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Heart Monitor Practice Test

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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Term
Definition
show Individual Complex that occurs earlier than next expected complex. P waves- different in size, may be merged w/ T wave, or hidden under it. (T wave will look different than other) ***Depends ***Followed by a pause before rhythm returns  
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Bigeminy of PVC's   show
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show P waves- Upright (a little) before QRS complex PR- 0.12-0.20 QRS- less than .12 HR- slower than 60 P-P & R-R (same size)  
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Premature Junctional (PJC)   show
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Sinus Arrhythmia   show
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show P waves- Retro, hidden, or upside PR- Vary QRS-less than 0.12 HR-40 ****Looks like a Normal Sinus Rhythm except for a "Premature" beat is seen. But Sinus has no Premature beats so its either atrial or junctional depending on p wave shape.  
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show Originates from at least 3 different sites above the bundle of his, involves any pace maker. P waves- lets you know location. PR- usually 0.12-0.20, varies by location of pace maker. QRS- vary HR-60-100 P-P & R-R (vary)  
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Supra ventricular Tachycardia (SVT)   show
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show P waves- None. **F waves instead **Saw-Toothed F to QRS- 2:1 ration, etc.. **QRS- not present for every F wave, less than 0.12 if any (regular) HR- 60-100<-- measured by QRS AR-250-350<-- measured by F waves R-R (Vary) <--6 sec strip  
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3rd Degree Heart Block   show
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show Looks Similar to Ventricular Tachycardia "WW", but has no pattern, is very random, and sides get smaller. P waves- Rarely seen PR- Not measurable QRS- Wide, Bizarre, longer than 0.12 HR- more than 150 HR R-R (Regular or slightly irregular)  
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Normal Sinus   show
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Sinus Tachycardia   show
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Bundle Branch Block (BBB)   show
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show *looks alike a sharp p, and low Q with. Like a V, but other side is not as steep. P waves-not present PR- Not measurable QRS- gradually decreases in amplitude, greater than 0.12, wide HR- 41-100 P-P & R-R (irregular)  
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Ventricle Tachycardia   show
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ST Elevation   show
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show Chaotic Wavy line on monitor. (No pattern) P waves- Not present PR- Not Present QRS- Not Present HR- Not Measurable P-P & R-R (Not Present)  
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show P waves and PR- No true waves exist because of quivering QRS- less than 0.12 HR- 60-100 AH- 350-500 R-R (irregular and no pattern)<-- Give away  
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2nd Degree Type I   show
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show Mobitz II, Classic P waves- More p waves than QRS PR- Normal or a little longer (DOES NOT GET LONGER IN RHYTHM) QRS- is dropped suddenly, (Wide) HR- Varies P-P & R-R (Regular until QRS dropped)  
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Asystole   show
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Paced Atrial Rhythm   show
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Premature Ventricular Complex (PVC)   show
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show P waves- Spike QRS- usually greater than 0.12 looks downward P-P & R-R (regular) You can see the line where Artificial pacer started impulse.  
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show P waves- inverted, hidden, or retorgrade *PR- if present less than 0.12 QRS-less than 0.12 HR- 61-100 P-P & R-R (Regular)  
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show Sinus Rhythm, SVT, Accelerated Junctional  
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Irregular Rhythm   show
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PAC   show
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SVT   show
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show 2nd Degree Type II, 3rd Degree HB, Ventricular Tachycardia, Ventricular Fibrillation, Asystole,  
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show Inverted P wave (Upside down P wave) Buried P wave (Under QRS) Retrograde P wave (After QRS, close to J point)  
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