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RYTHYM RULES

QuestionAnswer
NSR Rate 60-100
NSR P wave 1:1
NSR PRI 0.12-0.20
NSR QRS less than 0.12
1st degree block rate underlying
1st degree block rhythm underlying
1st degree block PRI greater than 0.20
1st degree block QRS less than 0.12
idioventricular rate 20-40 bpm
idioventricular P wave none
idioventricular PRI none
idioventricular QRS wide and bizarre, greater than 0.12
PVC P wave none in the PVC complex
PVC QRS wide and bizarre, greater than 0.12
PVC T wave opposite direction of the QRS
V TACH RATE 150-250
V FLUTTER RATE GREATER THAN 250
V TACH P WAVE NONE
V TACH PRI NONE
V TACH QRS GREATER THAN 0.12, WIDE AND BIZARRE
WENKEBACH TYPE I, 2nd DEGREE RATE normal atrial, ventrical slower
WENKEBACH TYPE I, 2nd DEGREE RYTHM irregular
WENKEBACH TYPE I, 2nd DEGREE PRI gets progressively longer
WENKEBACH TYPE I, 2nd DEGREE QRS less than 0.12
WENKEBACH TYPE I, 2nd DEGREE P WAVE more P waves than QRS
COMPLETE HEART BLOCK RATE ATRIAL RATE NORMAL, VENT RATE SLOWER
COMPLETE HEART BLOCK RYTH REGULAR
COMPLETE HEART BLOCK P WAVE more P than QRS, looks normal
COMPLETE HEART BLOCK PRI none
COMPLETE HEART BLOCK QRS if junctional foci less than 0.12
COMPLETE HEART BLOCK QRS if ventricular foci greater than 0.12
ATRIAL TACH RATE 150-250
ATRIAL TACH RHY REG
ATRIAL TACH P WAVES ratio 1:1
ATRIAL TACH P WAVES APPEARANCE FLAT OR NOTCHED
ATRIAL TACH PRI 0.12-0.20
ATRIAL TACH QRS LESS THAN 0.12
ATRIAL FLUTTER RATE 60-100
ATRIAL FLUTTER RHY REG OR IRREG
DOES A FLUTTER HAVE P WAVES OR F WAVES F WAVES
A FLUTTER QRS LESS THAN 0.12
WANDERING PACER RYTH SLIGHTLY IRREG
DOES THE WANDERING PACER HAVE NORMAL APPEARING P WAVES? NO
WANDERING PACER PRI VARIES, LESS THAN 0.20
WANDERING PACER QRS LESS THAN 0.12
ACCELERATED JUNCTIONAL RHYTHM RATE 60-100
ACCELERATED JUNCTIONAL RHYTHM P WAVES BEFORE OR AFTER, INVERTED
ACCELERATED JUNTIONAL RHYTHM PRI 0.12-0.20
ACCELERATED JUNCTIONAL RHYTHM QRS LESS THAN 0.12
JUNCTIONAL TACH RATE REG
JUNCTIONAL TACH RHY 100-180
JUNCTIONAL TACH P WAVE INVERTED
JUNCTIONAL TACH PRI GREATER THAN 0.12
JUNCTIONAL TACH QRS LESS THAN 0.12
PJC P WAVES P WAVE WILL BE INVERTED IF PRESENT
PJC QRS LESS THAN 0.12
JUNCTIONAL ESCAPE RHY REASON RETROGRADE CONDUCTION OF ATRIA
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