{"id":110559,"date":"2023-07-26T22:19:03","date_gmt":"2023-07-26T22:19:03","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=110559"},"modified":"2023-07-26T22:19:06","modified_gmt":"2023-07-26T22:19:06","slug":"relias-dysrhythmia-basic-test-answers-2023-dysrhythmia-basic-a-a-graded-100-verified","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/26\/relias-dysrhythmia-basic-test-answers-2023-dysrhythmia-basic-a-a-graded-100-verified\/","title":{"rendered":"Relias Dysrhythmia Basic Test Answers 2023 Dysrhythmia \u2013 Basic A ( A+ GRADED 100% VERIFIED)"},"content":{"rendered":"\n

normal sinus rhythm<\/a><\/p>\n\n\n\n

heart rhythm originating in the sinoatrial node with a rate in patients at rest of 60 to 100 beats per minute<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Sinus Arrhythmia<\/a><\/p>\n\n\n\n

Appearance is ALMOST NORMAL:
Respiratory – Circulatory interaction
Rate INCREASES with INSPIRATION (IN=IN)<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Sinus Bradycardia<\/a><\/p>\n\n\n\n

<60
normal sinus rhythm<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Sinus Tachycardia<\/a><\/p>\n\n\n\n

>100 (100-150)
normal sinus rhythm<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Premature Atrial Contraction (PAC)<\/a><\/p>\n\n\n\n

Heart Rate: Depends on underlying rhythm
Regularity: Interrupts the regularity of underlying rhythm
P-Wave: can be flattened, notched, or unusual. May be hidden within the T wave
PRI: measures between .12-.20 seconds and can be prolonged; can be different from other complexes
QRS: <.12 seconds<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Sinus Arrest\/Pause<\/a><\/p>\n\n\n\n

– SA node doesn’t fire
– notice absence of P-wave for a complete cycle (a missed cycle)
length of pause \u2260 multiple of normal rate (block)<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Atrial Fibrillation (A-Fib)<\/a><\/p>\n\n\n\n

an irregular and often very fast heart rate originating from abnormal conduction in the atria<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Atrial Flutter<\/a><\/p>\n\n\n\n

irregular beating of the atria; often described as “a-flutter with 2 to 1 block or 3 to 1 block”<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

<\/p>\n\n\n\n

Atrial Fibrillation (A-Fib)<\/a><\/p>\n\n\n\n

an irregular and often very fast heart rate originating from abnormal conduction in the atria<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Atrial Flutter<\/a><\/p>\n\n\n\n

irregular beating of the atria; often described as “a-flutter with 2 to 1 block or 3 to 1 block”<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Junctional Rhythm<\/a><\/p>\n\n\n\n

40-60 Regular!
-impulse from AV node w\/ retro\/antegrade transmission
– P wave often inverted\/buried\/follow QRS
– slow rate
– narrow QRS (not wide like ventricular)<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Junctional Tachycardia<\/a><\/p>\n\n\n\n

>60 bpm (ms. K; 150-250)
– KEY: will be regular (consistent)
– AV junction produces a rapid sequence of QRS-T cycles
– p-wave often inverted\/buried\/follow QRS<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Premature Junctional Contraction<\/a><\/p>\n\n\n\n

Inverted p wave or hidden p wave
PRI<0.12 or none
Normal QRS<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Supraventricular Tachycardia (SVT)<\/a><\/p>\n\n\n\n

an abnormal heart rhythm arising from aberrant electrical activity in the heart; originates at or above the AV node<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

First degree heart block<\/a><\/p>\n\n\n\n

atrioventricular (AV) block in which the atrial electrical impulses are delayed by a fraction of a second before being conducted to the ventricles<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

2nd degree heart block type 1 (Wenkebach)<\/a><\/p>\n\n\n\n

Progressively longer PR interval until the P wave is not followed by a QPR<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

2nd Degree Heart Block (Mobitz II)<\/a><\/p>\n\n\n\n

Rare, but more serious
Sudden appearance of a nonconducted P-wave
P-waves are nl, but some aren’t followed by a QRS complex
PR & RR intervals are constant<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

3rd degree heart block<\/a><\/p>\n\n\n\n

no obvious correlation between p and qrs, need pace maker<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

premature ventricular contraction (PVC)<\/a><\/p>\n\n\n\n

a ventricular contraction preceding the normal impulse initiated by the SA node (pacemaker)<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Bigeminy PVC<\/a><\/p>\n\n\n\n

every other beat is a PVC<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

PVC couplets<\/a><\/p>\n\n\n\n

PVC occurring in pairs, no adequate C.O. when this occurs<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

monomorphic ventricular tachycardia<\/a><\/p>\n\n\n\n

presents with wide QRS complexes of a common shape.<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Torsades de pointes<\/a><\/p>\n\n\n\n

Rate: 120 – 200 usually
P wave: Obscured by ventricular waves
QRS: Wide QRS – “Twisting of the Points”
Conduction: Ventricular only
Rhythm: Slightly irregular<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Ventricular fibrillation (V-fib)<\/a><\/p>\n\n\n\n

abnormal heart rhythm which results in quivering of ventricles<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Idioventricular Rhythm<\/a><\/p>\n\n\n\n

<40
looks like vtach but slow<\/strong>
– no P waves (from vent foci)
– Wide QRS
(serious, death like rhythm)
– called “dying heart” rhythm…occasional ventric beat b4 death (asystole)<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Accelerated Idioventricular Rhythm<\/a><\/p>\n\n\n\n

Rate: 50 – 100 usually (usually slow)
P wave: Obscured by ventricular waves (occur during ventricular contraction) – SA node slower than faster ventricular pacing than should be
QRS: Wide QRS
Conduction: Ventricular only
Rhythm: Regular

– benign rhythm that is sometimes seen during acute MI or early after reperfusion. – Rarely sustained, does not progress to vfib, rarely requires treatment<\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

asystole<\/a><\/p>\n\n\n\n

absence of contractions of the heart<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Failure to capture (pacemaker)<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

failure to sense (pacemaker)<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Atrial paced rhythm<\/a><\/p>\n\n\n\n

spike before P wave<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

Ventricular paced rhythm<\/a><\/p>\n\n\n\n

ventricular contractions which occur in cases of complete heart block.<\/a><\/p>\n\n\n\n

\"Image:<\/figure>\n\n\n\n

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normal sinus rhythm heart rhythm originating in the sinoatrial node with a rate in patients at rest of 60 to 100 beats per minute Sinus Arrhythmia Appearance is ALMOST NORMAL:Respiratory – Circulatory interactionRate INCREASES with INSPIRATION (IN=IN) Sinus Bradycardia <60normal sinus rhythm Sinus Tachycardia >100 (100-150)normal sinus rhythm Premature Atrial Contraction (PAC) Heart Rate: Depends […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-110559","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/110559","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=110559"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/110559\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=110559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=110559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=110559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}