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BA - conduction
Conduction sytem
| Question | Answer |
|---|---|
| List the 4 pacemaker sites | SA AV Junction Ventricular Atrial |
| PR interval that identifies conduction delay thru the AV Junction | > 0.20 |
| How do you calculate heart rate with an irregular rhythm | count the number of P waves and multiply by 10 |
| How do you calculate heart rate with an regular rhythm | count the number of small blocks in P-P interval and divide by 1500 |
| Lead Placement/Color RA LA Chest RL LL | white black brown green red |
| Represents depolarization of atrial electrical cells | P wave |
| Represents time the impulse is passing thru the AV junction to the ventricles | PR segment |
| Time required for electrical impulse to depolarize atria, travel thru AV node & Bundle of His to ventricles | PR interval |
| Normal PR interval | 0.12 - 0.20 |
| Measures how long it takes the ventricles to depolarize and repolarize | QT interval |
| Normal QT interval | 0.35 - 0.43 |
| Measures time for electrical impulse to transverse both ventricles | QRS width |
| Normal QRS width | 0.10 or less |
| The first positive deflection from the baseline | R wave |
| negative deflection from baseline following the R wave | S wave |
| represents beginning of ventricular repolarization | ST segment |
| represents last 2 phases of ventricular repolarization | T wave |
| represents depolarization of the ventricle | QRS complex |
| the first downward or negative deflection from baseline | Q wave |
| Normal QRS width | 0.10 or less |
| Pacemaker Site: no P wave with normal QRS | Pacemaker Site: AV Junction |
| Pacemaker Site: no P waves with wide QRS | Pacemaker Site: Ventricles |
| Pacemaker Site: PR interval < 0.12 | Pacemaker Site: AV Junction |
| Pacemaker Site: PR interval 0.12 or greater | Pacemaker Site: SA node or Atria |
| "pacemaker of the heart" 60-100 bpm | SA node |
| Not a back up of the SA node | Atrial pacemaker site |
| Monitor displays only this rate | ventricular |
| Signs and symptoms of low cardiac output | -decreased level of consiousness -weak, thready pulses -loss of peripheral pulses -decreased urine output -cool, clammy skin -delayed capillary refill -chest pain -decreased blood pressure -CHF -AMI |