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8107730100Event duration Rule 2: When baseline breathing amplitude cannot be determined(and when underlying breathing variability is large) events can also be determined when either there is:1. A clear and sustained increase in breathing apmlitude. 2. In the case where a desaturation has occured, there is event-associated resaturation of at least 2%.0
8107730101The definition of hypopnea usesd should be specified in the:PSG report1
8107730102An alternative sensor for detection of effort is:Diaphragmatic/intercoastal EMG2
8107730103What is an oronasal thermal sensor?the sensor to detect abscence of airflow for identification of an apnea.3
8107730104The sensor for detection of respiratory effort is:Either esophageal manometry or calibrated or uncalibrated inductance plethysmongraphy.4
8107730105SA Node firesAtrial Depolarization5
8107730106Transmission time across the atria through AV nodeP P-R interval6
8107730107Ventricular DepolarizationQRS7
8107730108Evaluating A rhythm1. Is the rhythm regular? 2. Rate? 3. What are atria doing? 4.What are ventricles doing? QRS. 5.Relationship between atria and ventricles8
8107730109Normal Sinus rhythm1. PR Interval 0.12-0.20 seconds 2. QRS Complex 0.04-0.10 seconds 3. QT Interval 0.36-0.44 seconds 4. A heart rate of 60-90 beats per minute 5. P waves Uniform and upright in appearance9
8107730110Atrial FlutterImmediatly wake patient and make sure patient has plenty of O2 and notify physician.10
8107730111Atrial FibrillationImmediatly wake patient call physician11
8107730112Bradycardiais of no concern during a sleep study. Only profound bradycardia warrants waking the patient or contacting the medical director.12
8107730113Tachycardiais of no concern during a sleep study can be accompanied by chest pain, SOB and it may trigger a severe cardiac or pulmonary compromise- If the patient is woken up and tachycardia persists the doctor should be called.13
8107730114Second degree AV block Mobitz type 1are suffering from myocardial ischemia= arrhythmia will be brief= monitor closely= If arrhythmia develops into a more sever heart block=more likely to happen with mobitz type II= Notify the doctor immediatly.14
8107730115Third degree or complete AV blockThe patient should be woken up and Basic cardiac life support should be administered . Doctor should be called.15
8107730116Paroxysmal supraventricular tachcardia (PSVT)if a patient develops PSVT and rythm is sustained= wake patient and notify Dr. give patient O2 and ask Pt to perform a valsalva maneuver= exhale against airway.16
8107730117First degree AV blockonly document the presence of this harmless arrhythmia.17
8107730118Ventricular tachycardia1. if sustained for a long period of time- may be life threating, the cardiac arrest team of the medical center or the paramedics may need to be alerted. 2. the patient may quickly loose consciousness 3. can quickly degenerate into ventricular fibrillation which can cause death. 4.BCLS or ACLS should be administered if patient looses consciousness. 5. Should notify physician 6. In hospital code 7. CPR initiated give O218
8107730119Ventricular ectopies (PVCS)1.Not cause for concern 2. Contact physician if premature beats are associated with chest pain, light headedness, palpitations, or nausea, or if the patient becomes confused and uncooperative. 3. Or has more than 6 PVCs in a minute. 4. Or the PVCS occur in couplets or groups of three at least once a minute or the patient has four or more PVC in a row.19

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