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29 Cards in this Set
- Front
- Back
EKG VI: Tech Skills
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EKG VI: Tech Skills
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Of the following, which ones are reversible?
Ischemia, Injury and Infarction |
Ischemia and injury. Infarction is NOT reversible
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What would you see with ischemia on an EKG
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inverted T, depressed ST segment
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What would you see with injury on an EKG
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ST elevation
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What would you see with infarction on an EKG
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Q waves in 2+ contiguous leads, or loss of R waves in precordial leads
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This is irreversible cell death caused by prolonged obstruction of arterial blood supply to an area of myocardium
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Infarction
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What might you see on an EKG that might make you suspect hyperkalemia
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Peaked T waves progressing to flattened P waves and prolonged PR interval and finally wide QRS
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What might you see on an EKG that might make you suspect hypokalemia
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ST depression, flattened T waves, U wave and prolonged QT interval
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Define the following for Anterior MI:
1. What leads 2. What you might see 3. What vessel involvment |
1. V1, V2, V3, V4
2. ST elevation, T inversion, Q wave 3. LAD (L. anterior descending artery) |
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Define the following for lateral MI:
1. What leads 2. What you might see 3. What vessel involvment |
1. I, aVL, V5, V6
2. St elvation, T inversion, Q wave 3. LCA (L. circumflex artery) |
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Define the following for Inferior MI:
1. What leads 2. What you might see 3. What vessel involvment |
1. II, III, AVF
2. St elevation, T inversion, Q wave 3. RCA (R. coronary artery) |
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Define the following for Posterior MI:
1. What leads 2. What you might see 3. What vessel involvment |
1. V1, V2
2. RICIPRICAL! Large R wave and upright T in V1, V2 3. RCA (R. coronary artery) |
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How would pericarditis present on an EKG
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diffuse (global) ST elevation, concave in appearance, no reciprocal changes, T inversion, no Q's, PR interval depression
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How would hypercalcemia present on an EKG
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short QT interval
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How would hypocalcemia present on an EKG
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Prolonged QT interval
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How would digoxin toxicity present on an EKG
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ST depression with global downward sloping of ST
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Can you assess the ST segment or T wave if you have a bundle branch block
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NO
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What does a Q wave indicate
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old or previous MI: takes days to present
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Define compensatory
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Sinus node doesn't reset. P waves are all normal or march out. PVC may come in but atria ignores it and keeps marching out
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Define noncompensatory
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PVC resets SA node in Atria
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In V1 a notch on the right indicates what
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RBBB
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in V1 a notch on the left indicates what
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V-Tach with ventricular origin
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If AVR is in upright direction it may indicate what
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V-tach
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If AVR is in downward direction it may indicate what
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SVT
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What is concordance and what does it indicate
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when all precordial leads go in same direction: favors ventricular origin
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Which heart block is characterized by prolonged PR interval until a QRS complex is dropped
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2nd degree AV block type I (Wenckebach)
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What characteristics can be seen on EKG with a LBBB
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looks normal except for wide QRS; sometimes small R wave, deep S wave
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What is a characteristic of WPW
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Delta wave
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What leads do you interpret for a septal wall MI
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V1, V2
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