Heart Monitor Practice Test
Help!
|
|
||||
|---|---|---|---|---|---|
| Premature Atrial Complex (PAC) | 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
🗑
|
||||
| Bigeminy of PVC's | Every other QRS complex in a rhythm is a premature ventricular complex. (PVC)
QRS-unifocal or mulifocal
*Had delta little looking waves and every other QRS is flipped upside-down.
🗑
|
||||
| Sinus Brady | 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)
🗑
|
||||
| Premature Junctional (PJC) | Occurs Earlier than expected followed by pause. Not a true rhythm
P waves- inverted, hidden or retrograde
***PR-if seen, less than 0.12
QRS- less than 0.12
HR-
P-P & R-R (Vary depending on rhythm)
🗑
|
||||
| Sinus Arrhythmia | P waves- Upright (a little) before QRS complex
PR- 0.12-0.20
QRS- less than 0.12
HR- 60-100
***P-P & R-R- IRREGULAR (Change with respirations)
*Heart rate 6- second method is best to determine HR
🗑
|
||||
| Junctional Escape Rhythm | 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.
🗑
|
||||
| Wandering Atrial Pacemaker | 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)
🗑
|
||||
| Supra ventricular Tachycardia (SVT) | P waves- normal before QRS, may be hidden under T wave
PR- 0.12-0.20
QRS- less than 0.12
HR- 151-250 or more
P-P & R-R (same size)
🗑
|
||||
| Atrial Flutter | 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
🗑
|
||||
| 3rd Degree Heart Block | When atria and ventricles both work independently as pace makers.
**P waves- shows they change length but they do not really.
PR- No true PR occurs
**QRS- Wide, longer than 0.12
HR- 20-40
AH- 60-100
P-P & R-R (look equal, but not to each other.)
🗑
|
||||
| Torsades de Pointes | 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)
🗑
|
||||
| Normal Sinus | P waves- round (look same)
PR- 0.12-0.20
QRS- less than 0.12 (look same)
HR-60-100
P-P & R-R (same size)
🗑
|
||||
| Sinus Tachycardia | P waves- Upright (a little) before QRS complex, May be hidden if fast HR under T wave.
PR- 0.12-0.20
QRS- less than 0.12
HR- 101-150
P-P & R-R (same size)
🗑
|
||||
| Bundle Branch Block (BBB) | Impulse takes detour. "Rabbit Ears"<-- look like a delta dent in QRS
P waves- Vary
PR-Vary
**QRS- more than 0.12 (Wider)
HR-Vary
P-P & R-R (Vary on Rhythm)
🗑
|
||||
| Accelerated Idioventricular dysrhythmia (AIVR) | *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)
🗑
|
||||
| Ventricle Tachycardia | Look like "WWWWW"
P waves- Not usually present
PR- Not measurable
QRS- Wide, Bizarre, longer than 0.12
HR- 101-250
R-R (Regular, slightly irregular)
🗑
|
||||
| ST Elevation | the S wave and T wave are higher then the p wave.
has to be more than one small box above baseline.
🗑
|
||||
| Ventricle Fibrillation (V-Fib) | 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)
🗑
|
||||
| Atrial Fibrillation (A Fib) | 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
🗑
|
||||
| 2nd Degree Type I | Mobitz I, Wenckeback
More P waves than QRS
PR- BECOME LONGER IN RHYTHM until QRS is dropped
PR **Greater than 0.20
QRS- less than 0.12
HR- Vary
🗑
|
||||
| 2nd Degree Type II | 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)
🗑
|
||||
| Asystole | Complete Lack of Electrical Activity in Heart. (No Pulse) Appears as a slightly wavy or straight linen screen.
P waves- None
PR- None
QRS- None
HR-
P-P & R-R (None)
🗑
|
||||
| Paced Atrial Rhythm | P waves-Spike is seen at beginning of P wave.
You can see a line where the artificial pacer started the impulse.
🗑
|
||||
| Premature Ventricular Complex (PVC) | Followed by a compository pause. You can measure by measuring R-R before and after PVC. Distance will be 2x more
P waves- No P Wave when happening
**QRS- Wide, bizarre looking, greater than 0.12 (Some appear Upside down)
HR-Vary
P-P & R-R (Vary)
🗑
|
||||
| Paced Ventricle Rhythm | 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.
🗑
|
||||
| Accelerated Junctional | 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)
🗑
|
||||
| Normal Rhythm | Sinus Rhythm, SVT, Accelerated Junctional
🗑
|
||||
| Irregular Rhythm | Sinus Arrhythmia, PAC, A-Fib, PJC, 2nd Degree type I, 2nd Degree type II, 3rd Degree HB, PVC, Idioventricular,
🗑
|
||||
| PAC | **Normal Sinus Rhythm if not for that ONE irregular one w/ pause making it an irregular rhythm.
🗑
|
||||
| SVT | **Confused with Sinus Tachycardia. Only its 150-250 and not 100-150
**Originates from above the bundle of his
**Triggered by irritability in atria
🗑
|
||||
| Life Threatening | 2nd Degree Type II, 3rd Degree HB, Ventricular Tachycardia, Ventricular Fibrillation, Asystole,
🗑
|
||||
| Junctional | Inverted P wave (Upside down P wave)
Buried P wave (Under QRS)
Retrograde P wave (After QRS, close to J point)
🗑
|
||||
|
🗑
|
|||||
|
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
judit4424
Popular EEG sets