EKG Strips - Set 2

Card Set Information

Author:
YMMunoz
ID:
299103
Filename:
EKG Strips - Set 2
Updated:
2015-03-24 21:35:23
Tags:
ACLS EKG Strips
Folders:
ACLS
Description:
Flash Cards for EKG Practice strips, Set 2
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  1. Premature Ventricular Complex Quadrigeminy

    • Rhythm: Irregular
    • Rate: The underlying rate
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (> 0.10 sec), bizarre appearance
    • Notes: PVC appears every fourth beat
  2. Premature Ventricular Complex Trigeminy

    • Rhythm: Irregular
    • Rate: The underlying rate
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (> 0.10 sec), bizarre appearance
    • Notes: PVC appears every third beat
  3. Second Degree Heart Block Type I

    • Rhythm: Irregular but with progressively longer PR interval lengthening
    • Rate: The underlying rate
    • P Wave: Normal
    • PR Interval: Progressively longer until a QRS complex is missed, then cycle repeats
    • QRS: Normal (0.06-0.10 sec)
  4. Second Degree Heart Block Type II

    • Rhythm: Regular (atrial) and irregular (ventricular)
    • Rate: Characterized by Atrial rate usually faster than ventricular rate (usually slow)
    • P Wave: Normal form, but more P waves than QRS complexes
    • PR Interval: Normal or prolonged
    • QRS: Normal or wide
  5. Sinoatrial Block

    • Rhythm: Irregular when SA block occurs
    • Rate: Normal or slow
    • P Wave: Normal
    • PR Interval: Normal (0.12-0.20 sec)
    • QRS: Normal (0.06-0.10 sec)
    • Notes: Pause time is an integer multiple of the P-P interval Try to identify specific type of atrial tachycardia - see other pages
  6. Sinus Arrest

    • Rhythm: Irregular due to pause
    • Rate: Normal to slow
    • P Wave: Normal
    • PR Interval: Normal (0.12-0.20 sec)
    • QRS: Normal (0.06-0.10 sec)
    • Notes: Pause time is not an integer multiple of the P-P interval
  7. Sinus Arrhythmia

    • Rhythm: Irregular, varying with respiration
    • Rate: Normal (60-100 bpm) and rate may increase during inspiration
    • P Wave: Normal
    • PR Interval: Normal (0.12-0.20 sec)
    • QRS: Normal (0.06-0.10 sec)
    • Notes: Heart rate frequently increases with inspiration, decreasing with expiration
  8. Sinus Bradycardia

    • Rhythm: Regular
    • Rate: Slow (< 60 bpm)
    • P Wave: Normal
    • PR Interval: Normal (0.12-0.20 sec)
    • QRS: Normal (0.06-0.10 sec)
  9. Sinus Tachycardia

    • Rhythm: Regular
    • Rate: Fast (> 100 bpm)
    • P Wave: Normal, may merge with T wave at very fast rates
    • PR Interval: Normal (0.12-0.20 sec)
    • QRS: Normal (0.06-0.10 sec)
    • Notes: QT interval shortens with increasing heart rate
  10. Supraventricular Tachycardia

    • Rhythm: Regular
    • Rate: Fast (150-250 bpm)
    • P Wave: Merged with T wave
    • PR Interval: Normal (0.12 sec)
    • QRS: Normal (.10 sec)
    • Notes: PR interval can be difficult to measure
  11. Third Degree Heart Block

    • Rhythm: Regular, but atrial and ventricular rhythms are independent
    • Rate: Characterized by Atrial rate usually normal and faster than ventricular rate
    • P Wave: Normal shape and size, may appear within QRS complexes
    • PR Interval: Absent: the atria and ventricles beat independently.
    • QRS: Normal, but wide if junctional escape focus
  12. Ventricular Fibrillation

    • Rhythm: Highly irregular
    • Rate: Unmeasurable
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: None
    • Notes: EKG tracings is a wavy line
  13. Ventricular Tachycardia

    • Rhythm: Regular
    • Rate: Fast (100-250 bpm)
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (>0.10 sec), bizarre appearance
  14. Ventricular Tachycardia Monomorphic

    • Rhythm: Regular
    • Rate: Fast (100-250 bpm)
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (>0.10 sec), bizarre looking
  15. Ventricular Tachycardia Polymorphic

    • Rhythm: Regular or irregular
    • Rate: Fast (100-300 bpm)
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Normal or wide (>0.10 sec), bizarre looking
  16. Ventricular Tachycardia Torsade de Pointes

    • Rhythm: Irregular
    • Rate: Fast (200-250 bpm)
    • P Wave: Absent
    • PR Interval: Not measurable
    • QRS: Wide (>0.10 sec), bizarre looking
  17. Wandering Atrial Pacemaker

    • Rhythm: May be irregular
    • Rate: Normal (60-100 bpm)
    • P Wave: Changing shape and size from beat to beat (at least three different forms)
    • PR Interval: Variable
    • QRS: Normal (0.06-0.10 sec)
    • Notes: T wave normal. If heart rate exceeds 100 bpm, then rhythm may be multifocal atrial tachycardia (MAP)
  18. Wolff-Parkinson-White Syndrome

    • Rhythm: Regular unless atrial fibrillation present
    • Rate: Normal (60-100 bpm)
    • P Wave: Normal
    • PR Interval: Can be short (<0.12 sec)
    • QRS: Usually wide (> 0.12 sec)
    • Notes: Look for short PR interval and/or delta wave A delta wave (positive or negative) distorts the early part of the QRS complex

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