EKG Rhythm Strips 41
Identify the following rhythms
1.
2.
3.
4.
5.
Answers
1.
The rhythm is regular with a ventricular rate of 48/min. The P waves are positive and uniform. There are some P waves that are not associated with a QRS complex. Those P waves that are associated with a QRS complex have a consistent PR interval. No ectopic beats are noted. PR: .16 sec, QRS: .16 sec, QT: .46 sec.
2.
The rhythm is regular with a ventricular rate of 60/min. Atrial pacer spikes precede the P waves and ventricular pacer spikes precede each QRS complex. No ectoptic beats are noted. PR: .24 sec, QRS: ..12 sec, QT: .40 sec.
3.
The rhythm is irregular. The heart rate is 80/min. Sinus P waves are not seen. There is fibrillatory activity between the QRS complexes. No ectopic beats are seen. PR: ---, QRS: .08 sec, QT: .36 sec.
4.
The rhythm is regular with a rate of 71/min. Flutter waves are seen in a 3:1 configuration. No ectopic beats are present. PR: ---, QRS: .08 sec, QT: .24 sec.
5.
The rhythm is regular with multiple PVCs present. The ventricular rate is 90/min. The P waves are upright, uniform, and have a corresponding QRS complex. A PAC follows the 5th complex. It is followed by a PVC then another PAC quickly follows. The P wave of the PACs has a different morphology than the sinus P waves and the PR interval is more prolonged. Multifocal PVCs present. A compensatory pause follows the 1st, 2nd, and 4th PVC. The 3rd PVC is interpolated between to PACs. PR: .22 sec. QRS: .10 sec. QT: .40 sec.
Reviewed on 3/2/16
1.
Answers
1.
|
| 2nd degree heart block type II |
The rhythm is regular with a ventricular rate of 48/min. The P waves are positive and uniform. There are some P waves that are not associated with a QRS complex. Those P waves that are associated with a QRS complex have a consistent PR interval. No ectopic beats are noted. PR: .16 sec, QRS: .16 sec, QT: .46 sec.
2.
|
| AV paced |
The rhythm is regular with a ventricular rate of 60/min. Atrial pacer spikes precede the P waves and ventricular pacer spikes precede each QRS complex. No ectoptic beats are noted. PR: .24 sec, QRS: ..12 sec, QT: .40 sec.
3.
|
| Atrial fibrillation |
The rhythm is irregular. The heart rate is 80/min. Sinus P waves are not seen. There is fibrillatory activity between the QRS complexes. No ectopic beats are seen. PR: ---, QRS: .08 sec, QT: .36 sec.
4.
|
| Atrial flutter |
The rhythm is regular with a rate of 71/min. Flutter waves are seen in a 3:1 configuration. No ectopic beats are present. PR: ---, QRS: .08 sec, QT: .24 sec.
5.
|
| 1st degree with multifocal PVCs and some PACs |
The rhythm is regular with multiple PVCs present. The ventricular rate is 90/min. The P waves are upright, uniform, and have a corresponding QRS complex. A PAC follows the 5th complex. It is followed by a PVC then another PAC quickly follows. The P wave of the PACs has a different morphology than the sinus P waves and the PR interval is more prolonged. Multifocal PVCs present. A compensatory pause follows the 1st, 2nd, and 4th PVC. The 3rd PVC is interpolated between to PACs. PR: .22 sec. QRS: .10 sec. QT: .40 sec.
Reviewed on 3/2/16
Comments
Post a Comment