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21 Cards in this Set

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1. VENTRICULAR TACHYCARDIA. CODE BLUE.


THINK PRAYING NUNS.


Q R S WIDE & BIZARRE GREATER THAN .12

2. COARSE VENTRICULAR FIBRILLATION.


CODE BLUE. THINK SQUIGGLY BASE LINE.


CHAOTIC, IRREGULAR, ELECTRICAL ACTIVITY.

3. FINE VENTRICULAR FIBRILLATION.


CODE BLUE.


THINK LOW AMPLITUDE SQUIGGLY BASE LINE.


4. ASYSTOLE. CODE BLUE


THINK ROLLING BASE LINE.

5. TORSADES DE POINTES.


CODE BLUE


THINK TALL-SHORT-TALL TWISTED BASELINE.


RHYTHM REGULAR / IRREGULAR.


RATE: 150-300


6. P.E.A. (PULSELESS ELECTRICAL ACTIVITY).


CODE BLUE.


ANY ORGANIZED E K G RHYTHM WITH NO


PULSE

7. CARDIAC ARREST RHYTHM. 20-40.


IDEOVENTRICULAR (AGONAL).


Q R S NOTCH, WIDE & FLATTEN.


8. NORMAL SINUS RHYTHM.


RATE 60 -100.


NORMAL P


P R I .12 - .20


Q R S .06 - .10

9. SINUS BRADY LIKE NORMAL SINUS RHYTHM.


EXCEPT RATE LESS THAN 60

10. PREMATURE ATRIAL CONTRACTION (PAC).


P WAVES ARE PREMATURE, NOTCHED, PEAKED ABNORMAL.


P R I MAY BE NORMAL .12 - .20, SHORTEN OR


SLIGHTLY LONGER

11. SINUS ARRHYTHMIA.


THINK PATTERN "SLOWER-FASTER-SLOWER", OR


LONG P 2 P MINUS SHORT P 2 P IS LESS THEN .12.


PATTERN IRREGULARLY REGULAR



12. PREMATURE VENTRICULAR CONTRACTIONS (P V Cs)


NO P WAVE BEFORE THE P V C.


Q R S is wide & bizarre.


T wave in opposite direction of the Q R S

13. PREMATURE JUNCTIONAL CONTRACTION


( P J C)


P WAVE IS INVERTED OR ABSENT.


P R I MAY BE LESS THAN .12


Narrow Q.R.S.


14. JUNCTIONAL RHYTHM


RATE 40-60


P WAVE INVERTED.


P R I LESS THAN .12


REGULAR RHYTHM.

15. ACCELERATED JUNCTIONAL RHYTHM.


P WAVES INVERTED OR ABSENT.


RATE 60-100


16. JUNCTIONAL TACHYCARDIA.


P WAVES INVERTED OR ABSENT.


RATE 100-150

17. SUPREVENTRICULAR TACHYCARDIA (SVT).


Atrial Tachycardia (Paroxsymal)


THINK SMALL PRAYING NUNS OR NIPPLES.


RATE 160-250


NO P R I LINE


Narrow Q.R.S.

18. IDIOVENTRICULAR


NO P WAVE.


RATE 20-40.


Q R S WIDE & BIZARRE GREATER .12.

19. ACCELERATED IDIOVENTRICULAR.


RATE 40 -100.


Q R S WIDE & BIZARRE

20. ATRIAL FLUTTER.


RATE 250 - 400


SAW TOOTH WAVES 2:1, 3:1, 4:1

21. ATRIAL FIBRILLATION.


RATE 350 - 600.


CAN'T COUNT THE F WAVES.


Q R S NORMAL
Irregular rythmn

22. 1ST DEGREE A V BLOCK.


PROLONGED P R I GREATER THEN .20


NO DROPPED BEATS

23. 2ND DEGREE A V BLOCK


WENKENBACH MOBITZ TYPE 1


P R I LENGHTENS RESULTING IN A DROPPED BEAT. LOOK FOR MORE Ps THAN Q R S

24. 2nd DEGREE HEARTBLOCK.


TYPE 2, Mobitz TYPE 2.


P R INTERVALS DO NOT LENGTHEN, BUT A Q R S IS DROPPED



25. 3RD DEGREE HEART BLOCK.


P R I VARIES.


ATRIALES & VENTRICLES ACT INDEPENDENT

26. ATRIAL PACING


PACER SPIKE PRIOR TO EACH P WAVE

27. VENTRICULAR PACING.


PACER SPIKE PRIOR TO A Q R S


28. DUAL CHAMBER PACING.


SPIKE FOLLOWED BY A P WAVE.


SPIKE FOLLOWED BY A Q R S

29. ATRIAL OR VENTRICLE


PACE MAKER FAILURE TO FIRE.


ABSENCE OF PACE MAKER SPIKES AT APPROPRIATE INTERVALS

30. WONDERING PACE MAKER.


AT LEAST 3 DIFFERENT SHAPED P WAVES OR ABSENT OR INVERTED.


RATE 60-100

31. PACE MAKER FAILURE TO SENSE.


SPIKES ALL OVER THE PLACE.


PACE MAKER GENERATING UNNECESSARRY SPIKES


32. PACE MAKER FAILURE TO CAPTURE.


SPIKES ARE CONSISTENT, BUT THER IS A SPIKE NOT FOLLOWED BY A Q R S

33. SINUS ARREST.


PAUSE IS NOT EQUAL TO MULTIPLE P TO Ps

34. SINOATRIAL EXIT BLOCK.


PAUSE EQUALS A MULTIPLE OF P to Ps

35. SINUS TACHYCARDIA.


HEART RATE GREATER THAN 100.


THINK 2 HUMP CAMELS.





36. ATRIAL TACHYCARDIA.


HEART RATE 150 - 250.


THINK 1 HUMP CAMEL


SHORT LINE

37. WOLF PARKINSON WHITE SYNDROME.


THE INITIAL PART OF THE Q R S HAS A DELTA WAVE.

38. INTERPOLATED P V C.


OCCURS BETWEEN TWO COMPLEXES. LOOKS LIKE A SAIL BOAT.

39. P V C ON T PHENOMENON.

P V C OCCURS SO EARLY IT FALLS ON THE T BEFORE THE NEXT BEAT.


40. IDIOJUNCTIONAL 40 - 60


ABSENT OR INVERTED P WAVES

41. VENTRICULAR STANDSTILL.


P WAVES ONLY



UNIFOCAL-ALL LOOK ALIKE.MULTIFOCAL-DO NOT LOOK ALIKE.BIGEMENY-EVERY OTHER BEAT.TRI-EVERY 3RD BEAT.QUAD EVERY 4TH BEAT.COUPLET-2 P V Cs in a row.3 or more P V Cs= a run of V Tach