How to read EKG strips
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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show | Sinus Rhythm: Normal Sinus Rhythm, Sinus Bradycardia or Sinus Tachycardia
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show | Ventricular
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show | 60-100 (NSR or AJR)<60 (SB, or JR)> 100 (ST or JT)
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PR Interval = <.12 (less than 3 little boxes) | show 🗑
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PR Interval = .12-.20 = (3 to 5 little boxes) | show 🗑
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PR Interval = >.20 = | show 🗑
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No P-wave= | show 🗑
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Regular QRS = | show 🗑
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show | <3 little boxes
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show | When you have a pulse
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show | When you have no pulse
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What drug(s) do you use for Asystole | show 🗑
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The drug used to Chemicaly Cardiovert SVT is | show 🗑
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Nursing Diagnosis related to CABG | show 🗑
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CVP normal value:Wedge pressure:PAP | show 🗑
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Pulmonary Edema | show 🗑
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show | A-flutter, Sinus Arrhythmia, 2 degree or 3 degree heart block, A-fib
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Narrowing pulse pressure would be seen in which patient | show 🗑
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show | Model of pacemaker, type of generator, date and time of insertion, location of pulse generator, stimulation threshold, Pacer settings (eg, rate, energy output, sensitivity, and duration of interval between atrial and ventricular impulses)
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Endocarditis Infective Risk factors | show 🗑
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show | Friction rub. notched T wave, S/S: fever, positional chest discomfort, nonspecific ST-segment elevation, elevated ESR erythrocyte sedimentation rate, retrosternal pain that worsens during supine positioning, pulsus paradoxus
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hypokalemia wave form changes | show 🗑
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hyperkalemia | show 🗑
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show | Torsades de pointes
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show | Lidocaine, Beta blockers, amiodarone (drug of choice for v-tac)
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Right Heart Failure (chronic condition) | show 🗑
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show | Bibasilar fine crackles, dyspnea, tachycardia, S3 and S4 heartsounds,fatigue, hemoptysis, non-productive cough, cool pale skin, PMI displaces toward the left anterior axillary line
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Inferior wall myocardial Infarction | show 🗑
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Digoxin | show 🗑
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A-fib | show 🗑
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12 Lead EKG | show 🗑
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Laxix Furosemide | show 🗑
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show | Reduces oxygen consumption to devrease ischemia and relieve pain. Vasodialator mainly in veins and reduces blood return to heart and preload is reduced. May cause a significant drop in cardiac output and B/P if pt is hypovolemic at higher doses.
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show | Slows heartrate and decreases strength of contraction which decreases workload of heart. Relaxes blood vessels decreasing BP and increases coronary artery perfusion
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show | Caused by strep
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show | Osler's nodes (red, painful nodules on the fingers and toes) splinter hemorrhages, fever, diaphoresis, hoint pain, weakness, abdominal pain, new murmur, Janeway's lesions (small, hemorrhagic areas on fingers, toes, ears, and nose)
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show | Flu-like symptoms.fatigue, dyspnea, palpitations, and occasional discofort in the chest and upper abdomen. My develop dysrhythmias, or ST-T wave changes. Systolic murmur, gallop rhtyhm,
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show | promote vasodilation and diuresis by decreasing afterload and preload.
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show | left ventricular dysfunction. increases cardiac contractility. at high doses, it also increases HR and incidence of ectopic beats and tachydysrhythmias. take care in pt with a-fib.
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CK-MB earliest increase, peak and return to normal | show 🗑
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show | 3-4 hours, peaks in 4-24 hrs and returns to normal 1-3 weeks
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show | BUN, TSH, CBC, BNP
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show | S/S: dyspnea, progressive fatigue, hemoptysis, paroxysmal nocturnal dyspnea, chough, wheeze, repeated respiratory infections. Dysrhythmias like A-fib. Tests Doppler echocardiography.
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show | Caused by inflammatory lesions that deformt he leaflets of the aortic valve. also infective or rheumatic endocarditis, congenital abnormalities, diseases such as syphilis, dissecting aneurysm, blunt chest trauma, or valve replacement.
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show | Forceful heartbeats in head and neck, arterial pulsations that are visible or palpable at the carotid or temporal arteries. Exertional dyspnea, fatigure, progressive s/s of left ventricular failure includie breathing difficulties, orthopnea, PND.
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show | take long term anticoagulant therapy, freequent follow up appointsments and blood lab studies. mak need to take aspirin, precribed medication teaching,
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show | Life threatening need stat interventions. S/S fullness within the chest, substantial or ill defined pain. sob, massive JVD, falling systolic blood pressure, narrowing pulse pressure, rising venous pressure (increased JVD) and distant heart sounds
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Cardiac Tamponade treatment | show 🗑
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show | 70% occlusion (60% if in the Left main). artery must me patent beyond the occlusion. Use greater saphenous vein, lesser saphenous, chephalic and basilic veins.
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