ASYSTOLE
-hypoxia #1 cause
NURSING CONSIDERATIONS -
CONFIRM ON TWO LEADS -DON'T
DEFIB!
----Why? No electrical activity to disrupt/restart
-Start CPR IMMEDIATELY
-Doc will give epi. DON'T STOP CPR TO GIVE THOUGH
-Given every 3-5 minutes after
Pacemaker Rule
The pacemaker site firing the fastest controls the heart rate
Automaticity
the ability of the heart to initiate an impulse without outside stimulation Escape
a higher pacemaker sites does not create an impulse, so a lower pacemaker site
takes over
irratability
Cause of premature beats
Inherent rate natural rate of
a pacemaker
SINUS BRADYCARDIA
Rhythm- REGULAR
Rate- <60 bpm
P-wave- UPRIGHT 1:1 Same
PRI- 0.12-0.20
QRS- < 0.12 sec
QT- yes
QTC- yes
SINUS TACHYCARDIA
Rhythm- sinus
Rate- >100 bpm
P-wave- up 1:1 S
PRI- 0.12-0.20
QRS- <. 0.12
QT- yes
QTC- yes
The ___________ represents polarization
, isoelectric line
the _____________ represents atrial depolarization
P wave
T or F During the Absolute Refractory Period, the heart cells cannot respond to
ANY electrical impulses, regardless of how strong it is
TRUE
Sinus Node (SA node) paces between _________ and _________ BPM 60-100.
Pacemaker of the heart
The AV Junction paces between _________ and ________ BPM 40-60
The Ventricle paces between ___________ and ___________ BPM
20-40
The Atria can contract up to ________ bpm
400 bpm
The Ventricles can contract up to ____________ bpm
250 bpm
Put conduction system in order
1-SA NODE
2-Bachman's Bundle
3-Internodal Tracts
4-AV Node
5-AV Junction
6-Bundle of HIS
7- L&R Bundle Branches
The ______________ represents the delay in the AV node
PR Segment
The ____________ represents ventricular depolarization
QRS
The _______________ represents ventricular Repolarization
T Wave
T or F The preferred lead at CAMC is Lead II
True
8-Purkinje Fibers