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Patient Care
ECG Monitoring
52
Health Care
Not Applicable
04/28/2013

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Cards

Term
A severe, often constricting pain or sensation of pressure, usually referring to angina pectoris:
Definition
angina
Term
The tracing that depicts the heart's electrical activity:
Definition
cardiogram
Term
Process by which cardiac muscle cells change from a more negatively charged to a more positively charged intercellular state:
Definition
depolarization
Term
A disorder of the formation or conduction of the electrical impulses in the heart that alters the heart rate or rhythm or both:
Definition
dysrhythmia
Term
Factor affecting the force and flow of circulating blood:
Definition
hemodynamic
Term
Death of heart tissue resulting from lack of oxygenated blood flow:
Definition
myocardial infarction
Term
Insufficient oxygenation of the tissues of the heart muscle:
Definition
myocardial ischemia
Term
The pacing impulse begins in the sinus node and travels normally down the electrical conduction pathways:
Definition
normal sinus rhythm
Term
The screen on which ECG patterns appear:
Definition
oscilloscope
Term
Cardiac muscle cells return to a more negatively charged intracellular condition (their resting state):
Definition
repolarization
Term
Collections of platelets, fibrin, and clotting factors that attach to the interior wall of a vein and may result in occlusion of a vessel:
Definition
thrombi
Term
The R and L ventricles of the heart are separated by the:
Definition
interventricular septum
Term
Name the 3 layers of the heart (outermost - innermost):
Definition
1. epicardium (thin outer layer)
2. myocardium (middle muscular layer)
3. endocardium (thin inner layer)
Term
The muscular layer of the atria is (thinner/thicker) than that of the ventricles.
Definition
thinner
Term
The myocardium is supplied w/ oxygenated blood via the right and left ________ arteries and their branches.
Definition
coronary
Term
The branches of the ____ coronary artery supply the interventricular septum, the walls and surfaces of the atria and ventricles, and the sinoatrial (SA) and atrioventricular (AV) nodes.
Definition
left
Term
The _____ coronary artery supplies the remainder of the myocardial blood supply.
Definition
right
Term
The cells of the heart muscle:
Definition
myocytes
Term
At rest, the myocytes are said to be _________.
Definition
polarized
Term
When the interior of the myocytes are negatively charged they are said to be _________.
Definition
polarized
Term
When the myocytes are depolarized, the interior of the myocytes become ________.
Definition
positive
Term
When an electrical impulse is initiated, _________ rushes out of the myocytes and ______ rushes in. _______ also enters the cells at this stage, but at a slower rate, and acts as a regulator of cardiac contraction.
Definition
potassium rushes out
sodium rushes in
calcium enters the cell
Term
When potassium rushes out of the myocytes, sodium rushes in, and calcium slowly enters the cell, this initiates ______________ and converts the electrical charge of the cell into a positive charge.
Definition
depolarization
Term
______________ acts as a wave throughout the myocardium and results in contraction of the heart.
Definition
Depolarization
Term
______________ takes place as the cells return to a resting state.
Definition
Repolarization
Term
The conduction system of the heart has myocardial cells that have the following properties:
Definition
- automaticity
- conductivity
- excitability
- contractility
Term
The __ node, located in the upper posterior wall of the right atrium, is the dominant pacemaker of the heart.
Definition
SA
Term
At rest under normal conditions, the SA node initiates __ - ___ impulses per minute.
Definition
60 - 100
Term
What is responsible for the rate and rhythm of the cardiac cycle or the automaticity?
Definition
SA node
Term
The depolarization-repolarization cycle goes through _ phases.
Definition
5
Term
When the electrical activity of the heart is normal, it is referred to as being in:
Definition
normal sinus rhythm
Term
The P wave records:
Definition
the contraction of the atria (atrial depolarization)
Term
The QRS complex records:
Definition
contraction of the ventricles
Term
When the ST segment follows the QRS complex, the cell membrane is _______ in electrical charge.
Definition
neutral
Term
A U wave may follow the T wave and is associated with repolarization of the:
Definition
Purkinje fibers
Term
Where are the two leads most often used for continuous monitoring placed?
Definition
subclavicular line
midclavicular line
Term
If a third electrode (a ground electrode) is used, it may be positioned anywhere on the:
Definition
upper anterior chest
Term
Once electrodes are in place, an alarm is set on the ECG machine for __% above and __% below the pt's baseline heart rate.
Definition

30% above

30% below

Term
The ECG/EKG is used to detect what?
Definition
- cardiac dysrhythmias
- conduction disorders
- myocardial ischemia
- injury
- myocardial infarction
Term
Ventricular and atrial rates are less than 60 and may result in significant hemodynamic changes (i.e., decreased LOC, angina, hypotension):
Definition
sinus bradycardia
Term
Atria and ventricles contracting rapidly and in an uneven pattern; may lead to formation of thrombi and stroke:
Definition
atrial fibrillation
Term
The pt may rapidly become unresponsive and pulseless:
Definition
ventricular tachycardia
Term
May have symptoms of chest pain, SOB, and hypotension; may result in life-threatening dysrhythmias:
Definition
atrial flutter
Term
The heart rate is not audible; the pulse is not palpable. This is a life-threatening event:
Definition
ventricular fibrillation
Term
This is a life-threatening emergency. Without immediate treatment, this is a fatal arrhythmia:
Definition
asystole
Term
The pt w/ this condition may not have symptoms; however, if there are symptoms of SOB, chest pain, lightheadedness, and hypotension, treatment is necessary to prevent myocardial infarction:
Definition
third-degree AV block
Term
Quinidine, procainamide, lidocaine, atenolol, propranolol, and verapmil are all what types of drugs used in cardiac emergencies?
Definition
antiarrhythmics (used to suppress abnormal rhythms of the heart)
Term
Streptokinase, alteplase, and reteplase are all what types of drugs used in cardiac emergencies?
Definition
thrombolytics (used to dissolve blood clots)
Term
Morphine is what type of drug used in cardiac emergencies?
Definition
analgesic (used to relieve pain)
Term
Atropine (heart rate stabilizer), digitalis (used to treat a-fib), nitroglycerin (treats chest pain), captopril (treats HTN and CHF), and heparin (anticoagulant) all have what in common?
Definition
They are all drugs that are frequently used for cardiac emergencies
Term
Each small box on the ECG graph represents what?
Definition
0.04 second on the horizontal axis
1 mm or 0.1 millivolt on the vertical axis
Term
Each large box (consisting of 25 small boxes) on the ECG graph represents what?
Definition
0.2 second on the horizontal axis
5 mm or 0.5 millivolt on the vertical axis
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