycardia
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Pacemaker, Atropine, Dopamine, Epinephrine
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Treatment of asymptomatic Sinus Tachycardia
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no treatment needed
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Treatment of symptomatic Sinus Tachycardia
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Beta adrenergic blocker, or Ca Channel blocker if cardiac ischemia
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Treatment of asymptomatic Sinus Arrest
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No treatment needed
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Treatment of symptomatic Sinus Arrest
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Atropine, or Pacing
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Treatment of PAC
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No treatment needed if asymptomatic. Beta adrenergic blocker, or Ca Channel blocker if occur frequently.
Avoid cause caffeine smoking stress |
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Treatment of Atrial Tach
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Vagal stimulation, Adenosine, cardio-version Beta adrenergic blocker, or Ca Channel blocker, amiodarone, Digoxin
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Treatment of Atrial flutter
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Beta adrenergic blocker, or Ca Channel blocker if Pt is stable.
Amiodarone, ibutilide, flecainide, propafenonprocainamide <48 hours Synchronized cardio-version if unstable |
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Treatment of A-Fibb
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Ca+ Channel blocker or beta adrenergic blocker if pt stable.
Amiodarone, ibutilide, flecainide, propafenone, procainamide < 48 hours Synchronized cardio-version if unstable |
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Treatment of Wandering Pacemaker
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No treatment needed if stable.
Treatment of underling cause. |
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Treatment of PJC Premature Junctional contraction
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No treatment needed if stable.
Treatment of underling cause. Discontinuation of digoxin and caffeine |
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Treatment of Junctional Tachycardia
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Discontinuation of digoxin
Vagal manuver Adenosine or amiodarone Ca+ Channel blocker or beta adrenergic blocker , or pacemaker |
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Treatment of Junctional Escape Rhythm
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Treatment of underling cause.
Atropine, Pacemaker, Discontinuation of digoxin |
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Treatment of First Degree AV block
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Cautous of digoxin, Ca channel blocker, beta adrenergic blocker.
fix underlining issues |
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Treatment of type I second degree AV block(mobitz I, Wenckebach)
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Fix underlining issues.
Atropine pacemaker for bradycardia Discontinue digoxin |
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Treatment of type II second degree AV block(mobitz II,)
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Fix underlining issues.
Atropine, Dopamine, or epinephrine administration for bradycardia(atropine may worsen ischemia with MI) Pacing, discontinue Digoxin |
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Treatment of Third degree AV Block (complete heart block)
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Fix underlining issues.
Atropine, Dopamine, or epinephrine administration for bradycardia(do not use atropine for wide QRS), Pacing |
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Treatment of PVC's
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procainamide, lidocaine, amiodarone
Treat underling cause. Potassium chloride if induced by hypokalemia |
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Treatment of monomorphic Ventricular tachycardia with pulse
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Amiodarone if unsuccessful synchronized cardio version
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Treatment of polymorphic Ventricular tachycardia with normal qt interval
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Amiodarone, or sotalol if unsuccessful synchronized cardio version
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Treatment of polymorphic Ventricular tachycardia with Prolonged qt interval
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Stop QT longing drugs, treat electrolyte imbalances
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Treatment of pulseless Ventricular tachycardia
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Start CPR
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Treatment of Ventricular Fibrillation
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Start CPR.
Epinephrine or vasopressin, amiodarone or lidocaine if ineffective magnesium sulfate or procainamide |
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Treatment of Asystole
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Start CPR intubation pacing
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First degree AV block
Rhythm, rate, P-wave, PR interval, QRS, T-wave, QT interval, other |
Rhythm, regular
rate, regular P-wave, normal PR interval, Prolonged QRS, normal T-wave, normal QT interval, normal other PR prolonged but constant |
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Second degree Type I AV block
Mobitz type I Wenckebach Rhythm, rate, P-wave, PR interval, QRS, T-wave, QT interval, other |
Rhythm, Atrial regular. Ventricular irregular
rate, normal P-wave,normal PR interval,progressively prolonged QRS, normal T-wave, inverted QT interval, normal other |
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Second degree Type II AV block
Mobitz type II Rhythm, rate, P-wave, PR interval, QRS, T-wave, QT interval, other |
Rhythm,Atrial Regular Ventricular irregular
rate, Maybe slow P-wave, normal PR interval, constant but prolonged QRS, Wide T-wave, normal QT interval, normal other: PR and RR interval normal before dropped beat with no warning |
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Thrid degree AV block
Rhythm, rate, P-wave, PR interval, QRS, T-wave, QT interval, other |
Rhythm,Atrial regular ventricular regular
rate, P-wave, independent of QRS PR interval,varies QRS,Independent of Pwave T-wave, normal QT interval,normal otherp waves without QRS |
