BSMH Advanced Arrhythmia Course Exam | Bon
Secours Mercy Health Nursing Education
Blood flow through the heart - --answer--SVC --> Rt atria --> Tricuspid --> Rt ventricle --> Pulmonic valve
--> Lungs --> Lt atria --> Mitral valve --> Lt ventricle --> aortic valve --> aorta --> Body
EKG Times - --answer--6 second strip
1 small block = 0.04 secs
1 big block = 5 small boxes = 0.20 secs
15 big blocks = 3 seconds
P Wave - --answer--atrial depolarization
Heart blocks - --answer--No changes in PR Interval
- QRS complexes present = 1st degree
- No QRS complexes = 2nd degree type II
Changes in PR Interval
- R to R interval regular = 3rd degree
- R to R interval irregular = 2nd degree type I
Conduction pathway - --answer--Sinus node - inerarterial tracts - atrium - intermodal tracts - AV node -
bundle of HIS - bundle branches - purkinje fibers - ventricles
Inherent rates - --answer--SA node = 60-100
AV node = 40-60
,Ventricle = 20-40
Atrial flutter - --answer--Sawtooth pattern
Atrial fibrillation - --answer--Waves between QRS
Supraventricular tachycardia - --answer--No P wave, rate > 150
Junctional rhythms - --answer--P wave inverted or absent
Junctional bradycardia: < 40
Junctional rhythm: 40-60
Accelerated junctional: 60-100
Junctional tachycardia: > 100
Ventricular tachycardia - --answer--marching nuns
Torsades de pointes - --answer--Rate > 200, no P waves, wide QRS
Ventricular fibrillation - --answer--Rate cannot be counted
Idioventricular - --answer--Rate 20-40
T wave opposite QRS, no P wave, wide QRS
Accelerated Idioventricular - --answer--Rate 40-100
T wave opposite QRS, no P wave, wide QRS
Asystole - --answer--Flat line
First degree heart block - --answer--Prolonged P wave > 0.20
, "If R is far from P, then you have a 1st degree"
Second degree heart block, type 1 - --answer--Increasingly larger PR intervals
"Longer, longer, longer block, now you have a Wenckebach"
Second degree heart block, type 2 - --answer--PR constant on the conducted beats
"Some P's don't get thru then you have a Mobitz II"
Big Box seconds - --answer--0.20 Seconds
QRS - --answer--<20 Seconds
QT - --answer--0.36-0.44 Seconds
How many small boxes make 1 big box - --answer--5 Small Boxes
How to count beats on regular rhythm ( Equation) - --answer--1500/ How rows between R's
QRS respresents - --answer--ventricular depolarization
Repolarization mean what happening to the heart - --answer--Relaxation
Depolarization means what happening to the heart - --answer--Contraction
A normal PR interval means - --answer--0.12-20 seconds
A normal QT interval measurement is - --answer--0.36-0.44 seconds
PR interval - --answer--The first hump in the complex
Secours Mercy Health Nursing Education
Blood flow through the heart - --answer--SVC --> Rt atria --> Tricuspid --> Rt ventricle --> Pulmonic valve
--> Lungs --> Lt atria --> Mitral valve --> Lt ventricle --> aortic valve --> aorta --> Body
EKG Times - --answer--6 second strip
1 small block = 0.04 secs
1 big block = 5 small boxes = 0.20 secs
15 big blocks = 3 seconds
P Wave - --answer--atrial depolarization
Heart blocks - --answer--No changes in PR Interval
- QRS complexes present = 1st degree
- No QRS complexes = 2nd degree type II
Changes in PR Interval
- R to R interval regular = 3rd degree
- R to R interval irregular = 2nd degree type I
Conduction pathway - --answer--Sinus node - inerarterial tracts - atrium - intermodal tracts - AV node -
bundle of HIS - bundle branches - purkinje fibers - ventricles
Inherent rates - --answer--SA node = 60-100
AV node = 40-60
,Ventricle = 20-40
Atrial flutter - --answer--Sawtooth pattern
Atrial fibrillation - --answer--Waves between QRS
Supraventricular tachycardia - --answer--No P wave, rate > 150
Junctional rhythms - --answer--P wave inverted or absent
Junctional bradycardia: < 40
Junctional rhythm: 40-60
Accelerated junctional: 60-100
Junctional tachycardia: > 100
Ventricular tachycardia - --answer--marching nuns
Torsades de pointes - --answer--Rate > 200, no P waves, wide QRS
Ventricular fibrillation - --answer--Rate cannot be counted
Idioventricular - --answer--Rate 20-40
T wave opposite QRS, no P wave, wide QRS
Accelerated Idioventricular - --answer--Rate 40-100
T wave opposite QRS, no P wave, wide QRS
Asystole - --answer--Flat line
First degree heart block - --answer--Prolonged P wave > 0.20
, "If R is far from P, then you have a 1st degree"
Second degree heart block, type 1 - --answer--Increasingly larger PR intervals
"Longer, longer, longer block, now you have a Wenckebach"
Second degree heart block, type 2 - --answer--PR constant on the conducted beats
"Some P's don't get thru then you have a Mobitz II"
Big Box seconds - --answer--0.20 Seconds
QRS - --answer--<20 Seconds
QT - --answer--0.36-0.44 Seconds
How many small boxes make 1 big box - --answer--5 Small Boxes
How to count beats on regular rhythm ( Equation) - --answer--1500/ How rows between R's
QRS respresents - --answer--ventricular depolarization
Repolarization mean what happening to the heart - --answer--Relaxation
Depolarization means what happening to the heart - --answer--Contraction
A normal PR interval means - --answer--0.12-20 seconds
A normal QT interval measurement is - --answer--0.36-0.44 seconds
PR interval - --answer--The first hump in the complex
