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140 Cards in this Set
- Front
- Back
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What is the rhythm for Sinus Rhythm?
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Regular
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What is the rate for Sinus Rhythm?
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60-100 BPM
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What do the P-waves look like in Sinus Rhythm?
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Upright 1:1
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How long is the PRI in Sinus Rhythm?
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0.12-0.20 seconds
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How long is the QRS in SInus Rhythm?
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<0.12 seconds
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What is the rhythm for Sinus Brady?
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Regular
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What is the rate for Sinus Brady?
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<60 BPM
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What are the causes of sinus brady?
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Vagal stim, MI, hypoxia, digitalis, toxicity, athletes
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What are the adverse effects of Sinus Bradycardia?
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Dizzy, pallor, weakness, syncope, diaphoresis, hypotension
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What is the treatment for Sinus Brady?
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Atropine, O2, pacemaker, hold-bradycardia inducing drugs
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Why do you give atropine to bradycardia patients?
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Decreases vagal effect on the heart
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What is the rhythm for Sinus Tach?
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101-160
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What are some causes of Sinus Tach?
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Atropine, emotions, pulmonary embolus, MI
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What are the adverse effects of Sinus Tach?
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Decreased CO
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What is the treament for Sinus Tach?
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Treat the cause, consider beta-blockers
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What is the rhythm for Sinus Arrhythmia?
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Irregular
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What does the p-wave look like in Sinus Arrhythmia?
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Upright, 1:1
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What is the rate for Sinus Arrythmia?
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Varies
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What are the causes of Sinus Arrythmia?
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Heart disease, respiratory pattern
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What are the adverse effects of Sinus Arrythmia?
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none
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What is the rhythm for Sinus Arrest?
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Regular, but interrupted by a pause
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What is the rate for Sinus Arrest?
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Occurs at any rate
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What do the p-waves look like in Sinus Arrest?
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Upright, 1:1
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What is the time for the PRI?
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0.12-0.20 seconds
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What is the time for the QRS?
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<0.12 seconds
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What are the causes of Sinus Arrest?
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Sinus node ischemia, hypoxia digitalis toxicity, medications
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What are the adverse effects for Sinus Arrest?
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Decreased CO
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What is the treatment for Sinus Arrest?
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Atropine, O2, hold bradycardia inducing medications
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What is the rhythm for Sinus Block?
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Regular but interrupted by a pause
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What is the rate for Sinus Block?
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Occurs at any rate
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What are the causes for Sinus Block?
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Medications, hypoxia, vagal stimulation
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What are the adverse effects for Sinus Block?
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Decreased CO
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What is the treatment for Sinus Block?
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Atropine, hold bradycardia-inducing meds
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What is the rhythm for a Wandering Atrial Pacemaker?
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Irregular
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What is the rate for a Wandering Atrial Pacemaker?
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<100
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What do the p-waves look like in a Wandering Atrial Pacemaker?
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At least 3 different shapes
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What is the QRS length in a Wandering Atrial Pacemaker?
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<0.12 seconds
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What is the cause of Wandering Atrial Pacemaker?
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Medications, hypoxia, MI, vagal stimulation
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What are the adverse effects of Wandering Atrial Pacemaker?
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Usually none
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What is the treatment for a Wandering Atrial Pacemaker?
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Usually none needed
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What is the rhythm for a Premature Atrial Contraction?
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Regular, interrupted by a premature beat
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What is the rate for a Premature Atrial Contraction?
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Occurs at any rate
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What do the p-waves look like in a Premature Atrial Contraction?
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Shaped differently
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What is the PRI length in a Premature Atrial Contraction?
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0.12-0.20 seconds
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What is the QRS length in a Premature Atrial Contraction?
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<0.12 seconds
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What are the causes of a Premature Atrial Contraction?
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Stimulants (caffeine), hypoxia, heart disease
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What are the adverse effects of Premature Atrial Contraction?
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Other dysrhythmias, early sign of CHF
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What are the treatments for Premature Atrial Contraction?
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Digitalis, guinidine, O2, omit stimulants
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What is the rhythm for Paroxysmal Atrial Tachycardia?
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Regular, interrupts a slower rhythm
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What is the rate for Paroxysmal Atrial Tachycardia?
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160-250
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What do the p-waves look like in Paroxysmal Atrial Tachycardia?
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Different from sinus waves
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What is the PRI length for Paroxysmal Atrial Tachycardia?
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0.12-0.20 seconds
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What is the QRS length for Paroxysmal Atrial Tachycardia?
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<0.20 seconds
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What are some causes for Paroxysmal Atrial Tachycardia?
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Stimulants, hypoxia, heart disease
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What are some adverse effects for Paroxysmal Atrial Tachycardia?
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Decreased CO
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What is the treatment for Paroxysmal Atrial Tachycardia?
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Digitalis, calcium-channel blockers, beta-blockers, sedation, amiodarone, adenosine, O2
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What is the first choice treatment drug for Paroxysmal Atrial Tachycardia?
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Adenosine
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What is the rhythm for Atrial Flutter?
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Regular or Irregular
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What is the rate for Atrial Flutter?
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Atrial: 250-350
Ventricular: varies |
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What do the P-waves look like in Atrial Flutter?
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None, flutter waves instead (f-waves, __:__)
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What is the PRI length for Atrial Flutter?
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Not applicable
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What is the QRS length for Atrial Flutter?
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<0.12 seconds
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What are some causes of Atrial Flutter?
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Pulmonary emboli, valvular heart disease, lung disease, thyrotoxicosis
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What are some adverse effects of Atrial Flutter?
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Decreased CO
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What is the treatment for Atrial Flutter?
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Digitalis, calcium-channel blockers, beta-blockers, adenosine, Cardioversion
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What is the rhythm for Atrial Fibrillation?
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Irregularly Irregular
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What is the rate for Atrial Fibrillation?
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Atrial: 350-700
Ventricle: Varies |
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What do the p-waves look like in Atrial Fibrilation?
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None, wavy baseline between QRS instead
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What is the PRI length in Atrial Fibrillation?
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Not applicable
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What is the QRS length in Atrial Fibrillation?
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<0.12
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What are the causes of Atrial Fibrillation?
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MI, lung disease, valvular heart disease, hyperthyroidism,
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What are the adverse effects of Atrial Fibrillation?
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Decreased CO, blood clots causing stroke or pulmonary emboli
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What is the rhythm for Supraventricular Tachycardia?
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Regular
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What is the rate for Supraventricular Tachycardia?
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150-160 >160
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What do the p-waves look like in Supraventricular Tachycardia?
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Not seen
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What is the PRI length in Supraventricular Tachycardia?
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Not measurable
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What is the QRS length in Supraventricular Tachycardia?
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<0.12
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What are some causes of Supraventricular Tachycardia?
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Stimulant, hypoxia, heart disease
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What are some adverse effects of Supraventricular Tachycardia?
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Decreased CO
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What is the treatment for Supraventricular Tachycardia?
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Digitalis, calcium-channel blockers, beta-blockers, O2
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What is the rhythm for a Premature Junctional Complex?
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Regular interrupted by a premature beat
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What is the rhythm for a Premature Junctional Complex?
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Regular interrupted by a premature beat
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What is the rate for a Premature Junctional Complex?
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Any rate
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What do the p-waves look like in a Premature Junctional Complex?
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Inverted or absent
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What is the rate for a Premature Junctional Complex?
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Any rate
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What is the PRI length in a Premature Junctional Complex?
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0.12 seconds (If p-wave is before QRS)
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What do the p-waves look like in a Premature Junctional Complex?
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Inverted or absent
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What are some causes for a Premature Junctional Complex?
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Stimulants, hypoxia, heart disease, nicotine
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What is the PRI length in a Premature Junctional Complex?
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0.12 seconds (If p-wave is before QRS)
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What are the adverse effects of a Premature Junctional Complex?
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Usually none
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What are some causes for a Premature Junctional Complex?
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Stimulants, hypoxia, heart disease, nicotine
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What is the treatment for a Premature Junctional Complex?
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Treat the cause
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What are the adverse effects of a Premature Junctional Complex?
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Usually none
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What is the rhythm for Junctional Bradycardia?
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Regular
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What is the treatment for a Premature Junctional Complex?
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Treat the cause
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What is the rate for Junctional Bradycardia?
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<40
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What is the rhythm for Junctional Bradycardia?
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Regular
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What do the p-waves look like in Junctional Bradycardia?
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Inverted or absent
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What is the rate for Junctional Bradycardia?
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<40
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What do the p-waves look like in Junctional Bradycardia?
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Inverted or absent
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What is the PRI length for Junctional Bradycardia?
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<0.12 seconds (If p-wave precedes QRS)
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What is the QRS length for Junctional Bradycardia?
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<0.12 seconds
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What are some causes for Junctional Bradycardia?
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Vagal stimulation, hypoxia, sinus node ischemia, heart disease
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What are some adverse effects for Junctional Bradycardia?
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Decreased CO
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What is the treatment for Junctional Bradycardia?
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Atropine, pacemaker, O2, hold bradycardia-inducing drugs
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What is the rhythm for Junctional Rhythm?
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Regular
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What is the rate for Junctional Rhythm?
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40-60
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What do the p-waves look like in a Junctional Rhythm?
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Inverted or absent
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What is the PRI length in Junctional Rhythm?
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<0.12 seconds, if p-wave is before QRS
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What are some causes of Junctional Rhythm?
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Vagal stimulation, hypoxia, sinus node ischemia, heart disease
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What are some adverse effects of Junctional Rhythm?
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Decreased CO
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What is the treatment for Junctional Rhythm?
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Atropine, pacemaker, O2, hold bradycardia-inducing drugs
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What is the rhythm of an Accelerated Junctional Rhythm?
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Regular
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What is the rate of an Accelerated Junctional Rhythm?
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60-100 BPM
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What do the p-waves look like in an Accelerated Junctional Rhythm?
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Inverted or absent
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What is the PRI length in an Accelerated Junctional Rhythm?
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<0.12 seconds
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What is the QRS length in an Accelerated Junctional Rhythm?
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<0.12
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What are some causes of an Accelerated Junctional Rhythm?
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Heart disease, stimulants (caffeine)
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What are some adverse effects of an Accelerated Junctional Rhythm?
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Usually none
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What is the treatment for an Accelerated Junctional Rhythm?
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Usually none needed
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What are some adverse effects of Junctional Rhythm?
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Decreased CO
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What is the treatment for Junctional Rhythm?
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Atropine, pacemaker, O2, hold bradycardia-inducing drugs
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What is the rhythm of an Accelerated Junctional Rhythm?
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Regular
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What is the rate of an Accelerated Junctional Rhythm?
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60-100 BPM
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What do the p-waves look like in an Accelerated Junctional Rhythm?
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Inverted or absent
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What is the PRI length in an Accelerated Junctional Rhythm?
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<0.12 seconds
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What is the QRS length in an Accelerated Junctional Rhythm?
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<0.12
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What are some causes of an Accelerated Junctional Rhythm?
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Heart disease, stimulants (caffeine)
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What are some adverse effects of an Accelerated Junctional Rhythm?
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Usually none
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What is the treatment for an Accelerated Junctional Rhythm?
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Usually none needed
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An Accelerated Junctional Rhythm is also known as what?
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Nonparoxysmal Junctional Tachycardia
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What is the rhythm for Junctional Tachycardia?
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Regular
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What is the rate for Junctional Tachycardia?
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>100
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What do the p-waves look like in Junctional Tachycardia?
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Inverted or absent
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What is the PRI length in a Junctional Tachycardia?
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<0.12 seconds, if p-wave is before QRS
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What is the QRS length in Junctional Tachycardia?
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<0.12 seconds
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What are some causes of Junctional Tachycardia?
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Digitalis toxicity, heart disease, stimulants
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What are some adverse effects of Junctional Tachycardia?
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Decreased CO at faster HR's
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What is the treatment for Junctional Tachycardia?
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Beta-blockers, calcium-channel blockers, adenosine, O2
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Junctional Tachycardia is also known as what?
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Paroxysmal Junctional Tachycardia
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