Cv-Pediatric Ekg Interpretation And Resuscitation

Front 1

How do the SA node, AV node, and purkinje rates change as neonate grows?

Back 1

they all decrease rate of firing

Front 2

2 main differences in pediatric ECG's are what?

Back 2

1. faster rates
2. smaller deflections

Front 3

Are intervals shorter or longer in peds?

Back 3

shorter

Front 4

Are right axis deviations and inverted t-waves in V1-V3 normal in peds?

Back 4

yes

Front 5

How often are ECG's correct in peds?

Back 5

50% of the time

Front 6

Are premature and dropped beats normal in peds?

Back 6

yes

Front 7

If peds have PVC's and a murmur, what comes next?

Back 7

ECHO

Front 8

What % of peds with PVC's have MVP?

Back 8

10%

Front 9

Any patient with syncope, PVC's, or idiopathic seizures needs what done?

Back 9

ECG and QT measurement

Front 10

If PVC's are suppressed by exercise, is this good or bad? If exercise causes PVC's?

Back 10

1. good
2. bad

Front 11

Longer than normal PR or QRS intervals can mean what?

Back 11

conduction slowing

Front 12

What are some false positive findings in athletes?

Back 12

1. LVH
2. Nonspecific ST-T wave changes
3. Q wave changes
4. Low resting heart rates

Front 13

What is most common false positive? What is diagnostic for this?

Back 13

1. LVH
2. ECHO

Front 14

How does the HR vary with breathing in peds?

Back 14

1. increases with inspiration
2. slows with expiration

Front 15

What is the most common finding on a pediatric ECG?

Back 15

sinus tachycardia (usually 100-160)

Front 16

What rhythms are normal after surgery?

Back 16

SVT or v-tach

Front 17

What is an SVT rate in peds?

Back 17

150-250

Front 18

What can you do to treat SVT in peds?

Back 18

1. diving reflex (ice on face)
2. bear down/valsalva

Front 19

Adenosine will not terminate what rhythm?

Back 19

primary atrial tachycardia

Front 20

When do you cardiovert SVT?

Back 20

when infant is unstable; ice and adenosine didn't work

Front 21

Can CCB's be given for infants for SVT's? What about digoxin?

Back 21

1. no
2. yes

Front 22

Which leads are best to look at for WPW?

Back 22

I, V5 and V6

Front 23

What is treatment of choice in WPW? What is another drug you can use? What shouldn't you use?

Back 23

1. propranolol
2. digoxin
3. never use CCB

Front 24

What is top cause of infant HR drop?

Back 24

respiratory failure

Front 25

What antibody is most commonly seen in congenital heart block?

Back 25

anti-Ro

Front 26

VSD closure can cause what to happen?

Back 26

transient heart block

Front 27

Torsades in peds can be from what deficiency?

Back 27

hypomagnesemia