Anatomy
ECG
Electrical Conduction
Wave Forms
Rhythm Check
OH Policy & Procedure
100

The top two chambers of the heart

What are the atria?

100

This may be seen with excessive movement. Waves may appear bumpy, wavy, or tremulous. 

What is artifact?

100

This is called the pacemaker of the heart

What is the SA node?

100
The normal duration for the P wave

What is 0.12 to 0.20 seconds?

100

The rhythm seen in this strip

What is normal sinus rhythm?

100

Occurs at the beginning of every shift, between PCTs

What is telemetry report?

200

Another name for cardiac muscle

What is the myocardium?

200

The time value of the smaller squares within the larger squres on the telemetry strip

What is 0.04 seconds?

200

The node responsible for delaying impulses by 0.04 seconds to keep ventricles from contracting too quickly

What is the AV node?

200

Normal duration is 0.06 to 0.12 seconds, or half the PR interval

What is the QRS complex?

200

Referring to the rhythm strip below, this rhythm is regular, at a rate of less than 60 bpm

What is sinus bradycardia?

200

As long as there are no changes, this is how often the PCT documents the patient's telemetry rhythm

What is every 8 hours?

300

The large vessel that carries unoxygenated blood to the lungs

What is the pulmonary artery?

300

Commonly used for routine monitoring. It is especially useful for detecting sinus node and atrial arrhythmias.

What is Lead II?

300

The rate the Purkinje Fibers impulses discharge

What is 20 to 40 times?

300
A measurement of the duration from the beginning of the P wave to the beginning of the QRS complex, normal value 0.12 to 0.20 second

What is the PR interval?

300

Referring to the rhythm strip below, the rhythm is regular, fast, and the pr interval may be shorter or difficult to see 

What is supraventricular tachycardia (SVT)?

300

The staff member who must be contacted when there are no telemetry units available

Who is the Nursing Supervisor?

400

The large vessel that carries blood to the rest of the body

What is the aorta?

400

This is done by counting the number of complete cycles per minute

What is calculating the heart rate?

400

This is located between the bundle branches and the AV node

What is the Bundle of His?

400

The segment that represents depolarization and repolarization of the ventricles

What is the QT interval?

400

Referring to the strip below, this rhythm indicates the atria are quivering

What is atrial fibrillation (A fib)?

400

From the policy: 

Remove the batteries.

Take to the soiled utility room and clean the pack and wire using a hospital approved disinfectant

Check leads and replace wires as needed

What needs to be done to store telemetry units?

500

These include the tricuspid, pulmonary, mitral, and aortic

What are the 4 valves in the heart?

500

It takes this many of the squares pictured below to create a six second strip

What is 30?

500

The correct pathway of electrical conduction through the heart

What is SA node, AV node, Bundle of His, Bundle Branches, and Purkinje Fibers?

500

Elevation of this segment may indicate an MI

What is the ST segment?

500

Referring to the rhythm strip below, it is an emergency

What is Ventricular Tachycardia (V tach)?

500

-A problem with electrodes, batteries, or 60 second cycling pattern. 

-Change in rhythm

-Increased ectopy

What are reasons to notify the nurse?