BSMH Advanced Arrhythmia Course Exam with accurate ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
detailed answers ||\\//||
Terms in this set (164) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
blood flow from body through the heart ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
superior and inferior vena cava > right atrium > tricuspid valve > right ventricle > pulmonic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
valve > pulmonary artery > lungs > pulmonary veins > left atrium > mitral valve > left
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ventricle > aortic valve > aorta > body ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
SA node bpm
||\\//|| ||\\//||
60-100
AV node bpm
||\\//|| ||\\//||
40-60
purkinje fibers bpm ||\\//|| ||\\//||
20-40
ekg paper: small square = ________ second
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
0.04
ekg paper: small square = _____ mm
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1
ekg paper: larger square = ________ second
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
0.20
ekg paper: larger square = ______ mm
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
5
how is voltage measured on an ekg strip?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
along the vertical axis; 10 mm is 1 MV ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
15 larger boxes is how many seconds?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, 3
30 larger boxes is how many seconds?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
6
what does the P wave show? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
atrial depolarization (contraction); indicates the impulse originated in the SA node, atria, or
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
AV junction ||\\//||
P wave characteristics
||\\//|| ||\\//||
1st waveform on tracing, normally smooth and rounded, upright in lead 2, precedes QRS
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
PR interval ||\\//||
0.12-0.20 seconds measured from beginning of P to beginning of QRS ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
what does a PR interval longer than 0.20 imply?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
heart block ||\\//||
what does the QRS complex show? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ventricular depolarization and atrial repolarization ||\\//|| ||\\//|| ||\\//|| ||\\//||
what is bundle branch block? ||\\//|| ||\\//|| ||\\//|| ||\\//||
obstruction in one of the branches of the bundle of his so the QRS is wider and more than ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
0.12 seconds ||\\//||
nurse actions for a bundle branch block ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
place patient on oxygen, call the physician, call rapid response if needed, obtain an EKG to
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
determine if left or right ||\\//|| ||\\//|| ||\\//|| ||\\//||
QRS characteristics ||\\//||
composed of 3 waveforms, measures 0.06-0.12 seconds, positive deflection in lead 2 ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Q wave ||\\//||
1st negative deflection after the P; may not be seen in real time
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
R wave
||\\//||
1st positive deflection after the P
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
S wave
||\\//||
detailed answers ||\\//||
Terms in this set (164) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
blood flow from body through the heart ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
superior and inferior vena cava > right atrium > tricuspid valve > right ventricle > pulmonic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
valve > pulmonary artery > lungs > pulmonary veins > left atrium > mitral valve > left
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ventricle > aortic valve > aorta > body ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
SA node bpm
||\\//|| ||\\//||
60-100
AV node bpm
||\\//|| ||\\//||
40-60
purkinje fibers bpm ||\\//|| ||\\//||
20-40
ekg paper: small square = ________ second
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
0.04
ekg paper: small square = _____ mm
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1
ekg paper: larger square = ________ second
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
0.20
ekg paper: larger square = ______ mm
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
5
how is voltage measured on an ekg strip?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
along the vertical axis; 10 mm is 1 MV ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
15 larger boxes is how many seconds?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, 3
30 larger boxes is how many seconds?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
6
what does the P wave show? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
atrial depolarization (contraction); indicates the impulse originated in the SA node, atria, or
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
AV junction ||\\//||
P wave characteristics
||\\//|| ||\\//||
1st waveform on tracing, normally smooth and rounded, upright in lead 2, precedes QRS
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
PR interval ||\\//||
0.12-0.20 seconds measured from beginning of P to beginning of QRS ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
what does a PR interval longer than 0.20 imply?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
heart block ||\\//||
what does the QRS complex show? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ventricular depolarization and atrial repolarization ||\\//|| ||\\//|| ||\\//|| ||\\//||
what is bundle branch block? ||\\//|| ||\\//|| ||\\//|| ||\\//||
obstruction in one of the branches of the bundle of his so the QRS is wider and more than ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
0.12 seconds ||\\//||
nurse actions for a bundle branch block ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
place patient on oxygen, call the physician, call rapid response if needed, obtain an EKG to
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
determine if left or right ||\\//|| ||\\//|| ||\\//|| ||\\//||
QRS characteristics ||\\//||
composed of 3 waveforms, measures 0.06-0.12 seconds, positive deflection in lead 2 ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Q wave ||\\//||
1st negative deflection after the P; may not be seen in real time
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
R wave
||\\//||
1st positive deflection after the P
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
S wave
||\\//||
