EKG Strips - Set 1

Card Set Information

Author:
YMMunoz
ID:
299096
Filename:
EKG Strips - Set 1
Updated:
2015-03-24 19:44:51
Tags:
ACLS EKG Strips
Folders:
ACLS
Description:
Flash Cards for EKG practice strips.
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    • Accelerated Idioventricular Rhythm
    • Rhythm: Regular
    • Rate: 50-120 bpm
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (>0.10 sec), bizarre looking
  1. Accelerated Junctional Rhythm

    • Rhythm: Regular
    • Rate: Normal (60-100 bpm)
    • P Wave: Present before, during (hidden) or after QRS, if visible it is inverted
    • PR Interval: Not measurable
    • QRS: Normal (0.06-0.10 sec)
  2. Asystole

    • Rhythm: Not present
    • Rate: Absent
    • P Wave: Absent
    • PR Interval: Absent
    • QRS: Absent
    • Notes: Confirm with multiple leads
  3. Atrial Fibrillation

    • Rhythm: Irregular
    • Rate: Very fast (> 350 bpm) for Atrial, but ventricular rate may be slow, normal or fast
    • P Wave: Absent - erratic waves are present
    • PR Interval: Absent
    • QRS: Normal but may be widened if there are conduction delays
  4. Atrial Flutter

    • Rhythm: Regular or irregular
    • Rate: Fast (250-350 bpm) for Atrial, but ventricular rate is often slower
    • P Wave: Not observable, but saw-toothed flutter waves are present
    • PR Interval: Not measureable
    • QRS: Normal (0.06-0.10 sec)
  5. Bundle Branch Block

    • Rhythm: Regular
    • Rate: The underlying rate
    • P Wave: Normal
    • PR Interval: Normal (0.12-0.20 sec)
    • QRS: Wide (>0.12 sec)
  6. First Degree Heart Block

    • Rhythm: Regular
    • Rate: The underlying rate
    • P Wave: Normal
    • PR Interval: Prolonged (>0.20 sec)
    • QRS: Normal (0.06-0.10 sec)
    • Notes: A first degree AV block occurs when electrical impulses moving through the Atrioventricular (AV) node are delayed (but not blocked). First degree indicates slowed conduction without missed beats.
  7. Idioventricular Rhythm

    • Rhythm: Regular
    • Rate: Slow (20-40 bpm)
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (>0.10 sec), bizarre appearance
  8. Junctional Escape Rhythm

    • Rhythm: Regular
    • Rate: Slow (40-60 bpm)
    • P Wave: Present before, during (hidden) or after QRS, if visible it is inverted
    • PR Interval: Not measurable
    • QRS: Normal (0.06-0.10 sec)
  9. Junctional Tachycardia

    • Rhythm: Regular
    • Rate: Fast (100-180 bpm)
    • P Wave: Present before, during (hidden) or after QRS, if visible it is inverted
    • PR Interval: Absent or short
    • QRS: Normal (0.06-0.10 sec)
  10. Multifocal Atrial Tachycardia

    • Rhythm: Irregular
    • Rate: Fast (> 100 bpm)
    • P Wave: Often changing shape and size from beat to beat (at least three differing forms)
    • PR Interval: Variable
    • QRS: Normal (0.06-0.10 sec)
    • Notes: T wave is often distorted Also review wandering atrial pacemaker lesson
  11. Normal Sinus Rhythm

    • Rhythm: Regular
    • Rate: Normal (60-100 bpm)
    • P Wave: Normal (positive & precedes each QRS)
    • PR Interval: Normal (0.12-0.20 sec)
    • QRS: Normal (0.06-0.10 sec)
  12. Pacemaker Failure to Capture

    • Rhythm: Irregular
    • Rate: Slow or normal
    • P Wave:
    • PR Interval:
    • QRS: NotesPacemaker spikes are not followed by P waves or QRS complexes
  13. Pacemaker Failure to Pace

    • Rhythm: Irregular
    • Rate:  
    • P Wave:
    • PR Interval:
    • QRS: NotesPacemaker spikes do not appear
  14. Pacemaker Single Chamber Atrial

    • Rhythm: Regular
    • Rate: 60 bpm
    • P Wave: Normal
    • PR Interval: Normal
    • QRS: Normal
  15. Premature Atrial Complex

    • Rhythm: Irregular
    • Rate: Usually normal but depends on underlying rhythm
    • P Wave: Premature, positive and shape is abnormal
    • PR Interval: Normal or longer
    • QRS: 0.10 sec or less
  16. Premature Junctional Complex

    • Rhythm: Regular with premature beats
    • Rate: The underlying rate
    • P Wave: Present before, during (hidden) or after QRS, if visible it is inverted
    • PR Interval: Absent or short
    • QRS: Normal (0.06-0.10 sec)
  17. Premature Ventricular Complex

    • Rhythm: Irregular
    • Rate: The underlying rate
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (> 0.10 sec), bizarre appearance
    • Notes: Two PVCs together are termed a couplet while three PVCs in a row with a fast rhythm is ventricular tachycardia
  18. Premature Ventricular Complex Bigeminy

    • Rhythm: Irregular
    • Rate: The underlying rate
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (> 0.10 sec), bizarre appearance
    • Notes: PVC appears every second beat

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