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EKG REVIEW 2011

EKG RHYTHMS

QuestionAnswer
sequence for interpretation of rhythm strips: Rhythm-regular or irregular Rate-6sec or300,150,100,75,60,50,43 P waves-if there is one for each QRS. are the normal in size and shape PR interval- normal .12-.20 QRS complex-normal .04-.11
normal sinus rhythm NSR or RSR Rhythm- regular Rate-60-100bpm P waves-normal and before each QRS PR interval- normal .12-.20 QRS complex- normal .04-.11
sinus bradycardia Rhythm- regular Rate- 40-60bpm P waves- normal and before each QRS PR interval-normal .12-.20 QRS complex- normal .04-.11
sinus tachycardia Rhythm- regular Rate-100-150bpm P waves-normal and before each QRS PR interval-normal .12-.20 QRS complex-normal .04-.11
sinus arrhythmia Rhythm- irregular Rate- 60-100pbm P waves-normal and before each QRS PR interval-normal .12-.20 QRS complex-normal .04-.11
premature atrial contractions - PAC Rhythm- underlying rhythm regular Rate-underlying rhythm P waves-normal and before each QRS PR interval-normal .12-.20 QRS complex- normal .04-.11
wondering atrial pacemaker - WAP Rhythm-regular/slightly irregular Rate-60-100can be slightly slower or faster P waves- vary in size and shape PR interval-varies QRS complex-normal .04-.11
atrial flutter - Aflutter Rhythm-regular but can be irregular Rate-can occur at any rate P waves-NONE saw toothed flutter waves instead PR interval-NONE QRS complex-normal .04-.11
paroxysmal atrial tachycardia - PAT or SVT Rhythm- regular Rate-greater than 150bpm P waves-normal and hidden before each QRS PR interval-unable to measure QRS complex-normal .04-.11
atrial fibrillation - Afib Rhythm-irregularly irregular Rate-can occur at any rate P waves-NONE small f waves PR interval-none QRS complex-normal .04-.11
premature ventricular contractions-PVC Rhythm-underlying rhythm regular Rate-underlying rhythm P waves-NO Pwaves PR interval- QRS complex-WIDE .12 higher
ventricular tachycardia - Vtach Rhythm-regular Rate-100-250bpm P waves-NONE PR interval-NONE QRS complex-wide and bizarre
ventricular fibrillation - Vfib Rhythm-chaotic Rate-to fast to count P waves-NONE PR interval-NONE QRS complex-chaotic
asystole Rhythm-NONE Rate-NONE P waves-NONE PR interval-NONE QRS complex-NONE
bundle branch block check lead V1 for a QRS greater than .12
left bundle branch block if the QRS is mostly negative (QSwaves)
right bundle branch block if the QRS is mostly positive (R wave)
premature junctional rhythm - PJC Rhythm-underlying rhythm Rate-underlying rate P waves-negative absent (in QRS) or after QRS in twave PR interval-short if present QRS complex-normal .04-.11
junctional rhythm Rhythm-regular but can be slightly irregular Rate-40-60bpm P waves- PR interval- QRS complex-
accelerated junctional rhythm Rhythm-regular but can be slightly irregular Rate-60-100bpm P waves-negative,absent (in QRS)or after QRS in Twave PR interval-short if present QRS complex-normal .04-.11
junctional tachycardia Rhythm-regular but can be slightly irregular Rate-greater than 100bpm P waves-negative absent (in QRS) or after in Twave PR interval-short if present QRS complex-normal .04-.11
1st degree AV block atrioventricular blocks Rhythm-regular Rate-can occur at any rate P waves-normal PR interval-prolonged grater than .20 QRS complex-normal .04-.11
type 1-2nd degree AV block atrioventricular blocks Mobitz 1 Weneckebach Rhythm-regular except when drop occurs Rate-can occur at any rate P waves-more Pwaves then QRS PR interval-longer longer drop QRS complex-normal .04-.11
type 2-2nd degree AV block atrioventricular blocks Mobitz 2 Rhythm-usually regular Rate-can occur at any rate P waves-more Pwaves than QRS PR interval-consistent QRS complex-normal .04-.11
3rd degree AV block atrioventricular blocks Rhythm-regular Rate-very slow P waves-more Pwaves than QRS PR interval-inconsistent QRS complex-normal .04-.11
Created by: joanneb