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Download • ECG paper: small box = 0.04 seconds • Normal PR interval = 0.12
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Cardiac Monitor Technician Knowledge Assessment Examination: Study Guide Review basic facts and principles, such as: • • • • • ECG paper: small box = 0.04 seconds Normal PR interval = 0.12 – 0.20 seconds Normal QRS interval = less than 0.12 seconds P wave reflects atrial depolarization QRS complex reflects ventricular depolarization Review interpretation of rhythm strips, such as: • • • • • • • • • • • • • • • • • • • • 2nd Degree A-V (heart) Block, Mobitz I-Wenckebach 2nd A-V Block, Mobitz II 3rd Degree A-V (heart) Block Asystole Atrial fibrillation (A-fib) Atrial Flutter Atrial-Ventricular (A-V) Paced Rhythm Idioventricular rhythm Narrow Complex Tachycardia (Supraventricular Tachycardia [SVT]) Paced Rhythm with Failure to Sense Sinus bradycardia Sinus Rhythm with First Degree A-V block Sinus Rhythm with Multifocal Premature Ventricular Contraction (PVC) Couplet Sinus Rhythm into Ventricular Tachycardia (V-Tach) to Ventricular Fibrillation Sinus Tachycardia with one PAC Torsade de pointes Unifocal Premature Ventricular Contraction (PVC) Bigemeny. Ventricular Fibrillation (V-fib) Ventricular Tachycardia (V-Tach) Ventricular Tachycardia deteriorating into Ventricular Fibrillation Review Normal Measurement Intervals, such as: • • • Measure the PR interval Measure the QT interval Measure heart rate Review Intrinsic Pacemakers of the Heart • Intrinsic rates of the heart’s natural pacemakers: Page 1 of 2 Copyright AMN Healthcare Version 4 Cardiac Monitor Technician Knowledge Assessment Examination: Study Guide o SA node - 60-100 beats per minute o AV node/Junction/Bundle of HIS - 40-60 beats per minute o Ventricle 20 – 40 beats per minute Resources: RN.com courses (www.rn.com ) including: • • • Telemetry Interpretation Lethal Arrhythmias Interpreting AV (Heart) Blocks: Breaking Down the Mystery (links below) Follow these links to a short presentation on Interpretation of 2nd and 3rd degree AV Blocks https://rxschool.adobeconnect.com/p8nmant92ia/ Page 2 of 2 Copyright AMN Healthcare Version 4