EKG and Dysrhythmias Overview
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Questions and Answers

What is evaluated and classified when determining dysrhythmias?

  • Artifact, complexes, and patient symptoms
  • Waves, segments, and intervals on the ECG tracing (correct)
  • Patient condition and symptoms
  • Rate, artifact, and complexes on the ECG tracing
  • QRS duration measurement is essential to determine the time it takes for:

  • ventricular relaxation
  • atrial relaxation
  • atrial depolarization
  • ventricular depolarization (correct)
  • The shape of the P wave is analyzed to determine whether:

  • the atria and ventricles are contracting together
  • the atrial impulses caused the ventricular contraction
  • all of the atrial current is moving in the same pathway (correct)
  • atrial depolarization occurred
  • The normal PR interval measurement is:

    <p>0.12 to 0.20 second</p> Signup and view all the answers

    The normal range for the QRS complex duration is:

    <p>0.12 to 0.20 second</p> Signup and view all the answers

    What is the rate of a normal sinus rhythm?

    <p>60 to 100 bpm</p> Signup and view all the answers

    What forms the Einthoven triangle in electrocardiography?

    <p>right arm, left arm, right leg</p> Signup and view all the answers

    Where should the V1 lead be placed on the patient's chest?

    <p>fourth intercostal space, left sternal border</p> Signup and view all the answers

    Which sinus rhythm has a rate of less than 60 beats per minute?

    <p>Sinus bradycardia</p> Signup and view all the answers

    Which leads must be placed to correctly position the V3 lead?

    <p>V2 and V4</p> Signup and view all the answers

    Identify the following rhythm:

    <p>Sinus bradycardia</p> Signup and view all the answers

    Which method is exclusively used for calculating heart rates in irregular rhythms?

    <p>6-second method</p> Signup and view all the answers

    What is the heart rate if the 6-second method indicates 80 beats during a six-second strip?

    <p>80 bpm</p> Signup and view all the answers

    What term describes a pattern where every third complex is a premature beat?

    <p>trigeminy</p> Signup and view all the answers

    Where should the V2 lead be positioned?

    <p>fourth intercostal space, left sternal border</p> Signup and view all the answers

    Which heart rate estimation method is shown if the strip represents exactly six seconds?

    <p>6-second method</p> Signup and view all the answers

    Which heart blocks are the only blocks with an irregular ventricular response?

    <p>Second-degree heart blocks</p> Signup and view all the answers

    Where should you place the V4 lead when applying chest leads?

    <p>at the fourth ICS, left sternal border</p> Signup and view all the answers

    For placing the V2 lead, where is the correct location?

    <p>at the fourth ICS, right sternal border</p> Signup and view all the answers

    What is the anticoagulant additive in a lavender-stoppered evacuated blood collection tube?

    <p>Ethylenediaminetetraacetic acid</p> Signup and view all the answers

    Which evacuated blood collection tube would be appropriate for a platelet function test?

    <p>Sodium citrate</p> Signup and view all the answers

    If a discard tube is required, which of the following would be an appropriate choice for coagulation testing?

    <p>Sodium citrate</p> Signup and view all the answers

    What is an appropriate anticoagulant for a patient having blood collected for a standard coagulation test?

    <p>Sodium citrate</p> Signup and view all the answers

    What type of beat results from ectopic activity in the atrium?

    <p>Atrial ectopic beat</p> Signup and view all the answers

    What anticoagulant is found in a gray-stoppered blood collection tube?

    <p>Sodium fluoride</p> Signup and view all the answers

    Which additive is an antiglycolytic agent found in a gray-stoppered blood collection tube?

    <p>Sodium fluoride</p> Signup and view all the answers

    What does a light-green-stoppered evacuated blood collection tube contain?

    <p>Lithium heparin and a thixotropic gel</p> Signup and view all the answers

    Which color tube is suitable for collecting a sample for prothrombin time?

    <p>Light blue</p> Signup and view all the answers

    What percentage of isopropyl alcohol do alcohol pads generally contain?

    <p>70%</p> Signup and view all the answers

    During a routine venipuncture, what would be the 5th tube collected if all types are needed?

    <p>SST</p> Signup and view all the answers

    When applying a tourniquet, how high above the puncture site should it be placed?

    <p>2-3 inches</p> Signup and view all the answers

    Which color tube would a complete metabolic panel (CMP) be collected in?

    <p>Gold</p> Signup and view all the answers

    When a tube containing a thixotropic separator gel and blood is centrifuged, where does the gel move to?

    <p>top</p> Signup and view all the answers

    Ethylenediaminetetraacetic acid (EDTA) is used in blood collection primarily because it:

    <p>prevents coagulation by binding calcium</p> Signup and view all the answers

    In which of the following fields is EDTA commonly used for testing?

    <p>hematology</p> Signup and view all the answers

    Where should a sterile draw tube, such as for blood culture, be positioned in the order of draw?

    <p>First</p> Signup and view all the answers

    Which test requires the patient to be fasting?

    <p>Lipid panel</p> Signup and view all the answers

    What is the best approach to ease a child's anxiety during a blood collection?

    <p>Talk to him directly and briefly explain the procedure</p> Signup and view all the answers

    Repeatedly probing for a vein that results in pain or inability to use the arm can be classified as:

    <p>direct cause of patient injury</p> Signup and view all the answers

    What do discard tubes contain?

    <p>nothing</p> Signup and view all the answers

    Study Notes

    EKG and Dysrhythmias

    • Dysrhythmias evaluation includes rate, artifact, and complexes on the ECG tracing.
    • QRS duration measures ventricular depolarization time.
    • The P wave shape analysis reveals if atrial depolarization proceeded normally.
    • Normal PR interval ranges from 0.12 to 0.20 seconds.
    • Healthy QRS complex duration is less than 0.12 seconds.
    • Normal sinus rhythm occurs at a rate of 60 to 100 bpm.
    • Sinus bradycardia features a rate less than 60 bpm, possibly requiring medication or a pacemaker.
    • The Einthoven triangle consists of leads: right arm, left arm, and left leg.
    • V1 lead is placed at the fourth intercostal space, left sternal border.
    • Lead V3 requires prior placement of leads V2 and V4.
    • Irregular rhythms are calculated using the 6-second method.

    Phlebotomy

    • Lavender-stoppered tubes contain ethylenediaminetetraacetic acid (EDTA) as an anticoagulant.
    • For platelet function tests, a sodium citrate tube is used.
    • A discard tube for coagulation testing should ideally be red non-additive.
    • Gray-stoppered tubes feature sodium fluoride as anticoagulant and anti-glycolytic agent.
    • Light green tubes contain lithium heparin with a thixotropic gel.
    • For an immediate prothrombin time test, a light blue tube is appropriate.
    • When applying a tourniquet, it should be positioned 3-4 inches above the puncture site.
    • Fasting specimen is particularly required for lipid panel tests.
    • To ease a child's anxiety during a procedure, talking directly to them is suggested.

    Blood Collection Techniques

    • Collecting blood from an infant’s heel for bilirubin tests requires a microcollection container, ideally Amber SST.
    • Thixotropic separator gel rises to the top when centrifuged.
    • When probing for a vein leads to pain or injury, it qualifies as a direct cause of patient injury.

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    Description

    This quiz covers essential concepts related to EKG and dysrhythmias evaluation, including the analysis of ECG tracings, normal ranges for heart rhythms, and the importance of lead placements. Additionally, it touches on crucial phlebotomy techniques and equipment used in blood testing. Assess your understanding of these vital health monitoring topics.

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