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The flashcards below were created by user
ctbty
on FreezingBlue Flashcards.
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accelerated idioventricular rhythm
- rhythm: reg
- rate: 40-100
- p: none
- pri: none
- qrs: wide and bizarre
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/88.gif
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accelerated junctional rhythm
- rhythm: reg
- rate: normal
- p: before, during (hidden), or after qrs; inverted if visible
- pri: not measurable
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/137.gif
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asystole
- rhythm: none
- rate: none
- p: none
- pri: none
- qrs: none
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/33.gif
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atrial tachycardia (a tachy)
- rhythm: reg
- rate: 150-250
- p: atrial p waves differ in shape from sinus p waves and can be upright or inverted
- pri: normal but may be shorter or even longer
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/18.gif
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atrial fibrillation (a fib)
- rhythm: irreg
- rate: atrial= > 350; vent= may be slow, normal, or fast
- p: none; erratic waves are present
- pri: none
- qrs: normal, but may be widened if there are conduction delays
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/39.gif
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atrial flutter
- rhythm: reg or irreg
- rate: atrial= 250-350; vent= often slower
- p: none observable; saw-toothed flutter waves present
- pri: none
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/8.gif
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bundle branch block (bbb)
- rhythm: reg
- rate: underlying
- p: normal
- pri: normal
- qrs: wide
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/68.gif
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first degree av block (1st deg avb)
- rhythm: reg
- rate: underlying
- p: normal
- pri: prolonged
- qrs: normal
- notes: actually a delay rather than a block
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/66.gif
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idioventricular rhythm
- rhythm: reg
- rate: 20-40
- p: none
- pri: none
- qrs: wide and bizarre
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/30.gif
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junctional escape rhythm
- rhythm: reg
- rate: 40-60
- p: before, during (hidden), or after qrs; inverted if visible
- pri: not measurable
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/13.gif
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junctional tachycardia (junctional tachy)
- rhythm: reg
- rate: 100-180
- p: before, during (hidden), or after qrs; inverted if visible
- pri: none or short
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/49.gif
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multifocal atrial tachycardia (mat)
- rhythm: irreg
- rate: > 100
- p: changes shape and size from beat to beat (at least 3 different forms)
- pri: varies
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/16.gif
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normal sinus rhythm (nsr)
- rhythm: reg
- rate: normal
- p: normal
- pri: normal
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/154.gif
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pacemaker - failure to capture
- rhythm: irreg
- rate: slow or normal
- notes: pacemaker spikes not followed by p or qrs
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/103.gif
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pacemaker - failure to pace
- rhythm: irreg
- notes: pacemaker spikes do not appear
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/104.gif
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pacemaker - single chamber - atrial
- rhythm: reg
- rate: 60
- p: normal
- pri: normal
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/101.gif
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paroxysmal supraventricular tachycardia (paroxysmal suprav tachy)
- rhythm: reg
- rate: 150-250
- p: merged w/ t
- pri: not measurable
- qrs: normal
- notes: brief period of tachy; starts and stops suddenly
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/77.gif
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premature atrial contraction (pac)
- rhythm: irreg
- rate: usually normal, but depends on underlying
- p: premature, positive, and shape is abnormal
- pri: normal or longer
- qrs: 0.10 or less
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/136.gif
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premature junctional contraction (pjc)
- rhythm: reg w/ premature beats
- rate: underlying
- p: before, during (hidden), or after qrs; inverted if visible
- pri: none or short
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/23.gif
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premature ventricular contraction (pvc)
- rhythm: irreg
- rate: underlying
- p: none
- pri: none
- qrs: wide and bizarre
- notes: 2 pvc's together are termed a couplet, while 3 pvc's in a row w/ a fast rhythm is ventricular tachycardia
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/59.gif
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pvc: bigeminy
- rhythm: irreg
- rate: underlying
- p: none
- pri: none
- qrs: wide and bizarre
- notes: pvc appears every 2nd beat
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/55.gif
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pvc: couplets
- rhythm: irreg
- rate: underlying
- p: none
- pri: none
- qrs: wide and bizarre
- notes: pvc appear together as a pair
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/78.gif
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pvc: quadrigeminy
- rhythm: irreg
- rate: underlying
- p: none
- pri: none
- qrs: wide and bizarre
- notes: pvc appears every 4th beat
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/24.gif
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pvc: trigeminy
- rhythm: irreg
- rate: underlying
- p: none
- pri: none
- qrs: wide and bizarre
- notes: pvc appears every 3rd beat
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/60.gif
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pulseless electrical activity (pea)
- rhythm: underlying
- rate: underlying
- p: underlying
- pri: underlying
- qrs: underlying
- notes: no pulse detected even tho ekg signals are present
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/32.gif
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second degree av block: type I (mobitz I or wenckebach) (2nd deg avb type 1)
- rhythm: irreg, but w/ progressively longer pri lengthening
- rate: underlying
- p: normal
- pri: progressively longer until qrs is missed, then cycle repeats
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/85.gif
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second degree av block: type II (mobitz II) (2nd deg avb type 2)
- rhythm: atrial= reg; vent= irregular
- rate: atrial usually faster than vent; vent is often slow
- p: normal form, but more p than qrs
- pri: normal or prolonged
- qrs: normal or wide
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/86.gif
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sick sinus syndrome
- rhythm: reg or irreg
- rate: varies
- p: varies w/ rhythm
- pri: varies
- qrs: 0.10
- notes: rhythm can be fast or slow, and may include sinus pauses
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/12.gif
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sinoatrial block (sab)
- rhythm: irreg when sab
- rate: normal or slow
- p: normal
- pri: normal
- qrs: normal
- notes: pause time is an integer multiple of p-pi; try to id specific type of a tachy
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/17.gif
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sinus arrest (sinus pause)
- rhythm: irreg due to pause
- rate: normal to slow
- p: normal
- pri: normal
- qrs: normal
- notes: pause time is not an integer multiple of p-pi
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/73.gif
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sinus arrythmia
- rhythm: irreg; varying w/ respiration
- rate: normal; may increase during inspiration
- p: normal
- pri: normal
- qrs: normal
- notes: hr frequently increases w/ inspiration and decreases w/ expiration
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/63.gif
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sinus bradycardia (sinus brady)
- rhythm: reg
- rate: slow
- p: normal
- pri: normal
- qrs: normal
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/65.gif
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sinus tachycardia (sinus tachy)
- rhythm: reg
- rate: fast
- p: normal; may merge w/ t at very fast rates
- pri: normal
- qrs: normal
- notes: qti shortens w/ increasing hr
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/31.gif
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supraventricular tachycardia (supravent tachy)
- rhythm: reg
- rate: 150-250
- p: merged w/ t
- pri: normal
- qrs: normal
- notes: pri can be difficult to measure
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/119.gif
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third degree av block (3rd deg avb)
- rhythm: reg, but atrial and vent rhythms are independent
- rate: atrial= usually normal and faster than vent
- p: normal shape and size; may appear w/in qrs
- pri: none - atria and vents beat independently
- qrs: normal, but wide if junctional escape focus
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/26.gif
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ventricular fibrillation (vfib)
- rhythm: highly irreg
- rate: unmeasurable
- p: none
- pri: none
- qrs: none
- notes: ekg tracings is a wavy line
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/5.gif
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ventricular tachycardia (vtachy)
- rhythm: reg
- rate: 100-250
- p: none
- pri: none
- qrs: wide and bizarre
- notes: can be monomorphic (form of each qrs is similar) or polymorphic (qrs forms vary)
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/81.gif
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ventricular tachycardia monomorphic (vtachy mono)
- rhythm: reg
- rate: 100-250
- p: none
- pri: none
- qrs: wide and bizarre
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/6.gif
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ventricular tachycardia polymorphic (vtachy poly)
- rhythm: reg or irreg
- rate: 100-300
- p: none
- pri: none
- qrs: normal, or wide and bizarre
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/82.gif
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ventricular tachycardia torsade de pointes (torsade de pointes)
- rhythm: irreg
- rate: 200-250
- p: none
- pri: none
- qrs: wide and bizarre
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/120.gif
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wandering atrial pacemaker
- rhythm: may be irreg
- rate: normal
- p: shape and size changes from beat to beat (at least 3 diff forms)
- pri: varies
- qrs: normal
- notes: t is normal; if hr exceeds 100, then rhythm may be multifocal atrial tachy (mat)
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/135.gif
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wolff-parkinson-white syndrome
- rhythm: reg unless afib is present
- rate: normal
- p: normal
- pri: shortened
- qrs: usually wide
- notes: look for short pri; a delta wave (pos or neg) distorts the early part of qrs
- http://d2ik8svv2swg1p.cloudfront.net/ekgtracings/19.gif
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