How to read EKG strips
Help!
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| show | Sinus Rhythm: Normal Sinus Rhythm, Sinus Bradycardia or Sinus Tachycardia
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| If you do not have a P-wave the rhythm is: | show 🗑
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| show | 60-100 (NSR or AJR)<60 (SB, or JR)> 100 (ST or JT)
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| show | = Junctional Rhythm, nextlook at rate
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| PR Interval = .12-.20 = (3 to 5 little boxes) | show 🗑
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| PR Interval = >.20 = | show 🗑
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| show | Ventricular Tachacardia, ideoventricular, Atrial flutter, Fixed conduction (...!...!...!)
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| show | 0.06-0.10
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| show | <3 little boxes
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| When do you cardiovert | show 🗑
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| When do you Defibulate | show 🗑
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| show | Epinephrine, and atropine
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| show | Adenosine
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| Nursing Diagnosis related to CABG | show 🗑
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| show | CVP:0-4 Wedge pressure:8-15 PAP 20-30/5-15
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| Pulmonary Edema | show 🗑
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| show | A-flutter, Sinus Arrhythmia, 2 degree or 3 degree heart block, A-fib
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| show | Tamponade, also massive JVD
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| show | Model of pacemaker, type of generator, date and time of insertion, location of pulse generator, stimulation threshold, Pacer settings (eg, rate, energy output, sensitivity, and duration of interval between atrial and ventricular impulses)
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| Endocarditis Infective Risk factors | show 🗑
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| show | Friction rub. notched T wave, S/S: fever, positional chest discomfort, nonspecific ST-segment elevation, elevated ESR erythrocyte sedimentation rate, retrosternal pain that worsens during supine positioning, pulsus paradoxus
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| hypokalemia wave form changes | show 🗑
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| show | Tall QRS complexes
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| hypomagnesium | show 🗑
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| Medications to treat ventricular dysrhythmias | show 🗑
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| Right Heart Failure (chronic condition) | show 🗑
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| Left Heart Failure | show 🗑
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| Inferior wall myocardial Infarction | show 🗑
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| Digoxin | show 🗑
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| A-fib | show 🗑
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| show | ST elevation indicates immediate myocardial injury. ST depressions indicate myocardial ischemia. Q wave forms several days after a myocardial infarction, U wave is a sign of hypokalemia.
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| Laxix Furosemide | show 🗑
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| show | Reduces oxygen consumption to devrease ischemia and relieve pain. Vasodialator mainly in veins and reduces blood return to heart and preload is reduced. May cause a significant drop in cardiac output and B/P if pt is hypovolemic at higher doses.
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| show | Slows heartrate and decreases strength of contraction which decreases workload of heart. Relaxes blood vessels decreasing BP and increases coronary artery perfusion
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| Rhumatic Fever | show 🗑
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| S/S of Infective Endocarditis | show 🗑
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| show | Flu-like symptoms.fatigue, dyspnea, palpitations, and occasional discofort in the chest and upper abdomen. My develop dysrhythmias, or ST-T wave changes. Systolic murmur, gallop rhtyhm,
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| show | promote vasodilation and diuresis by decreasing afterload and preload.
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| Dobutamine | show 🗑
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| CK-MB earliest increase, peak and return to normal | show 🗑
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| show | 3-4 hours, peaks in 4-24 hrs and returns to normal 1-3 weeks
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| Labs for Heart failure | show 🗑
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| Mitral stenosis: Rhythms, S/S | show 🗑
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| show | Caused by inflammatory lesions that deformt he leaflets of the aortic valve. also infective or rheumatic endocarditis, congenital abnormalities, diseases such as syphilis, dissecting aneurysm, blunt chest trauma, or valve replacement.
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| Aortic Regurgitation: S/S | show 🗑
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| Valve replacement teaching: pre and post | show 🗑
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| Cardiac Tamponade S/S | show 🗑
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| show | pericardiocentesis, pericardiotomy (pericardial window)
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| CABG: | show 🗑
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