EKG Rhythm Strips 04

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Answers

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3rd degree heart block

3rd degree heart block.   The rhythm is regular.  There is not one P wave for each QRS.  The atria are beating at different rhythm than the ventricles so there is no relationship between the P waves and the QRS complexes.  If the patient is unstable, what electrical intervention might be indicated?

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Ventricular paced rhythm.  The QRS immediately follows the pacer spike so their is 100% capture. The underlying rhythm looks like atrial flutter.

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Asystole

Asystole.   There is no electrical activity.  How do you verify asystole on the monitor?

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Torsades de Pointe

Torsades de Pointe.  A form of polymorphic ventricular tachycardia.   The rhythm is irregular.  There are no P waves.  The QRS complex amplitude begins small and increases then decreases in amplitude once again.   What is the drug of choice to treat this rhythm. 

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Fine Ventricular Fibrillation.  The patient is pulseless and apneic.  When using a biphasic defibrillator, what is the initial joule setting used to defibrillate a patient with this rhythm?

Reviewed 2/28/16