Electric
It's complex
I've got rhythm
Shocker!
Keep the pace
100
The term for electrical stimulation of the heart
Depolarization
100
This represents the electrical impulse from the SA node through the atria.
P wave
100
This rhythm has a regular rate and rhythm, originates in the SA node and travels through the normal conduction pathway.
Normal Sinus Rhythm (NSR)
100
Describe one major difference between cardioversion and defibrillation.
Synchronization of the shock delivered is used with cardioversion
100
Name 2 types of pacemakers that can be used for patients.
Permanent and Temporary (transvenous and transcutaneous)
200
The term for electrical relaxation of the heart.
Repolarization
200
This represents ventricular depolarization.
QRS complex
200
This rhythm has uncoordinated atrial electrical activity causing uncoordinated twitching of atria, ventricular rhythm is irregular and rate variable.
Atrial fibrillation
200
Describe an important safety action prior to shock delivery.
State “Clear” 3 times
200
Patients with high risk of ventricular tachycardia or ventricular fibrillation may have this implanted.
Implantable Cardioverter Defibrillator (ICD)
300
Describe 2 methods to obtain the electrical activity of the heart.
ECG machine, continuous cardiac monitoring, telemetry, Holter monitor
300
This represents stimulation of SA node, atrial depolarization and conduction through the AV node.
PR Interval (PRI)
300
This complex is early, wide and bizarre and has a complete compensatory pause. May be unifocal or multifocal and occur regularly or irregularly.
Premature ventricular contractions
300
For which therapy would you ensure proper sedation of the patient- cardioversion or defibrillation?
Cardioversion
300

Which vital signs will a patient with a new pacemaker need to be taught to monitor?

Pulse and temperature

400
Name two areas where the electrical impulse to stimulate the cardiac cycle originates.
Sinoatrial node, Atrioventricular node or the ventricles
400
This represents ventricular repolarization.
What is T wave
400
This rhythm has rapid, disorganized ventricular rhythm producing no audible heartbeat, no palpable pulse or respirations.
Ventricular fibrillation
400
For a person in pulseless ventricular tachycardia, which treatment is indicated?
Immediate defibrillation
400

What arm movement will be necessary to restrict for 2 weeks after insertion of a permanent pacemaker or ICD?

Raise arm above head

500
What is the timing of a small box and a large box on the ECG paper?
Small- 0.04 seconds, Large- 0.20 seconds
500
This represents time from ventricular depolarization and repolarization.
QT interval
500

This rhythm is 3 or more PVCs in a row and occurs at a rate of > 100 beats per minute. It can be sustained, non-sustained, monomorphic, or polymorphic

Ventricular Tachycardia

500
For which rhythm is it important to ensure proper anticoagulation prior to attempting to convert the rhythm with cardioversion?
Atrial fibrillation
500

Name two identification items the patient should carry.

Medical ID (Medic Alert) of a PPM, physician’s information, pacemaker information (manufacturer, type, model of device)

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