2024 ECG ORIENTATION KAISER
EXAM WITH CORRECT ANSWERS
DEPOLARIZATION - CORRECT ANSWERS-Movement of ions (Na+, Ca+, K+)
across cell membrane causing inside of cell to become more positive,
electrical conduction results in contraction. Na+ channels open. Positive
inside, negative outside.
REPOLARIZATION - CORRECT ANSWERS-movement of ions across cell
membrane where inside of cell is restored to its negative charge. Sodium
channels close. Potassium channels open. Active transport by sodium-
potassium pump
DEPORIZATION - CORRECT ANSWERS-ELECTRICAL
symptomatic tachycardia treatment - CORRECT ANSWERS-Synchronized
cardioversion
PAC - CORRECT ANSWERS-often regular, when P waves present
SVT - CORRECT ANSWERS-150-250 bpm. P waves hidden by QRS
non symptomatic tachycardia - CORRECT ANSWERS-vagal maneuvers,
adenosine, BB, CCB,
treatment of tachycardia - CORRECT ANSWERS-adenosine 6mg rapid IVP.
Second dose; 12mg IVP
amiodarone 150mg IV infusion over 10 min
procainamide 20-50mg /min IV infusion
inverted P wave - CORRECT ANSWERS-impulse formed in or near AV junction
toward atria
causes of vfib - CORRECT ANSWERS-Acute MI, myocardial ischemia, drug
toxicity or overdose, hypoxia, and other causes
causes of VT - CORRECT ANSWERS-•Myocardial ischemia
•Cardiomyopathy
•Cardiac cath
•Dig toxicity
•Electrolyte/acid-base imbalance
, •Side effect of drugs
H's and T's of ACLS - CORRECT ANSWERS-H(6) T(5)
H hypovolemia
H hypoxia
H hypoglycemia
H hypothermia
H hypo/hyperkalemia
H hydrogen ions (acidosis)
T tension pneumo
T tamponade
T toxins
T2 thrombosis PE/Cardiac
T Trauma
SHOCKABLE RHYTHMS - CORRECT ANSWERS-Ventricular Fibrillation &
pulseless Ventricular Tachycardia
vfib and vtach treatment - CORRECT ANSWERS-CPR x2 min
shockable?
CPR x2min + epinephrine
shockable?
CPR x2min + amiodarone
shockable? YES - repeat cycle
shockable? NO - if no signs of ROSC, > > asystole, PEA regulations
pulseless vtach and vfib - CORRECT ANSWERS-Defib then epi. Epi 1mg q 3-5
min.
Amiodarone 300mg bolus, > 2nd dose 150mg bolus
asystole/ PEA treatment - CORRECT ANSWERS-CPR 2min and epinephrine.
CPR until shockable rhythm or ROSC
asystole, PEA meds - CORRECT ANSWERS-epinephrine 1mg q3-5min
1 AVB - CORRECT ANSWERS-60-100bpm
2nd degree Type 1 - CORRECT ANSWERS-longer longer longer drop
2nd degree type 2 - CORRECT ANSWERS-PR constant
QRS dropped
irregular
3rd degree AV block - CORRECT ANSWERS-atria and ventricles beat
independently of each other
EXAM WITH CORRECT ANSWERS
DEPOLARIZATION - CORRECT ANSWERS-Movement of ions (Na+, Ca+, K+)
across cell membrane causing inside of cell to become more positive,
electrical conduction results in contraction. Na+ channels open. Positive
inside, negative outside.
REPOLARIZATION - CORRECT ANSWERS-movement of ions across cell
membrane where inside of cell is restored to its negative charge. Sodium
channels close. Potassium channels open. Active transport by sodium-
potassium pump
DEPORIZATION - CORRECT ANSWERS-ELECTRICAL
symptomatic tachycardia treatment - CORRECT ANSWERS-Synchronized
cardioversion
PAC - CORRECT ANSWERS-often regular, when P waves present
SVT - CORRECT ANSWERS-150-250 bpm. P waves hidden by QRS
non symptomatic tachycardia - CORRECT ANSWERS-vagal maneuvers,
adenosine, BB, CCB,
treatment of tachycardia - CORRECT ANSWERS-adenosine 6mg rapid IVP.
Second dose; 12mg IVP
amiodarone 150mg IV infusion over 10 min
procainamide 20-50mg /min IV infusion
inverted P wave - CORRECT ANSWERS-impulse formed in or near AV junction
toward atria
causes of vfib - CORRECT ANSWERS-Acute MI, myocardial ischemia, drug
toxicity or overdose, hypoxia, and other causes
causes of VT - CORRECT ANSWERS-•Myocardial ischemia
•Cardiomyopathy
•Cardiac cath
•Dig toxicity
•Electrolyte/acid-base imbalance
, •Side effect of drugs
H's and T's of ACLS - CORRECT ANSWERS-H(6) T(5)
H hypovolemia
H hypoxia
H hypoglycemia
H hypothermia
H hypo/hyperkalemia
H hydrogen ions (acidosis)
T tension pneumo
T tamponade
T toxins
T2 thrombosis PE/Cardiac
T Trauma
SHOCKABLE RHYTHMS - CORRECT ANSWERS-Ventricular Fibrillation &
pulseless Ventricular Tachycardia
vfib and vtach treatment - CORRECT ANSWERS-CPR x2 min
shockable?
CPR x2min + epinephrine
shockable?
CPR x2min + amiodarone
shockable? YES - repeat cycle
shockable? NO - if no signs of ROSC, > > asystole, PEA regulations
pulseless vtach and vfib - CORRECT ANSWERS-Defib then epi. Epi 1mg q 3-5
min.
Amiodarone 300mg bolus, > 2nd dose 150mg bolus
asystole/ PEA treatment - CORRECT ANSWERS-CPR 2min and epinephrine.
CPR until shockable rhythm or ROSC
asystole, PEA meds - CORRECT ANSWERS-epinephrine 1mg q3-5min
1 AVB - CORRECT ANSWERS-60-100bpm
2nd degree Type 1 - CORRECT ANSWERS-longer longer longer drop
2nd degree type 2 - CORRECT ANSWERS-PR constant
QRS dropped
irregular
3rd degree AV block - CORRECT ANSWERS-atria and ventricles beat
independently of each other
