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Prophecy ECG study guide with complete solutions.

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steps for interpreting rhythms 1. Regular/Irregular 2. Rate? 3. P before every QRS and a QRS for every P wave? 4. P-R interval measurement and is it consistent? 5. QRS wide or narrow? where to put limb leads on 12 lead EKG on wrists and ankles 00:02 01:21 best lead for atrial rhythms lead II best lead for ventricular rhythms V1 SA node intrinsic rate 60-100 AV node intrinsic rate 40-60 atrial depolarization P wave PR interval measured BEFORE P WAVE and AT THE Q norm: 0.12-.20s ***its too long if it is longer than 5 little boxes or one big box normal PR Interval 0.12-0.20 seconds ventricular depolarization QRS complex ventricular repolarization T wave absolute refractory period The minimum length of time after an action potential during which another action potential cannot begin -toilet theory -problem when QT interval increases

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Prophecy ECG
5 large boxes - 1 second

15 large boxes - 3 seconds

30 large boxes - 6 seconds

absolute refractory period - The minimum length of time after an action potential during
which another action potential cannot begin

-toilet theory
-problem when QT interval increases

Accelerated Idioventricular Rhythm - Regular Rhythm
Rate is 50-100
irregular P waves

Agonal -

Agonal - slow irregular rhythm with wide QRS that vary in morphology
-nearing death

Asystole - patient is dead

atrial depolarization - P wave

Atrial Fibrillation - NO DISTINGUISHED P
-electricity is going like a pinball then transmits to ventricle

-rhythm is irregular

-if >than 150bpm then a-fib RVR

Atrial Flutter - USUALLY REGULAR
atrial rate i.e. 3:1
P wave is flutter/sawtooth

Atrial or Supraventricular Tachycardia - umbrella term
rate >150
SVT if >150 and regular
A-fib with RVR if >150 and irregular

AV node intrinsic rate - 40-60

best lead for atrial rhythms - lead II

best lead for ventricular rhythms - V1

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