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Exam (elaborations)

Basic Dysrhythmias questions,with correct answers,

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Basic Dysrhythmias questions,with correct answers,

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Basic Dysrhythmias questions,with correct
answers,11

EKG paper is divided into small squares and larger squares - verified answers; Large squares
are defined by a dark line. They are 5 squares high and 5 squares long (0.20 seconds)



Small squares may be lines or may be dots within the dark lines. They are 0.04 seconds



every mark below EKG grid is 3sec



Artifact - verified answers; EKG waveforms from sources outside the heart

Interference seen on a monitor or EKG strip

4 causes

Patient movement (i.e. pt. with tremors)

Loose or defective electrodes (fuzzy baseline)

Improper grounding (60 cycle interference)

Faulty EKG apparatus



Normal PR and QRS interval lengths - verified answers; PR Interval: .12-.20 seconds

QRS Interval: < .12 seconds



Origin of Rhythms - verified answers; They are named for the structure of the heart where the
foci (a cell sending off an electrical impulse) is located that is producing the abnormal rhythm

Sinus (Sinus node)

Junctional (Area between the atria & ventricles)

, Ventricular (any cell in the ventricles)

Atrial (any cell in the atria)

AV Blocks (AV node blocking some or all of the passage of electricity through it)



Sinus Arrhythmia (SA) - verified answers; Normal except irregular

The difference between the fastest two heart beats (from 1 QRS to the next QRS) and the
slowest two heart beats is greater than .12 sec



Asystole - verified answers; No electrical activity

CODE BLUE

but it does arise from the SA node??



Pulseless Electrical Activity (PEA) - verified answers; Normal rhythm, but...No Pulse*

Electrical activity is present but there is no pulse, so the heart is not beating! Something has
happened to prevent the muscular tissue from responding to the electrical activity

(i.e. ↓↑ K+, hypothermia, Pneumothorax, cardiac tampanode, hypovolemia, drug overdose,
pulmonary or coronary thrombosis)



Rhythms arising from the SA Node - verified answers; Sinus Rhythm

Sinus Tachycardia

Sinus Bradycardia

Sinus Arrhythmia

Asystole

Pulseless Electrical Activity



Junctional rhythm - verified answers; Initiates somewhere between atria and ventricle.

PR interval will be less than normal or there will be no P wave

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