ECHELON CLASS EXAM QUESTIONS AND ANSWERS
GRADED TO PASS.
sinus bradycardia answer >>> -less than 60 beats per minute
-P wave in front of every QRS
-PR--0.12 to 0.20
-QRS less than 0.12
-if symptomatic--atropine, pacemaker
sinus tachycardia answer >>> -treat underlying cause (fever, pain, etc.)
Sinus Arrhythmia answer >>> irregular with breathing--HR increases with
inspiration and decreases with expiration
-only treat if hemodynamically compromised--atropine
SA block answer >>> -dropped interval/pause
-if hemodynamically compromised--atropine, permanent pacemaker
sinus arrest answer >>> - SA node doesn't fire
- notice absence of P-wave for a complete cycle (a missed cycle)
-no treatment if episodes are transient otherwise temporary pacing or atropine
, ECHELON
Premature Atrial Contraction (PAC) answer >>> if symptomatic--digitalis, beta
blockers, antiarrhythmic
atrial flutter answer >>> -Saw tooth pattern
-250 to 350 beats
-PRI cant determine**
-QRS less than .12
-need to control ventricular rate and convert the rhythm/anticoagulate
a fib answer >>> -no p wave
-PRI cant measure**
-QRS les than 0.12
-rate control and anti coag
SVT answer >>> -regular rate and rhythm
-P wave not visible**
-PRI 0.12-0.20**
-QRS less than 0.12
-tx: vagal simulation
-if stable--adenosine, calcium channel blockers, beta blockers, dig,
antiarrhythmics
-if unstable--cardioversion
Premature Junctional Contraction answer >>> -Inverted p wave or hidden p wave
PRI<0.12 or none