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PROPHECY EKG COMPLETE SOLUTION SCRIPT ACCURATE RESPONSES BEST A

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PROPHECY EKG COMPLETE SOLUTION SCRIPT ACCURATE RESPONSES BEST A

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PROPHECY EKG COMPLETE SOLUTION
SCRIPT ACCURATE RESPONSES BEST A
◉ prolonged QT interval. Answer: more than 1/2 of R-R interval


caused by: hypocalcemia, TCAs (amytriptilline, celexa, lexapro),
olanzaprine, antihistamines, haldol, digoxin
can lead to: Torsades de Pointes --> sudden cardiac death


s/s: high BP, syncope, anxiety, diaphoresis


◉ short ST. Answer: indicates hypercalcemia


◉ afib w/ RVR. Answer: >100bpm aka "uncontrolled atrial fibrillation"


◉ afib w/ controlled ventricular response. Answer: <100bpm


◉ vtach. Answer: >4PVCs
--> put on pads!


◉ SVT. Answer: >150bpm
constant PR interval, no distinguishable P- or T-waves

, tx w/ cardioversion for unstable SVT, try vagal maneuvers or adenosine
for stable SVT


◉ idioventricular rhythm. Answer: 20-40bpm


◉ multifocal. Answer: multiple different looking PVCs


◉ PVCs. Answer: outlier QRS


◉ PACs. Answer: outlier P-wave (ECTOPY) with compensatory pause


◉ WAP. Answer: >3 different looking P-waves


◉ junctional rhythm. Answer: 40-60bpm, distorted P-wave w/ narrow
QRS


regular rate w/ inverted or hidden P-wave


aka "retrograde conduction" or "junctional escape" d/t contracting
backwards


caused by: digoxin, beta blockers, hyperkalemia, 3rd heart block or sinus
arrest

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