Relias Dysrhythmia Basic Test Answers 100% correct

normal sinus rhythm heart rhythm originating in the sinoatrial node with a rate in patients at rest of 60 to 100 beats per minute Sinus Arrhythmia Appearance is ALMOST NORMAL: Respiratory – Circulatory interaction Rate INCREASES with INSPIRATION (IN=IN) Sinus Bradycardia 60 normal sinus rhythm Sinus Tachycardia 100 (100-150) normal sinus rhythm Premature Atrial Contraction (PAC) Heart Rate: Depends on underlying rhythm Regularity: Interrupts the regularity of underlying rhythm P-Wave: can be flattened, notched, or unusual. May be hidden within the T wave PRI: measures between .12-.20 seconds and can be prolonged; can be different from other complexes QRS: .12 seconds Sinus Arrest/Pause – SA node doesn’t fire – notice absence of P-wave for a complete cycle (a missed cycle) length of pause ≠ multiple of normal rate (block) Atrial Fibrillation (A-Fib) an irregular and often very fast heart rate originating from abnormal conduction in the atria Atrial Flutter irregular beating of the atria; often described as “a-flutter with 2 to 1 block or 3 to 1 block” Junctional Rhythm 40-60 Regular! -impulse from AV node w/ retro/antegrade transmission – P wave often inverted/buried/follow QRS – slow rate – narrow QRS (not wide like ventricular) Junctional Tachycardia 60 bpm (ms. K; 150-250) – KEY: will be regular (consistent) – AV junction produces a rapid sequence of QRS-T cycles – p-wave often inverted/buried/follow QRS Premature Junctional Contraction Inverted p wave or hidden p wave PRI0.12 or none Normal QRS Supraventricular Tachycardia (SVT) an abnormal heart rhythm arising from aberrant electrical activity in the heart; originates at or above the AV node First degree heart block atrioventricular (AV) block in which the atrial electrical impulses are delayed by a fraction of a second before being conducted to the ventricles 2nd degree heart block type 1 (Wenkebach) Progressively longer PR interval until the P wave is not followed by a QPR 2nd Degree Heart Block (Mobitz II) Rare, but more serious Sudden appearance of a nonconducted P-wave P-waves are nl, but some aren’t followed by a QRS complex PR & RR intervals are constant 3rd degree heart block no obvious correlation between p and qrs, need pace maker premature ventricular contraction (PVC) a ventricular contraction preceding the normal impulse initiated by the SA node (pacemaker) Bigeminy PVC every other beat is a PVC PVC couplets PVC occurring in pairs, no adequate C.O. when this occurs monomorphic ventricular tachycardia presents with wide QRS complexes of a common shape. Torsades de pointes Rate: 120 – 200 usually P wave: Obscured by ventricular waves QRS: Wide QRS – “Twisting of the Points” Conduction: Ventricular only Rhythm: Slightly irregular Ventricular fibrillation (V-fib) abnormal heart rhythm which results in quivering of ventricles