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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.
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Question
Answer
show Sinus Rhythm: Normal Sinus Rhythm, Sinus Bradycardia or Sinus Tachycardia  
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If you do not have a P-wave the rhythm is:   show
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show 60-100 (NSR or AJR)<60 (SB, or JR)> 100 (ST or JT)  
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show = Junctional Rhythm, nextlook at rate  
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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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show 0.06-0.10  
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Super Ventricular Tachycardia   show
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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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show Fear, Deficient knowledgeIneffective cardiac tissue perfusion, Decreased cardiac output, Impaired gas exchange, Risk for imbalanced fluid volume, Disturbed sensory perception, Acute pain, Ineffective tissue perfusion, Ineffective thermoregulation  
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show CVP:0-4 Wedge pressure:8-15 PAP 20-30/5-15  
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Pulmonary Edema   show
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Irregular Rhythms   show
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show Tamponade, also massive JVD  
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Pacemaker Information required on Chart   show
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show Risk factors: heart valve prosthesis, hx of heart disease (mitral valve prolapse), chronic dibilitatin disease, IV drug abuse and immunosuppression  
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Pericarditis   show
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hypokalemia wave form changes   show
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show Tall QRS complexes  
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hypomagnesium   show
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Medications to treat ventricular dysrhythmias   show
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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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show T-wave inversion:inadequate blood supplyST-segment elevation:injury prolonged ischemiaPathologic Q waves Are all signs of tissue hypoxia  
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Digoxin   show
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A-fib   show
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show ST elevation indicates immediate myocardial injury. ST depressions indicate myocardial ischemia. Q wave forms several days after a myocardial infarction, U wave is a sign of hypokalemia.  
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Laxix Furosemide   show
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Nitroglycerin   show
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Calcium Channel Blockers   show
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Rhumatic Fever   show
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S/S of Infective Endocarditis   show
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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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ACE Inhibitors   show
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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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Troponin earliest increase, peak and return to normal   show
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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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Aortic Regurgitation: Cause   show
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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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Cardiac Tamponade S/S   show
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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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