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ECG
Physiology Test 3 - Dr. Gompf
54
Physiology
Graduate
10/25/2011

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Cards

Term
Choose the incorrect statement reguarding the limitations of the ECG:
A. doesn't tell the functional capacity of the heart
B. Only records pathology
C. different body conformations alter different measurements
D.must be taken proper to interpret results
E. all are correct
Definition
E
Term
Standard for running a strip on an ECG
Definition
50mm/sec
Term
P wave
Definition
atrial depolarization
Term
QRS complex
Definition
ventricular depolarization
Term
T wave
Definition
ventricular repolarization
Term
Impulse going throught he atria and AVN
Definition

PR interval

 

Term
Impulse going through the ventricles
Definition
QT interval
Term
Interpreting an ECG rhythem includes asking; Is there a P for every QRS?; is there a QRS for every P wave?; and ___
Definition
are the P & QRS related?
Term
arterioles use _ & __ receptros to move blood
Definition
alpha; beta
Term
Only artery that has no O2 in blood
Definition
Pulmonary
Term
Two body portal systems
Definition
liver & kidneys
Term
Heart get nutrients for metabolism from
Definition
lactic acid & glucose
Term

Which of these is out of order:

SAN -> atria -> AVN -> bundle of His -> ventricular working cells -> bundle braches of left & right purkinje cells -> atrial & ventricular working cells for contraction

Definition
ventricular working cells is second to last last
Term
The ECG is the only device that detects __
Definition
arrythmias
Term
Q wave
Definition
early depolarization
Term
R wave
Definition
left ventricle depolarizes, 1st positive wave
Term
S wave
Definition
late depolarization, 1st negative wave after 1st positive
Term
An animal might be getting hypoxic if see the t wave __
Definition
change from positive to negative or vice versa
Term
The length of a pen is about __
Definition
3 seconds
Term
The absence of a sinus rhythem in these animals could indicate a serious heart defect
Definition
human & cats
Term
Increased vagal tone in most animals can cause what kind of heart rhythem, it is normal.
Definition
sinus arrythmia
Term
Which lead is normally the ground lead of an ECG?
Definition
RR
Term
May need to use all 6 leads on an ECG if ___
Definition
having trouble seeing the P wave
Term
To determine a normal ECG for a species you must first know
Definition
normal heart rate
Term

ECG is especially good at detecting & can be used almost soely detect:

A. hyperkalemia

B. hypokalemia

C. Hypercalcemia

D. Hypocalcemia

Definition
A
Term
Bradycardia leading to tall peaked waves, little to no P waves & wide aberent QRS complexes is seen in __
Definition
Hyperkalemia
Term
Most often see hyperkalemia in __ cats & __ female dogs
Definition
blocked tomcate; adisonian
Term
This is one cause of lymphoma or can be seen in a bitch that just had pups
Definition
hypercalcemia
Term
A pet is under anethesia and suddenly has an increased heart rate. You notice on the ECG that the t waves are getting taller (1/3 size of QRS). What might be happening?
Definition
Hypoxia, pet is to deep
Term
When the PR interval startes to get too long, it is reffered to as __
Definition
first degree heart block
Term
T/F Most tranquilizers just slow the heart rate
Definition
T
Term
Xyalazine (rompun) can cause __
Definition
arrythmias
Term
60 cycle
Definition
artifact of ECG where electrode is touching the table, electrical interference
Term
Movements artifacts can be told apart from VPCs because
Definition
there will be no repolarization
Term
T/F Heart Scores are used to tell pregnacy in a horse
Definition
F
Term
When in hyperkalemia there is a large increase > 9.5 mEq/L what could happen?
Definition
cardiac arrest
Term
U waves are seen in humans and not animals, when might these be seen?
Definition
hypokalemia
Term
Hypokalemia must occur suddenly to be picked up on an ECG and may appear as:
Definition
Bradcardia, prolonged QT interval, small, broad, and biphasic t waves
Term

What might cause Hypokalemia (choose all that are right)?

A. addisons

B. cushings

C. diuretics

D. alkalosis

E. insulin & glucose

Definition
B - E
Term
Animals may have muscle tremmors with __ which can make getting a good ECG reading difficult.
Definition
Hypocalcemia
Term

Common causes of hypocalcemia (choose all that are right):

A. hypoparathyroidism

B.pancreatitis

C. ethylene glycol poisioning

D. eclampsia

E. intestinal parasites

F. renal failure w/ increased phosphorus

Definition
A, B, C, D, & F
Term
VPCs in hypercalcemia are especially seen secondary to __
Definition
IV calcium infusion
Term
An acute __ may be seen on an ECG and appears as elevated ST segment
Definition
Hypercalcemia
Term
Hypocalcemia can more readily have acute changes picked up on an ECG (if can get a good enough reading) appear as...
Definition
prolonged QT interval with a small t wave
Term
In hypoxia of ananethasized pet, if pet has a sudden change in configuration of t wave, it is close to developing a __ arrythmia
Definition
fatal
Term
In a patient under anethesia, if pet becomes hypoxic, will need to __ pet and __ the amount of anethesia
Definition
ventilate; decrease
Term
Patient under anethesia develops hypoxia and it goes unnoticed for a while. Ventricular tachycardia or premature beats are noticed and tech ventilates pet and decreases level of anethesia, but tachycardia or premature beates presist. What do you do to correct acidosis?
Definition
sodium bicarbonate drip 
Term
T/F cardiac glycosides (digitalis) will slow heart rate & prolong the PR interval?
Definition
T
Term
Quinidine & procainamide are good to __ heart rate but at high dses they prolong the P wave, PR, QRS, & QT intervals and cause ST-T changes
Definition
increase
Term
Bradycardia due t drugs can be prevented with __, as can ventricular beats caused by phenothiazine derivatives
Definition
atropine
Term
Negative P wave in lead one will be seen if __
Definition
electrodes are hooked up on the wrong legs
Term
To detect pregnacy on an ECG it must be cunducted at wha point in the pregnacy?
Definition
close to term
Term

Heart score ECG desirable traits are all of the following except:

A. Slow heart rate

B. short P wave duration

C. Short P-R interval

Definition
B. Long P wave duration is desired
Term
Bacterial endocarditis, neoplasms, systemic emboli, intrammural coronary arteriosclerosis (older dogs), strongylus vulgaris migration causing arteriosclerosis in horses, & foreign bodies penetrating the heart and causing septic infarcts in cattle are all rare but common __.
Definition
Primary infarcts
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