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Pediatric ECG
Pediatric ECG study cards
| Question | Answer |
|---|---|
| What is the intrinsic rate for a pediatric heart at SA node | 95-120 |
| Where is the deviation/dominance for a pediatric heart | right axis |
| Where are T-waves inverted in a pediatric heart | V1-V3 |
| At what heart rate do you express concern in pediatrics | below 80 |
| A pediatric patient with PVC's need to have what preformed. What do you have to rule out? | ECG (also preform excercise and echo). Long qTC syndrome, HCM, and RV dysplasia |
| A benign PVC will be supressed by what | excercise stress test (if not, poor prognosis) |
| How many squares between R waves signals a bradycardic pediatric heart | 4 |
| P waves w/o QRS are indicative of what | heart block |
| Longer intervals are indicative of what | slowed conduction |
| What are the false positive findings in athletes | LVH, non-specific ST changes, Q-waves, low rate |
| At what age do you expect to see normal sinus rythm | 12-14 |
| sinus tachycardia occurs at which HR | 100+ |
| When can sinus tach be a problem | if it occurs during sleep or at rest |
| Rate for SVT | 150-250 |
| At wha age are SVT'snto likely to reoccur | less than 4 months |
| Which drug is given to slow heart rate and cuases a temporary AV block | Adenosine |
| What do you use for an infant who is unresponsive to adenosine or Ice therapy | synchronized electrical cardioversion |
| Which SVT treatment is NEVER used in infants | Verapamil |
| Which two drugs are used for WPW | digoxin and propranolol |
| Which drug effects refractory period when treating WPW | digoxin |
| Which drug is the TREATMENT OF CHOICE for WPW | Propranolol |
| Top cause of infant's having slowed rhythms | apnea |
| Should you treat the patient or the rhythm | patient |
| Most common meds causing bradycardia | antihistimines and decongestants |
| Regular rhythm, disconnected p-waves, normal looking p-waves, short QRS | complete heart block |
| mothers with SLE can have infants with what | complete heart block |
| regular rhythm, INVERTED P-waves (before, during after ORS), bradycardia | junctional bradycardia |
| Unstable patients with arhythmias should be... | SHOCKED |
| Appearing as V. Fib, but with a creshendo/decreshendo | Torsades de Pointes |
| What should be checked along with an EKG | pulse, capillary filling, BP, and lung/heart sounds |