Practice EKG Rhythm Strips 166
Identify the following rhythms.
2.
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5.
1.
The rhythm is regular. The atrial rate is 65/min and the ventricular rate is 35/min. There are upright P waves present but they are not associated with the QRS complexes. No ectopic beats are noted. PR: ---, QRS: .16 sec, QT: .52 sec.
2.
The rhythm is irregular because of the transition between demand pacing and the patient's own rhythm. The rate is 80/min. There are small upright P waves present and the PR interval is prolonged. No ectopic beats are noted. PR: .28 sec, QRS .08 sec, QT: .32 sec.
3.
The rhythm is regular with a rate of 150/min. No P waves are present. No ectopic beats are seen. PR: --- QRS: .06 sec, QT: .28 sec.
4.
The rhythm is irregular due to the PVCs. The rate is 80/min. There are upright P waves before the QRS complexes. The 9th complex has an inverted P wave. There are unifocal PVCs that occur every other beat. The 9th complex is a junctional escape beat. PR: .08 sec, QRS: .12 sec, QT: .44 sec
5.
The rhythm is irregular. The rate is 40/min. There are flutter waves in between each QRS complex. No ectopic beats are noted. PR: ---, QRS: .08 sec, QT: .44 sec.
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Answers
Complete heart block |
The rhythm is regular. The atrial rate is 65/min and the ventricular rate is 35/min. There are upright P waves present but they are not associated with the QRS complexes. No ectopic beats are noted. PR: ---, QRS: .16 sec, QT: .52 sec.
2.
Demand ventricular pacing |
The rhythm is irregular because of the transition between demand pacing and the patient's own rhythm. The rate is 80/min. There are small upright P waves present and the PR interval is prolonged. No ectopic beats are noted. PR: .28 sec, QRS .08 sec, QT: .32 sec.
3.
Supraventricular tachycardia |
The rhythm is regular with a rate of 150/min. No P waves are present. No ectopic beats are seen. PR: --- QRS: .06 sec, QT: .28 sec.
4.
Bigeminy |
The rhythm is irregular due to the PVCs. The rate is 80/min. There are upright P waves before the QRS complexes. The 9th complex has an inverted P wave. There are unifocal PVCs that occur every other beat. The 9th complex is a junctional escape beat. PR: .08 sec, QRS: .12 sec, QT: .44 sec
5.
Atrial flutter with variable block |
The rhythm is irregular. The rate is 40/min. There are flutter waves in between each QRS complex. No ectopic beats are noted. PR: ---, QRS: .08 sec, QT: .44 sec.
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