H&H module 8:2

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Questions and Answers

What is the typical heart rate range observed in Paroxysmal Supraventricular Tachycardia (PSVT)?

  • 60-100 beats/minute
  • 100-150 beats/minute
  • 250-350 beats/minute
  • 150-220 beats/minute (correct)

Which of the following best describes the P waves in atrial flutter?

  • Sawtooth shaped (correct)
  • Chaotic and fibrillatory
  • Absent
  • Normal and upright

What is the primary effect of vagal maneuvers in the treatment of PSVT?

  • Increase AV node conduction
  • Decrease AV node conduction (correct)
  • Decrease ventricular contractility
  • Increase atrial contractility

Which symptom is least likely to be associated with PSVT?

<p>Bradycardia (A)</p> Signup and view all the answers

A patient with Wolff-Parkinson-White (WPW) syndrome and PSVT may be treated with which medication?

<p>Amiodarone (D)</p> Signup and view all the answers

In atrial flutter with a 2:1 conduction ratio, what would be the approximate ventricular rate if the atrial rate is 300 beats/minute?

<p>150 beats/minute (C)</p> Signup and view all the answers

Which intervention is most appropriate for a patient in PSVT who becomes hemodynamically unstable?

<p>Synchronized cardioversion (B)</p> Signup and view all the answers

What is the underlying mechanism of PSVT described as a re-entrant phenomenon?

<p>A run of repeated premature atrial contractions (C)</p> Signup and view all the answers

A patient with atrial flutter is at an increased risk for thrombus formation because of:

<p>Stasis of blood in the atria (B)</p> Signup and view all the answers

What is the primary goal in the treatment of atrial flutter?

<p>To slow the ventricular response (D)</p> Signup and view all the answers

Which condition is least likely to be associated with atrial fibrillation?

<p>Hypothyroidism (D)</p> Signup and view all the answers

Electrical cardioversion is being planned for a person with atrial flutter. The nurse knows that which of the following must be assessed prior to the procedure?

<p>Presence of thrombi (B)</p> Signup and view all the answers

For a patient admitted with sinus bradycardia, which assessment finding would warrant immediate intervention?

<p>Reports of dizziness and syncope (A)</p> Signup and view all the answers

When assessing the cardiac rhythm of a patient, what is the first step a nurse should take?

<p>Evaluate the rhythm (ventricular and atrial) (D)</p> Signup and view all the answers

What is represented by the P wave on an ECG?

<p>Atrial depolarization (D)</p> Signup and view all the answers

A nurse is reviewing the properties of cardiac cells. Which property allows the heart to respond mechanically to an impulse?

<p>Contractility (C)</p> Signup and view all the answers

Which of the following is the primary pacemaker of the heart?

<p>SA node (C)</p> Signup and view all the answers

A nurse is preparing a patient for telemetry monitoring. What action is essential for the nurse to ensure proper monitoring?

<p>Shaving excessive hair from the electrode sites (D)</p> Signup and view all the answers

A Holter monitor is prescribed for a patient. Which instruction is most important for the nurse to provide?

<p>Maintain a diary of regular activities and symptoms (A)</p> Signup and view all the answers

According to Table 38.3, what is the normal rate of the AV juntion?

<p>40-60 times/min (D)</p> Signup and view all the answers

Flashcards

Automaticity

Ability to initiate an impulse spontaneously and continuously.

Contractility

Ability to respond mechanically to an impulse.

Conductivity

Ability to transmit an impulse along a membrane in an orderly manner.

Excitability

Ability to be electrically stimulated

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Electrocardiogram (ECG)

Graphic record of the heart's electrical activity.

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Rhythm Identification

The ability to recognize normal and abnormal cardiac rhythms.

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Holter Monitor

A device that records the ECG while the patient performs daily activities.

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Paroxysmal Supraventricular Tachycardia

A dysrhythmia originating in an ectopic focus above the bifurcation of the bundle of His.

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Atrial Flutter

An atrial tachydysrhythmia identified by recurring, regular, sawtooth-shaped flutter waves.

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Non-vitamin K Antagonist Oral Anticoagulant (NOAC)

NOAC is used to prevent stroke in patients with atrial flutter.

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Premature Atrial Contraction (PAC)

A contraction originating from an ectopic focus in the atrium.

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Systematic Approach

Always assess the patient first and then proceed with a systematic approach to interpreting the rhythm.

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Common causes of dysrhythmias

Dysrhythmias of the heart.

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Clinical Associations: Sinus Tachycardia

Is observed with coffee, tea, tobacco.

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Electrocardiographic Characteristics; Sinus Bradycardia

Is less than 60 beats/minute and the rhythm is regular.

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Electrocardiographic Characteristics; Sinus Tachycardia

Is greater than 100 beats/minute and regular.

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Study Notes

Convex Function Definition

  • A function $f$ is convex on an interval $I$ if for all $x, y \in I$ and $t \in [0,1]$, $f(tx + (1-t)y) \leq tf(x) + (1-t)f(y)$.
  • A function $f$ is concave on an interval $I$ if for all $x, y \in I$ and $t \in [0,1]$, $f(tx + (1-t)y) \geq tf(x) + (1-t)f(y)$.
  • Geometrically, a convex function's secant (chord) lies above its graph.

Characterization of Differentiable Convex Functions

  • A differentiable function $f$ is convex if and only if its derivative $f'$ is increasing.
  • A differentiable function $f$ is concave if and only if its derivative $f'$ is decreasing.
  • Geometrically, a convex function's tangents lie "below" its graph.

Characterization of Twice-Differentiable Convex Functions

  • A twice-differentiable function $f$ is convex if and only if its second derivative $f'' \geq 0$.
  • A twice-differentiable function $f$ is concave if and only if its second derivative $f'' \leq 0$.

Fundamental Examples of Convex/Concave Functions

  • $x \mapsto e^x$ is convex on $\mathbb{R}$.
  • $x \mapsto \ln(x)$ is concave on $\mathbb{R}_{+}^{*}$.
  • $x \mapsto x^n$ is convex on $\mathbb{R}_{+}$ for $n \geq 1$.
  • $x \mapsto |x|$ is convex on $\mathbb{R}$.

Jensen's Inequality

  • For a convex function $f: I \rightarrow \mathbb{R}$ and $x_1, \ldots, x_n \in I$ and $\lambda_1, \ldots, \lambda_n \in [0,1]$ with $\sum_{i=1}^{n} \lambda_i = 1$:

    $f\left(\sum_{i=1}^{n} \lambda_{i} x_{i}\right) \leq \sum_{i=1}^{n} \lambda_{i} f\left(x_{i}\right)$

  • If $\lambda_1 = \cdots = \lambda_n = \frac{1}{n}$, then $f\left(\frac{1}{n} \sum_{i=1}^{n} x_{i}\right) \leq \frac{1}{n} \sum_{i=1}^{n} f\left(x_{i}\right)$.

Algorithmic Game Theory - Lecture 14: Mechanism Design

  • Mechanism Design without Money aims to implement a social choice function $f: \Theta \rightarrow O$.
  • Revelation Principle states that if there exists a mechanism that implements $f$ in dominant strategies, then there exists a truthful mechanism that implements $f$ in dominant strategies.
  • A truthful mechanism is when players maximize their utility by reporting their true type.

Implementation in Dominant Strategies

  • A social choice function $f$ is implementable in dominant strategies if there exists a mechanism that implements $f$ in dominant strategies.

Gibbard-Satterthwaite Theorem

  • If $O$ (outcomes) contains at least three distinct outcomes and $f: \Theta \rightarrow O$ is implementable in dominant strategies, then $f$ is dictatorial.

Proof Overview (Gibbard-Satterthwaite)

  • Assume $f$ is onto (otherwise, we can restrict the range of $f$).
  • $M = \prod_{i \in N} \Theta_{i}$ is the message space, $g: M \rightarrow O$ is the outcome function. By the revelation principle, we can assume that the mechanism is truthful.
  • Define $f_i(\theta_{-i}) \in \underset{o \in O}{\operatorname{argmax}} u_{i}\left(o, \theta_{i}\right)$ for some $\theta_i$
  • $f_i(\theta_{-i})$ is claimed to be independent of $\theta_{-i}$, else, the mechanism is dictatorial.

Thermodyanmics - Energy

  • Energy cannot be created or destroyed (conservation of energy).

Types of Energy

  • Kinetic Energy (KE): Energy of motion; given by $KE = \frac{1}{2}mv^2$.
  • Potential Energy (PE): Stored energy; gravitational PE is $PE = mgh$.
  • Internal Energy (U): Energy of molecules within a system (includes KE and PE).

Energy Transfer

  • Work (W): Energy transfer when a force causes displacement; $W = F \cdot d$ or $W = \int{PdV}$ (area under P-V curve).
  • Heat (Q): Energy transfer due to temperature difference; $Q = mc\Delta{T}$ for heating/cooling, $Q = mL$ for phase changes.

First Law of Thermodynamics

  • $\Delta{U} = Q - W$: Change in internal energy equals heat added minus work done by the system.

Thermodynamic Processes

  • Isobaric: Constant pressure; $W = P\Delta{V}$, $\Delta{U} = Q - P\Delta{V}$.
  • Isochoric: Constant volume; $W = 0$, $\Delta{U} = Q$.
  • Isothermal: Constant temperature; $\Delta{U} = 0$, $Q = W$, $W = nRT \ln{\frac{V_2}{V_1}}$.
  • Adiabatic: No heat transfer; $\Delta{U} = -W$, $PV^{\gamma} = \text{constant}$, $W = \frac{P_2V_2 - P_1V_1}{1 - \gamma}$.

Heat Engines

  • Convert heat into work through a cyclic process.
  • Thermal Efficiency (e): $e = \frac{W_{net}}{Q_H} = 1 - \frac{Q_C}{Q_H}$ (where $W_{net}$ is net work, $Q_H$ is heat from hot reservoir, $Q_C$ is heat to cold reservoir).
  • Carnot Engine: Theoretical maximum efficiency; $e_{carnot} = 1 - \frac{T_C}{T_H}$.

Refrigerators and Heat Pumps

  • Use work to transfer heat from cold to hot.
  • Coefficient of Performance (COP): Refrigerator $COP = \frac{Q_C}{W}$, Heat Pump $COP = \frac{Q_H}{W}$.
  • Carnot Refrigerator/Heat Pump: Maximum COP; Refrigerator $COP_{carnot} = \frac{T_C}{T_H - T_C}$, Heat Pump $COP_{carnot} = \frac{T_H}{T_H - T_C}$.

Second Law of Thermodynamics

  • Entropy (S): Measure of disorder; $\Delta{S} = \frac{Q}{T}$ for reversible processes.
  • Statements: Heat flows spontaneously from hot to cold, entropy in a closed system increases or remains constant, $\Delta{S} \geq 0$.
  • Implications: Impossible to create a perfect engine (100% efficiency), some energy is always lost as heat; tends towards greater disorder
  • This implies it is impossible to create perfect engine and there tends to greater disorder.

Statistiques Inférence - Point Estimation Definition

  • $X_1,...,X_n$ is an i.i.d. sample from $P_{\theta}$, where $\theta \in \Theta \subset \mathbb{R}^k$ is an unknown parameter.
  • An estimator of $\theta$ is $T(X_1,...,X_n)$ which takes values in $\Theta$. Denoted as $\hat{\theta} = T(X_1,..., X_n)$.

Bias

  • Bias of $\hat{\theta}$ is defined as $bias(\hat{\theta}) = \mathbb{E}[\hat{\theta}] - \theta$.
  • $\hat{\theta}$ is unbiased if $bias(\hat{\theta}) = 0$, i.e., $\mathbb{E}[\hat{\theta}] = \theta$.

Mean Squared Error

  • Defined as $MSE(\hat{\theta}) = \mathbb{E}[(\hat{\theta} - \theta)^2]$.
  • Decomposition: $MSE(\hat{\theta}) = Var(\hat{\theta}) + bias(\hat{\theta})^2$.

Uniformly Minimum Variance Unbiased Estimator (UMVU)

  • $\hat{\theta}$ is UMVU if:
    • $\hat{\theta}$ is unbiased.
  • $Var(\hat{\theta}) \leq Var(\tilde{\theta})$ for all other unbiased estimator $\tilde{\theta}$ of $\theta$.

Fisher Information

  • Quantifies the amount of information a RV $X$ contains about parameter $\theta$.
  • $I(\theta) = \mathbb{E}\left[\left(\frac{\partial}{\partial \theta} \log f(X; \theta)\right)^2\right] = - \mathbb{E}\left[\frac{\partial^2}{\partial \theta^2} \log f(X; \theta)\right]$.
  • For an i.i.d. sample, $I_n(\theta) = nI(\theta)$.

Cramér-Rao Bound

  • Establishes a lower bound on the variance of any unbiased estimator of $\theta$: $Var(\hat{\theta}) \geq \frac{1}{I_n(\theta)}$.
  • An estimator is efficient if it attains this bound.

Convergence

  • $\hat{\theta}n \xrightarrow{P} \theta$ (convergence in probability) if $\lim{n \to \infty} P(|\hat{\theta}_n - \theta| > \epsilon) = 0$ for all $\epsilon > 0$.
  • $\hat{\theta}n \xrightarrow{L^2} \theta$ (convergence in mean square) if $\lim{n \to \infty} \mathbb{E}[(\hat{\theta}_n - \theta)^2] = 0$.
  • $\hat{\theta}n \xrightarrow{as} \theta$ (almost sure convergence) if $P(\lim{n \to \infty} \hat{\theta}_n = \theta) = 1$.
  • $\hat{\theta}n \xrightarrow{d} \theta$ (convergence in distribution) if $\lim{n \to \infty} F_{\hat{\theta}n}(x) = F{\theta}(x)$.

Consistency

  • An estimator $\hat{\theta}_n$ is consistent if it converges in probability to $\theta$: $\hat{\theta}_n \xrightarrow{P} \theta$.

Maximum Likelihood Estimator (MLE)

  • The MLE of $\theta$ is the value that maximizes the likelihood function: $\hat{\theta}{MLE} = \arg \max{\theta \in \Theta} L(\theta; X_1,..., X_n)$.
  • $L(\theta; X_1,..., X_n) = \prod_{i=1}^n f(X_i; \theta)$ is the likelihood function. Under regularity Conditions, MLE is consistent and asymptotically normal.
  • $\sqrt{n}(\hat{\theta}_{MLE} - \theta) \xrightarrow{d} \mathcal{N}(0, I(\theta)^{-1})$.

Understanding The Mathematics of Deep Learning. Linear Algbra: Eigenvalue and Eigenvectors

  • For $A$ in $R^{n \times n}$, if a vector $v$ in $R^n \ where\ v \neq 0$ and a $\lambda$ in $R $ exists, such that the following holds, then they are called the eigenvalue and eigenvector correspondingly for the corresponding matrix:

    $Av = \lambda v$

  • Eigenvectors are defined for Sqaure matrices only

  • If $v$ is an eigenvector, for any $c \neq 0$, then $cv$ is then too an eigenvector

  • For a given eigenvalue $\lambda$, there are infinitely many eigenvectors

  • Distinct eigenvectors can correspond to the one eigenvalue

Eigendecomposition

  • A matrix $A \in \mathbb{R}^{n \times n}$ is diagonalizable if it is similar to a diagonal matrix, i.e., there exists an invertible matrix $P$ such that $P^{-1}AP$ is a diagonal matrix.
  • Theorem: For $A \in \mathbb{R}^{n \times n}$, $A$ is diagonalizable if and only if $A$ has $n$ linearly independent eigenvectors.
  • If $A \in \mathbb{R}^{n \times n}$ has $n$ distinct eigenvalues, then $A$ has $n$ linearly independent eigenvectors. This implies it is diagnalizable

MKTG203: Basics - Key Definitions

  • Marketing Research: Defining a problem/opportunity, collecting & analyzing data, recommending actions.
  • Exploratory Research: Preliminary info to define problems and suggest hypotheses.
  • Descriptive Research: Better describe marketing problems.
  • Casual Research: Test hypotheses about cause/effect.
  • Secondary Data: Data recorded before the project. Example: Financial Statements
  • Primary data: Data newly collected for the project through things like mechanical methods, polls, and more.
  • Focus Group: Discussion with a group about a product before or after launch.

Advanced Control Systems - Stability Analysis

Definition of Stability

  • Bounded-Input Bounded-Output stable (BIBO): Resulting in bounded output, from bounded input
  • Asymptotic Stability: In the absence of any input, the output returns to equilibrium regardless of initial conditions.
  • Marginal Stability: In the abscence of any input, the output remains bounded, but does not return to equilibrium.
  • Interal Stability implies Input-Output Stability

Types of Analysis

Routh Hurtwiz Criterion

  • A means of determining the number of roots of the characteristic equation without solving for these roots
  • Procedure: By constructing from from the coefficients of the chracteristic polynomial
  • Stability Condition: All elements in the first column of the Routh array must have the same sign(Postive).

Bode Plots

  • Using the magnitude and phase plots for assessing stability
  • Gain Margin (GM): Amount of gain, to make loop gain unity at phase.
  • Phase Margin (PM): The amount of phase lag, to make the phase angel -180 at the frequency and Gain crossover freqency
  • **Stability Condition: For both, GM and PM must be postive

Definition of Matrix Multiplication

  • For matrices A with dimensions m,n and B with dimensions n,p, the product is of dimesions m,p. Where each member being defined by the following:

$$ c_{ik} = \sum_{j=1}^{n} a_{ij} b_{jk} \text{ where: } i = 1, \dots, m \text{ und } k = 1, \dots, p $$

properties

  • Assoiciativity
  • Distributivity
  • non commutative

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