Nursing 312 exam 4 with !| !| !| !| !|
precise detailed solutions !| !|
atrial rhythms - Correct answer ✔-usually are rapid rhythms that usurp the
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sinus
-only occasionally will be slow
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-reflect abnormal electrical impulse formation and conduction in the atria
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returning to sinus rhythm or slowing heart rate to more tolerable levels -
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Correct answer ✔Treatment of atrial rhythms are aimed at (converting)
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altered automaticity (ischemia, hypocalcemia, drug toxicity)
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triggered activity (hypoxia, hypomagnesemia, myocardial ischemia)
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reentry (hyperkalemia, myocardial ischemia) - Correct answer ✔Atrial
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rhythms result from !| !|
-matching upright Ps with a rate of >160 at rest !| !| !| !| !| !| !| !| !|
-no Ps at all, instead wavy or sawtooth baseline
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-P waves of 3 or more different shapes
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-premature abnormal P waves - Correct answer ✔atrial rhythm criteria
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impulse can originate in one or more irritable foci - Correct answer
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✔conduction in atrial rhythms !| !| !|
, -wandering atrial pacemaker/multifocal atrial tachycardia !| !| !| !|
-premature atrial contractions !| !|
-paroxysmal atrial tachycardia !| !|
-atrial flutter !|
-atrial fibrillation !|
-supraventricular tachycardia - Correct answer ✔atrial arrhythmias !| !| !| !| !| !|
wandering atrial pacemaker (WAP)/ multifocal atrial tachycardia (MAT) -
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Correct answer ✔-pacemaker site wanders between the sinus node, the atria
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and AV junction; although each impulse originates from a different focus,
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the rate usually remans within a normal range, but it can be slower or faster
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-conduction through the ventricles is normal !| !| !| !| !|
rate:
-WAP: mean rate <100 !| !| !|
-MAT: mean rate >100 !| !| !|
regularity (rhythm): slightly irregular !| !| !|
P wave: morphology changes from one complex to the next; at least 3
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different shapes !|
PRI: less than 0.20 seconds; may vary
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QRS: less than 0.12 seconds - Correct answer ✔stats of WAP and MAT
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WAP: usually none !| !|
precise detailed solutions !| !|
atrial rhythms - Correct answer ✔-usually are rapid rhythms that usurp the
!| !| !| !| !| !| !| !| !| !| !| !|
sinus
-only occasionally will be slow
!| !| !| !|
-reflect abnormal electrical impulse formation and conduction in the atria
!| !| !| !| !| !| !| !| !|
returning to sinus rhythm or slowing heart rate to more tolerable levels -
!| !| !| !| !| !| !| !| !| !| !| !| !|
Correct answer ✔Treatment of atrial rhythms are aimed at (converting)
!| !| !| !| !| !| !| !| !|
altered automaticity (ischemia, hypocalcemia, drug toxicity)
!| !| !| !| !|
triggered activity (hypoxia, hypomagnesemia, myocardial ischemia)
!| !| !| !| !|
reentry (hyperkalemia, myocardial ischemia) - Correct answer ✔Atrial
!| !| !| !| !| !| !| !|
rhythms result from !| !|
-matching upright Ps with a rate of >160 at rest !| !| !| !| !| !| !| !| !|
-no Ps at all, instead wavy or sawtooth baseline
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-P waves of 3 or more different shapes
!| !| !| !| !| !| !|
-premature abnormal P waves - Correct answer ✔atrial rhythm criteria
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impulse can originate in one or more irritable foci - Correct answer
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✔conduction in atrial rhythms !| !| !|
, -wandering atrial pacemaker/multifocal atrial tachycardia !| !| !| !|
-premature atrial contractions !| !|
-paroxysmal atrial tachycardia !| !|
-atrial flutter !|
-atrial fibrillation !|
-supraventricular tachycardia - Correct answer ✔atrial arrhythmias !| !| !| !| !| !|
wandering atrial pacemaker (WAP)/ multifocal atrial tachycardia (MAT) -
!| !| !| !| !| !| !| !| !|
Correct answer ✔-pacemaker site wanders between the sinus node, the atria
!| !| !| !| !| !| !| !| !| !| !|
and AV junction; although each impulse originates from a different focus,
!| !| !| !| !| !| !| !| !| !| !|
the rate usually remans within a normal range, but it can be slower or faster
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
-conduction through the ventricles is normal !| !| !| !| !|
rate:
-WAP: mean rate <100 !| !| !|
-MAT: mean rate >100 !| !| !|
regularity (rhythm): slightly irregular !| !| !|
P wave: morphology changes from one complex to the next; at least 3
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different shapes !|
PRI: less than 0.20 seconds; may vary
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QRS: less than 0.12 seconds - Correct answer ✔stats of WAP and MAT
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WAP: usually none !| !|