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A study guide for an ecg (electrocardiogram) final exam. It covers various topics related to the analysis and interpretation of cardiac rhythms, including methods for calculating heart rate, identifying different types of arrhythmias, and understanding the significance of specific waveform morphologies. The guide provides detailed information and correct answers to questions on topics such as premature ventricular contractions (pvcs), ventricular tachycardia (v-tach), bundle branch blocks, ventricular fibrillation, and the role of calcium in cardiac function. It also covers the interpretation of specific ecg features like the st segment, t wave, and purkinje fibers. This comprehensive study guide would be valuable for students preparing for an exam in a medical or healthcare-related field, particularly those studying cardiac electrophysiology, emergency medicine, or cardiovascular nursing.
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If one PVC interrupts a regular sinus rhythm strip use ________ method may be used to calculate heart rate. State this information under "___________": R-R's regular, but interrupted by a PVC. - Correct Answer-1500, Rhythm 6 second strips with 2 or more _______________ beats - you may use six second method for calculating heart rate (if PVC/PJC, count in heart rate) - Correct Answer- premature For rhythms with _________, ____________, ________________, _____________ , use six second method to calculate HR - Correct Answer-V-TACH, pauses, arrest, escape beats 1st step in rhythm analysis is heart ___________ - Correct Answer-rhythm If you measure a QRS .12 or greater, consider ________________ for answer - Correct Answer-wide QRS ______ is the best lead to assess left or right bundle branch block - Correct Answer-V For a strip with a PVC or V-TACH RUN, consider the pattern ___________________ - Correct Answer-irregular Define rhythmicity - ________ __________________ - Correct Answer-heart rhythm Define _________________- shape and size of specific complex or waveform - Correct Answer-morphology Minimum length before interruption of a tracing is ___________ seconds - Correct Answer- The ventricles are ___________ at max systole - Correct Answer-empty Know how to identify fine/coarse ventricular fibrillation - Correct Answer- How do we determine the rate for ventricular fibrillation? - Correct Answer- What role does calcium play with cardiac function? - Correct Answer-produces muscle contractions
Purkinje fibers are located along the ________________ _____________ _____ - Correct Answer-myocardial septal wall Both ST segment and T wave represent the period of _____________________ - Correct Answer-repolarization Idioventricular Rhythm with escape beat - Correct Answer- 3 rd Degree Heart Block - Correct Answer- 2nd Degree Type I - Correct Answer- 2 nd Degree Type II - Correct Answer- 1st Degree Heart Block - Correct Answer- Know all heart rate parameters associated with each rhythm. - Correct Answer- Normal Sinus Rhythm: HR range is _______ - _______ - Correct Answer-60- Torsades De Pointes - Most accurate is ______________ ____________(measure boxes between 2 LARGE ventricular complexes) Rate will be very fast and will vary between complexes throughout strip (example: 3-5 small boxes) Ventricular rate will likely be > 300. - Correct Answer-1500 method Sinus Pause / Arrest (Know how to calculate time of pause/arrest) - Correct Answer-# of big boxes x .20 + # of small boxes x .04 = pause/arrest in seconds