Review Packet Ekg Competency 2016 Twosaintspathway Com-Books Pdf

Review Packet EKG Competency 2016 twosaintspathway com
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Normal Sinus Rhythm, Parameters Etiology, Rhythm Regular None. Ventricular Rate 60 100 bpm, P Wave upright matching 1 1. Atrial Rate 60 100 bpm, PR Interval 0 12 0 20 seconds. QRS Interval 0 10 seconds, Significance Treatment, Normal None. Sinus Tachycardia, Parameters Etiology, Rhythm Regular Exercise.
Ventricular Rate 101 150 Fever, P Wave upright matching 1 1 Hypoxia. Atrial Rate 101 150 Hypovolemic, PR Interval 0 12 0 20 seconds Pulmonary embolism. QRS Interval 0 10 seconds Myocardial ischemia, Hypotension. Significance Treatment, Increases myocardial oxygen demands Find and treat underlying cause. increasing the hearts workload Monitor for signs of decreased coronary. o In an acute MI this may lead to an perfusion, increase in myocardial ischemia o Diaphoresis.
angina or extend the infarct o Chest pain, o May also trigger ventricular o Dyspnea. dysrhythmia, o May be a warning sign of right sided. heart failure, Shortens ventricular filling times which. decreases stoke volume which affects, cardiac output. Sinus Bradycardia, Parameters Etiology, Rhythm Regular Normal for trained athletes.
Ventricular Rate 60 bpm An MI to the RCA, P Wave upright matching 1 1 Reperfusion Rhythm. Atrial Rate 60 bpm Elevated ICP, PR Interval 0 12 0 20 seconds Medications beta blockers calcium channel. QRS Interval 0 10 seconds blockers digitalis, Degenerative diseases such as sick sinus. Vagal stimulation from vomiting sleeping, Significance Treatment. Normal in healthy adults and athletes Treat only if SYMPTOMATIC. Can be beneficial in injured hearts to allow 1 IVP Atropine. increased ventricular filling time and 2 Pacemaker. decreased myocardial oxygen demands Temporary transcutaneous or. Some individuals experience a significant transvenous. decrease in cardiac output HR x SV Chronic bradycardia may require a. CO as well as blood pressure permanent pacemaker, Discontinue any bradycardia inducing.
medications, Sinus Arrhythmia, Parameters Etiology. Rhythm Irregular May be seen in young children and elderly. Ventricular Rate any rate Change in vagal tone due to respirations. P Wave upright matching 1 1 May also be caused by, Atrial Rate any rate Increased ICP. PR Interval 0 12 0 20 seconds Dig toxicity, QRS Interval 0 10 seconds Inferior wall MI. Significance Treatment, None depending on rate None unless rate is bradycardic. If rate is bradycardic may decrease If patient is symptomatic with bradycardia. cardiac output o IVP Atropine, o Pacemaker, Premature Atrial Contraction PAC.
Parameters Etiology, Rhythm that of underlying rhythm Can occur in normal hearts. Ventricular Rate that of underlying o Can be seen with emotional distress. P Wave upright abnormal in size and shape Heart disease. p wave may be in T wave Ingestion of alcohol caffeine or nicotine. Atrial Rate that of underlying rhythm Hypoxia, PR Interval 0 12 0 20 seconds Myocardial ischemia. QRS Interval 0 10 seconds Chronic lung disease, Medications. Significance Treatment, Usually common and do not require Usually no treatment. treatment Remove underlying cause, Frequent PAC s may warn of or intiate o Nicotine.
o PAT o Alcohol, o Atrial Fibrillation o Caffeine, o Atrial Flutter. Paroxysmal Supraventricular Tachycardia PSVT or SVT. Parameters Etiology, Rhythm Regular Stress, Ventricular Rate 150 bpm Caffeine. P Wave unable to see Tobacco, Atrial Rate NA Alcohol. PR Interval NA COPD, QRS Interval 0 10 seconds Digitalis Toxicity. Significance Treatment, Shortens ventricular filling time which can If unstable.
decrease stoke volume which can o Electrical Cardioversion. decrease cardiac output If stable, Increases myocardial oxygen requirements 1 Sedation. and cardiac workload 2 Vagal maneuvers, 3 IVP Adenosine. 4 Rate controlling medication such as, a calcium channel blocker ex. Diltiazem or a beta blocker, Atrial Flutter, Parameters Etiology. Rhythm Regular Irregular Valvular heart disease, Ventricular Rate varies Hypertensive heart disease.
P Wave flutter sawtooth Cardiomyopathy, Atrial Rate 250 350 bpm Heart failure. PR Interval NA Pulmonary disease, QRS Interval 0 10 seconds Pulmonary emboli. Post cardiac surgery, Significance Treatment, If ventricular rate is rapid If patient is stable and the rhythm has been. o Ventricular filling time is shortened present treatment depends on ventricular rate. which can decrease stoke volume patient symptoms, which can decrease cardiac output Amiodarone Calcium Channel Blockers. o Myocardial oxygen requirements and Beta Blockers. cardiac workload are increased If unstable Cardiovert immediately. If ventricular rate is slow, Decrease in cardiac output due to slow Goal is to restore sinus rhythm.
heart rate, Stasis of blood in atria can lead to, thrombus formation possible arterial or. pulmonary embolism, Atrial Fibrillation, Parameters Etiology. Rhythm Irregular Valvular heart disease, Ventricular Rate varies Hypertensive disease. P Wave not seen fibrillatory waves Coronary heart disease. Atrial Rate 300 bpm Cardiomyopathy, PR Interval NA Heart failure. QRS Interval 0 10 seconds Hyperthyroidism, Pulmonary disease.
Cardiac surgery, Significance Treatment, Same as atrial flutter Same as atrial flutter. Chronic atrial fibrillation present for, months or years may not convert to sinus. rhythm with any type of therapy Typically, no attempt is made to return chronic atrial. fibrillation patients to sinus rhythm, Junctional Rhythm. Parameters Etiology, Rhythm Regular SA node disease.
Ventricular Rate 41 60 bpm Myocardial infarction, P Wave inverted absent inverted after QRS Dig toxicity. Atrial Rate 41 60 Increase in vagal tone, PR Interval 0 12 seconds. QRS Interval 0 10 seconds, Significance Treatment, AV junction not reliable as pacemaker for Depends on tolerance of slowed heart rate. long periods Identify and treat underlying cause, The slow rate may cause. o Hypotension If symptomatic, o Decrease in Cardiac Output 1 Atropine IVP.
2 Transcutaneous or transvenous pacing, Accelerated Junctional Rhythm. Parameters Etiology, Rhythm Regular Dig toxicity, Ventricular Rate 61 100 bpm Damage to AV node secondary to Inferior wall. P Wave inverted absent inverted after QRS MI, Atrial Rate 61 100 bpm Heart failure. PR Interval 0 12 seconds Acute rheumatic fever, QRS Interval 0 10 seconds Valvular heart disease. Open heart surgery, Myocarditis, Significance Treatment.
Typically well tolerated Treatment should be directed at identifying. For some the loss of normal atrial the underlying cause and correcting it. depolarization can cause a decrease in, cardiac output. Junctional Tachycardia, Parameters Etiology, Rhythm Regular Dig Toxicity. Ventricular Rate 101bpm Damage to AV node Inferior MI. P Wave inverted absent inverted after QRS Heart Failure. Atrial Rate 101 bpm Myocarditis, PR Interval 0 12 seconds Rheumatic Fever. QRS Interval 0 10 seconds, Significance Treatment, If ventricular rate is rapid Identify and treat cause. o Ventricular filling time is shortened Vagal Maneuvers. which can decrease stoke volume If there is no apparent cause and the. which can decrease cardiac output patient is symptomatic. o Myocardial oxygen requirements and o Diltiazem, cardiac workload are increased o Beta blockers.
o Amiodarone, Premature Junctional Contraction, Parameters Etiology. Rhythm Usually regular Alcohol, Ventricular Rate underlying rhythm Simulants. P Wave inverted absent or inverted after the o Coffee. Atrial Rate underlying rhythm o Tobacco, PR Interval 0 12 seconds Coronary artery disease. QRS Interval 0 10 seconds Digoxin toxicity, Inferior wall MI. Significance Treatment, Unusual in healthy adults Treat underlying cause.
Early sign of digoxin toxicity, May precipitate junctional tachycardia. Ventricular Fibrillation, Parameters Etiology, Rhythm Chaotic Most common cause of death for people with. Ventricular Rate NA coronary heart disease, P Wave NA Most common cause of sudden cardiac death. Atrial Rate NA in patients with an acute MI, PR Interval NA Other causes. QRS Interval NA Myocardial Ischemia, Cardiomyopathy.
Cocaine toxicity, Electrolyte imbalance, Significance Treatment. No organ perfusion Check for Pulse, If there is a pulse not VF. If there is no pulse, 1 Defibrillation, Epinephrine. Amiodarone, Ventricular Tachycardia, Parameters Etiology. Rhythm Regular Heart disease, Ventricular Rate 101 bpm Myocardial ischemia or infarction.
P Wave none Cardiomyopathy, Atrial Rate none CHF, PR Interval NA Medications. QRS Interval 0 12 seconds Hypoxia, Electrolyte imbalance. Significance Treatment, Seriousness depends on duration rate Assess Patient pulse BP LOC. and how well the heart functions, Patients may have bursts of VT V Tach with a pulse and. Sustained VT is a life threatening o Stable, arrhythmia 1 Amiodarone.
Can progress to Ventricular Fibrillation 2 Cardioversion. Decrease or absence of Cardiac Output o Unstable, 1 Cardioversion. V Tach without a pulse, 1 Defibrillation, 2 CPR initiate immediately. Review Packet EKG Competency 2016 This packet is a review of the information you will need to know for the proctored EKG competency test 1 2016 Normal Sinus Rhythm Parameters Rhythm Regular Ventricular Rate 60 100 bpm P Wave upright matching 1 1 Atrial Rate 60 100 bpm PR Interval 0 12 0 20 seconds QRS Interval lt 0 10 seconds Etiology None Significance Normal Treatment None 1 2016

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