UCLA EKG Test Section 1&2 Solved
100% Correct
- ANSWER-A fib vs A flutter PIC only
- ANSWER-Atrial Pacing EKG
- ANSWER-AV Pacing EKG
- ANSWER-Complete HB VS Idioventricular PIC
- ANSWER-Couplet PIC
- ANSWER-Explain the picture pf a normal EKG process
- ANSWER-Failure to Capture
- ANSWER-Failure to Sense
- ANSWER-Heart Block Comparison PIC
- ANSWER-Junctional rhythm VS NSR PIC
- ANSWER-Just a heart PIC
- ANSWER-Just a PIC
- ANSWER-Just a pic of EKG
- ANSWER-Just a PIC of the EKG format
- ANSWER-Just a PIC to know where J point is located
- ANSWER-Multifocal PVCs PIC
- ANSWER-NOTE:
ST-segment "at 1 mm above and below the baseline ST-segment in patients at high risk
for ischemia" and "ST elevation or depression that lasts for at least 1 minute" is
considered clinically significant.
1 box = 1 mm 2 boxes = 2 mm 3 boxes = 3 mm
(- 2 mm)
,- ANSWER-REMEMBER
Blue for low priority alarms:
- Technical alarm when the monitor cannot measure or
detect alarm conditions reliably.
Yellow for medium priority alarms:
- Arrhythmia related patient's condition
Red for high priority alarms:
- Asystole, V-fib, VT, apnea, extreme bradycardia, and
SpO2 desat.
- ANSWER-REMEMBER
May consider turning off the alarm for 'chronic AF' when AF is not the reason for
admission.
Place the red electrode on the left side abdomen below
diaphragm to avoid "apnea" alarm.
Prepare the skin with soap and water.
Recommends daily changes of EKG electrodes
- ANSWER-REMEMBER:
Alarm Parameters
• HR: <50, >120
• PVC: ≥6
• SBP: <90, >160
• DBP: <40, >90
• SpO2: <90%
• ST-segment: ±2mm
- ANSWER-REMEMBER:
Must have physician orders for monitoring.
• Continuous cardiac monitoring
• Continuous pulse oximetry
Must communicate with monitor room:
• Orders, MRN #, patient's first and last name
, Document initial strip and measurements within first hour
patient is monitored
RN must perform own measurements:
• PR interval, QRS, QT interval, ST, & interpretation of rhythm
Communicate with Telemetry Technician the measurements & interpretation
Re-scan all alarms on assigned patients every 2 hours.
- ANSWER-STEMI: Myocardial Infarction
ST Depression: Myocardial Ischemia
Just a PIC
- ANSWER-SVT vs VT PIV
- ANSWER-Understand the EKG Components
- ANSWER-Unifocal PVCs with a pattern of bigeminy PIC
- ANSWER-V tach
- ANSWER-Ventricular Pacing EKG
- ANSWER-Where do ST-segment changes occur?
Just a PIC
Vertical deviation from the isoelectric line to J point
• Absolutely Refractory Period: Time during the cardiac cycle when the cardiac cells are
UNABLE to respond to a second stimulus no matter how strong it is.
• Relative Refractory Period: Time during the cardiac cycle when cardiac cells WILL
respond to a strong stimulus
• Vulnerable period: Period of altered excitability in which the stimulus may cause
"repetitive firing" and life-threatening dysrhythmias - ANSWER-Explain the different
types of refractory periods
• Benadryl®
• Levofloxacin
• Amiodarone®
• Zofran®
100% Correct
- ANSWER-A fib vs A flutter PIC only
- ANSWER-Atrial Pacing EKG
- ANSWER-AV Pacing EKG
- ANSWER-Complete HB VS Idioventricular PIC
- ANSWER-Couplet PIC
- ANSWER-Explain the picture pf a normal EKG process
- ANSWER-Failure to Capture
- ANSWER-Failure to Sense
- ANSWER-Heart Block Comparison PIC
- ANSWER-Junctional rhythm VS NSR PIC
- ANSWER-Just a heart PIC
- ANSWER-Just a PIC
- ANSWER-Just a pic of EKG
- ANSWER-Just a PIC of the EKG format
- ANSWER-Just a PIC to know where J point is located
- ANSWER-Multifocal PVCs PIC
- ANSWER-NOTE:
ST-segment "at 1 mm above and below the baseline ST-segment in patients at high risk
for ischemia" and "ST elevation or depression that lasts for at least 1 minute" is
considered clinically significant.
1 box = 1 mm 2 boxes = 2 mm 3 boxes = 3 mm
(- 2 mm)
,- ANSWER-REMEMBER
Blue for low priority alarms:
- Technical alarm when the monitor cannot measure or
detect alarm conditions reliably.
Yellow for medium priority alarms:
- Arrhythmia related patient's condition
Red for high priority alarms:
- Asystole, V-fib, VT, apnea, extreme bradycardia, and
SpO2 desat.
- ANSWER-REMEMBER
May consider turning off the alarm for 'chronic AF' when AF is not the reason for
admission.
Place the red electrode on the left side abdomen below
diaphragm to avoid "apnea" alarm.
Prepare the skin with soap and water.
Recommends daily changes of EKG electrodes
- ANSWER-REMEMBER:
Alarm Parameters
• HR: <50, >120
• PVC: ≥6
• SBP: <90, >160
• DBP: <40, >90
• SpO2: <90%
• ST-segment: ±2mm
- ANSWER-REMEMBER:
Must have physician orders for monitoring.
• Continuous cardiac monitoring
• Continuous pulse oximetry
Must communicate with monitor room:
• Orders, MRN #, patient's first and last name
, Document initial strip and measurements within first hour
patient is monitored
RN must perform own measurements:
• PR interval, QRS, QT interval, ST, & interpretation of rhythm
Communicate with Telemetry Technician the measurements & interpretation
Re-scan all alarms on assigned patients every 2 hours.
- ANSWER-STEMI: Myocardial Infarction
ST Depression: Myocardial Ischemia
Just a PIC
- ANSWER-SVT vs VT PIV
- ANSWER-Understand the EKG Components
- ANSWER-Unifocal PVCs with a pattern of bigeminy PIC
- ANSWER-V tach
- ANSWER-Ventricular Pacing EKG
- ANSWER-Where do ST-segment changes occur?
Just a PIC
Vertical deviation from the isoelectric line to J point
• Absolutely Refractory Period: Time during the cardiac cycle when the cardiac cells are
UNABLE to respond to a second stimulus no matter how strong it is.
• Relative Refractory Period: Time during the cardiac cycle when cardiac cells WILL
respond to a strong stimulus
• Vulnerable period: Period of altered excitability in which the stimulus may cause
"repetitive firing" and life-threatening dysrhythmias - ANSWER-Explain the different
types of refractory periods
• Benadryl®
• Levofloxacin
• Amiodarone®
• Zofran®
