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16 Cards in this Set

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  • Back
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What are electrical conduction system disorders?
Heart blocks
139
What is the only complete heart block?
3rd degree
139
What is the most common form of block?
1st degree
139
first-degree heart block
Excessive conduction delay in AV node, resulting in a constant prolong PRI (longer than 0.20 seconds).
139
What is the correct way to interpret a first-degree block?
Include the description of the underlyning rhythm for ex Sinus Brady with first-degree heart block
139
What meds are commonly associated with 1st degree blocks?
Beta-blockers, Calcium channel blocker, and digoxin.
139
What are the five steps to interpreting EKG?
Rate, Rhythm, P wave, PRI, QRS
140
Second-degree AV block
A partial or incomplete heart block characterized by the PRI continues to increase in length until such time as the impulse is not conductive or a QRS complex is "dropped." The ventricular rhythm is irregular, the the atrial rhythm remains regular.
140
Second-degree Mobitz type 1 heart block is also referred to as:
Wenckebach phenomenon or simply Mobitz type I
140
Second-degree AV block, Mobitz type II
The worse of the partial or incomplete blocks, characterized by the constancy of PRI for conductive beats and intermittently absent QRS complex.
141
Where is the ventricular conduction coming from in a third-degree heart block with a narrow QRS complex?
The escape pacemaker located in the junctional tissue
142
Where is the ventricular conduction coming from in a third-degree heart block with a widen QRS complex?
The escape pacemaker located in the Purkinje
144
Third-degree heart block
Complete and lethal dysrhythmia characterized by the P waves not marrying to the QRS complex, thus the P waves are not causing the QRS, the QRS is cause by an escape pacemaker. Thus causing an irregularity due to complete electrical block between the SA and the ventricles.
144
Third-degree heart block is sometimes called:
AV dissociation because the atrial and ventricles operate independently.
144
S/S of decrease cardiac output include:
Syncope, decrease LOC, angina, and other indications of hypoperfusion.
146
Typically, first degree block results from excessive conduction delay in the:
AV node.
146