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2024 Relias telemetry test answers Already Graded A+.pdf

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2024 Relias telemetry test answers|Already
Graded A+
3 drugs that can prolong QT interval - ansLidocaine, Amiodarone, digoxin, haldol

Absolute refractory period - ansAll the cells can't respond to any stimulus; encompasses
the QRS and the first part of the T wave

Escape - ansIf the SA node fails as pacemaker or it's rate drops below the normal
range, the AV junction would probably take over. Safety mechanism/fail safe

Irritability - ansWhen the AV junction or ventricle speed up and take over as pacemaker;
become faster than SA node

Order of Conduction - ansSA node--> intraatrial pathways--> AV node--> Bundle of HIS-
->left & right bundle branches--> purkinje fibers

P wave represents - ansAtrial depolarization

PRI - ans0.12-0.20 seconds
Represents both atrial depolarization & delay in AV node

QRS - ansLess than 0.12 seconds
Ventricular depolarization

Sympathetic branch - ansAffects both the atria and ventricles. Increases HR,
conduction, and irritability

T wave represents - ansVentricular repolarization

What arrhythmias may require a pacemaker - ansSymptomatic AV blocks:
-second degree type I
-second degree type II
-third degree heart blocks
Symptomatic sinus node dysfunction:
-bradycardia
-sinus arrest
-sinus block
-sick sinus syndrome

When is a pacemaker used - ansPost-op cardiac surgery, for tachydysrhythmias, for
effects of medications
2nd Degree Heart Block (Mobitz II) - ansRare, but more serious
Sudden appearance of a nonconducted P-wave
P-waves are nl, but some aren't followed by a QRS complex
PR & RR intervals are constant
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