Junctional Rhythms
Rhythms & EKG
ACLS Pharmacology
Pathophysiology
Random
100

This is the intrinsic firing rate (in bpm) of the AV Junction.

What is 40–60 beats per minute?

100

This rhythm is characterized by a "sawtooth" pattern and is usually a regular rhythm with a 2:1 or 3:1 conduction.

: What is Atrial Flutter?

100

This is the first-line medication for a patient in symptomatic Junctional Bradycardia.

What is Atropine?

100

This term describes the AV node's ability to take over as the pacemaker when the SA node fails.


What is an Escape Rhythm?

100

What is Rachael's son's name?

Jacob

200

In a Junctional rhythm, the P-wave appears inverted in Lead II because the electrical impulse is traveling in this direction.

What is Retrograde (backward toward the Atria)?

200

 This 1st-degree heart block is technically defined by a PR interval greater than this many seconds.

What is 0.20 seconds (or 5 small boxes)?

200

 This drug is used to slow down the heart rate in stable Narrow-Complex Tachycardias (SVT) to help identify the underlying rhythm.

What is Adenosine?

200

This is the percentage of cardiac output lost when the "Atrial Kick" is absent in junctional or fibrillatory rhythms.

What is 20–30%?

200

This electrode is placed at the 4th intercostal space, just to the right of the sternum.

What is V1?

300

A Junctional rhythm with a heart rate of 85 bpm is given this specific clinical name.

What is Accelerated Junctional Rhythm?

300

 In a Lead II strip, this rhythm shows a progressively lengthening PR interval until a QRS complex is dropped.

What is Second-Degree Type I (Mobitz I or Wenckebach)?

300

This is the standard IV bolus dose for Amiodarone in a "Live" patient with stable V-Tach with a pulse.

What is 150 mg?

300

These are the specialized fibers that conduct the electrical impulse from the Bundle of His to the ventricular muscle.

What are Purkinje Fibers?

300

This is the point where the QRS complex ends and the ST segment begins.

What is the J-point?

400

These are the three possible locations/appearances of a P-wave in a junctional complex.



What are Inverted (before QRS), Hidden (within QRS), or Retrograde (after QRS)?

400

This is the characteristic EKG finding of Wolff-Parkinson-White (WPW) syndrome, caused by an accessory pathway.

What is a Delta Wave?

400

This class of medications can often cause "Digitalis Effect," which frequently presents as junctional rhythms.

What are Cardiac Glycosides (Digoxin)?

400

This law states that the force of ventricular contraction is proportional to the end-diastolic volume.

Frank-starling law

400

The Dutch physiologist who invented the first practical EKG and assigned the letters P, Q, R, S, and T to the waves.

Who is Willem Einthoven?

500

If a Junctional rhythm exceeds 100 bpm, it is called Junctional Tachycardia. This specific medication toxicity is the most common cause of this rhythm.

what is Digitalis (Digoxin) toxicity?

500

To identify a Posterior MI, a paramedic should look for ST-depression and tall R-waves in these specific leads.

What are V1 through V3?

500

This is the treatment of choice for a patient in a symptomatic junctional rhythm who is unresponsive to Atropine and shows signs of poor perfusion.

What is Transcutaneous Pacing (TCP)?

500

Dialysis patients are at high risk for cardiac arrest due to this "H."

What is Hyperkalemia?

500

What is Jowil's real name-first and middle

Joseph William

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