We will use this prep work throughout the semester.
Make sure you
know when we are covering each rhythm so you are prepared.
Define these terms:
● automaticity ● isoelectric ● QRS complex
● conductivity ● lead ● QT interval
● contractility ● P wave ● SA node
● depolarization ● PR interval ● ST segment
● dysrhythmia ● PR segment ● T wave
(arrhythmia) ● Premature complex ● telemetry
● electrocardiogram ● Pulse deficit ● vagal
(ECG) maneuver
● U wave
Complete the following:
1. Label the P wave, PR interval, QRS complex, ST segment and T wave on
the cardiac waveform. Identify normal findings for each waveform and
what happens in the heart during each waveform.
2. What are some indications for continuous cardiac monitoring
(telemetry)? Using the diagram below indicate the location and color of
lead placement for a 5 lead EKG.
3. What is a pacemaker? What is an implantable cardioverter-defibrillator?
How do these two differ? Why would each be used?
4. What is the difference between synchronized cardioversion (aka electrical
cardioversion) and unsynchronized cardioversion (aka defibrillation)?
5. What assessment findings would indicate decreased cardiac output?
6. What are the first 7 steps to rhythm analysis? (Use this link here)
1.
2.
3.
4.
5.
6.
7.
Perfusion NUR 114 1
Complete the following chart:
Treatment
Features (What makes it different
Cardiac Rhythm What is going to be done about it??
from the rest?) Include drugs and actions (keep it brief)
Sinus rhythm (SR)
Sinus bradycardia (SB)
Sinus tachycardia (ST)
Supraventricular
tachycardia (SVT)
Atrial Flutter (A flutter)
Atrial Fibrillation (a-fib)
1st Degree Heart Block
2nd Degree Heart Block
Type I (a.k.a. Mobitz I, or
Wenckebach)
2nd Degree Heart Block
Type II (a.k.a. Mobitz II).
3rd Degree Heart Block
Premature Ventricular
Contractions (PVC)
Ventricular Tachycardia
Perfusion NUR 114 2
(VT)
Ventricular Fibrillation (V-
fib)
Asystole
Using your text and/or nursing central complete the following drug table:
PERFUSION Drug Nursing Considerations & 3
Examples Use Action
Classifications common side effects
Antiarrhythmic atropine Sulfate
Antiarrhythmic amiodarone
Antiarrhythmic lidocaine
Antiarrhythmic flecainide
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Antiarrhythmic adenosine
Beta Blockers -lols
Calcium Channel diltiazem,
Blockers verapamil
Cardiac glycoside digoxin
Vasopressor epinephrine