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