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36 Cards in this Set

  • Front
  • Back
Cardiac output at rest is
4-5L
Rate estimation order
300,150,100,75,60,50
The distance between the heavy black lines represents
1/300 min, inverse for rate
Rhythm strips are how long
12 seconds
3 choices from irregularly irregular rhythm
Atrial fib(atrial rate greater than 360 and many different ps), wandering atrial pacemaker (less than 100 rate in COPD), and multimodal atrial tachy (WAP greater than 100 in COPD)
Why are rhythm strips done in lead two?
Sinus p waves are always upright in lead two and v 5
If a p wave is present before every qrs than the origin of the rhythm is usually
Supraventricular
If the number of p waves are greater than the number of qrs complexes than what is present?
Heart block
MAT and WAP have at least how many atrial pace makers
3
Wandering pacemaker
Irregular rhythm produced by the pacemaker activity wandering from the SA node to nearby atrial foci. Produces cycle length variation as well as variation in shape in p wave however rate is normal
Wide qrs implies
Cell to cell transmission instead of conduction pathway
Premature atrial contractions occur when
Sooner than expected
Paroxysmal supraventricular tachy
150-250, p waves in front of every qrs and qrs is narrow
Atrial flutter
250-350, saw tooth appearance, av block usually 2 to 1 so vent rate is 150, next common is 4 to 1 with vent 100 and 3 to 1 with vent rate of 75
Atrial fibrillation
350-450, many irritable foci, p waves are all different looking,
A fib plus bradycardia is a sign of
Digitalis toxicity or diseased av node
PVC vs escape beat
Vent escape has long pause then ventricles take over, PVC happens before the sinus p wave has a chance
Bigeminty vs trigeminy
Bi- PVC in between every normal beat, tri- two normal than one PVC
Ventricular couplet
Two PVCs in a row
PVC
Wide qrs of just one wave, compensatory pause after, increased filling and a larger stroke volume in the beat post premature contraction
Premature atrial contraction do not have
A compensatory pause
Things that cause a ventricular focus to be irritable
Low o2 and k
Long qt has a risk for
V tach
V tach
Wide qrs at rate of 100-250, chest pain, chf, syncope
When may a dangerous arrhythmia result
When a PVC falls on a t wave
Paroxysmal v tach
150 to 250
V tach signs
Tachy of 100-200 with 3 or more beats, wide qrs at .16, av dissociation, unidirectional in leads v1 to v6, brugada and josephson signs
Josephson sign
Notching if the S wave
Brugada sign
Greater than .1 sec from r to bottom of s wave
V fib has
No beats at all, flutter does
Torsad us when
The r wave is prominent in the v tach but then the S wave seem prominent , undulating sinusoidal appearance
Rate of v fib
Vent rate if 350-450
First degree av block
Pr longer than .2
Mobitz one
Wenckebach block, inferior wall mi which affects the av node, progressive lengthening of pr interval until v beat dropped
Mobitz two
Block occurs below av node, sudden drop of expected v beat after normal p wave
Third degree heart block
Sinus and ventricular beats are unrelated, 20-40 beats per min, a systole may be next