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Identify the following rhythms: 1. a. Sinus arrhythmia b. Third degree heart block c. Idioventricular rhythm d. Agonal rhythm 2. a. 2nd degree heart block type II b. 2nd degree heart block type I c. Sinus rhythm with a dropped PAC d. Sinus arrhythmia 3. a. Accelerated idioventricular rhythm b. Junctional rhythm c. Sinus bradycardia d. Complete heart block 4. a. Sinus bradycardia b. Sinus arrest c. Sinus arrhythmia d. Junctional rhythm 5. a. Sinus rhythm with PACs b. Sinus arrhythmia with PACs c. Sinus rhythm with a pause d. Sinus bradycardia with sinus arrhythmia Answers 1. b. Third degree heart block 2. a. 2nd degree heart block type II 3. b. Junctional rhythm 4. b. Sinus arrest 5. d. Sinus bradycardia with sinus arrhythmia

Identify the following rhythms. 1. a. Sinus arrhythmia b. 2nd degree heart block type II c. 2nd degree heart block type I d. NSR with PACs 2. a. Junctional rhythm b. Complete heart block c. Idioventricular rhythm d. Ventricular standstill 3. a. Sinus tachycardia b. Multifocal atrial tachycardia c. Ventricular tachycardia d. Supraventricular tachycardia 4. a. Adenosine 6 mg IV b. Atenolol 2.5 mg IV c. Amiodarone 150 mg IV d. Atropine 0.5 mg IV 5. a. Atrial pacing b. AV pacing with biventricular pacing c. Biventricular pacing d. Ventricular pacing Answers 1. c. 2nd degree heart block type I. The rhythm is irregular. The rate is 70 bpm. Ther are upright P waves present. The PR interval increases over successive beats. A dropped or nonconducted P wave is seen after the 1st, 3rd, 5th, and 7th beats. The QRS complexes looked like they are group in pairs. This is a characteristic that ...

Identify the following rhythms. 1. a. Sinus rhythm with 1st degree block b. Sinus bradycardia with 1st degree block c. Sinus arrest with 1st degree block d. Sinus arrhythmia with 1st degree block 2. a. Atrial flutter b. Atrial fibrillation c. Atrial tachycardia d. Atrial paced 3. a. Complete heart block b. Junctional rhythm c. Idioventricular rhythm d. Sinus bradycardia 4. a. Sinus arrhythmia b. Wandering atrial pacemaker c. Sinus rhythm with PACs d. Sinus exit block 5. a. Second degree heart block type II b. Second degree heart block type I c. Third degree heart block d. First degree heart block Answers 1. A. Sinus rhythm with 1st degree block. The rate is 63 bpm. The rhythm is regular. The P waves are paired with a QRS complex. The PR interval is prolonged. The QRS complex is wide. No ectopic beats are seen. PR: .24 sec, QRS: .12 sec, QT: .46 sec 2. a. Atrial flutter. Le...

Identify the following rhythms. 1. a. Agonal rhythm b. Junctional rhythm c. Complete heart block d. Atrial fibrillation with slow ventricular response 2. a. Atrial flutter b. Atrial fibrillation c. Atrial tachycardia d. Atrial paced 3. a. Junctional rhythm b. Complete heart block c. Agonal rhythm d. Idioventricular rhythm 4. a. NSR with PACs b. Sinus arrhythmia c. 2nd degree heart block type II d. Sinus rhythm with pauses 5. a. Sinus tachycardia b. Supraventricular tachycardia c. Atrial fibrillation with RVR d. Multifocal atrial tachycardia Answers 1. a. Agonal rhythm. The rhythm is irregular with a rate of 20 bpm. No P waves are seen. The QRS complexes are very wide and bizarre looking. A 5 second pause is seen between the 2nd and 3rd complexes. 2.  a. Atrial flutter. The rhythm is irregular due to the variable conduction through the AV node. The rate is 110 bpm. Th...

Identify the following rhythms. 1. a. Sinus arrhythmia b. Sinus arrest c. 2nd degree heart block type I d. Sinus rhythm with dropped PACs 2. a. Demand atrial pacing b. Demand ventricular pacing c. Demand AV pacing d. Demand biventricular pacing 3. a. Successful defibrillation of atrial fibrillation b. Unsuccessful cardioversion of atrial fibrillation c. Successful cardioversion of atrial fibrillation d. Unsuccessful capture and pacing of atrial fibrillation with slow ventricular response 4. a. Epinephrine 1 mg IV q3 - 5 minutes b. Magnesium 1 - 2 grams IV infused over 15 - 30 minutes c. Calcium chloride 10% IV push d. Amiodarone 150 mg IV infused over 30 minutes 5. a. Demand atrial pacing b. Demand ventricular pacing c. Demand AV pacing d. Demand biventricular pacing Answers 1.c. 2nd degree heart block type I. The rhythm is irregular with a rate of about 50 bpm. The P waves have a positive ...

Identify the following rhythms. 1. a. Sinus rhythm with multifocal PVCs b. Sinus rhythm with bigeminal PVCs c. Sinus rhythm with trigeminal PVCs d. Sinus rhythm with quadrigeminal PVCs 2. a. Dual paced b. Atrial paced c. Demand ventricular pacing d. Biventricular pacing 3. a. Idioventricular rhythm b. Complete heart block c. Sinus bradycardia d. Junctional rhythm 4. a. It's okay, it shows appropriate defibrillation of SVT b. It's wrong, it shows inappropriate defibrillation of atrial fibrillation c. It's okay, it shows appropriate synchronized cardioversion of atrial fib d. It's wrong, it shows inappropriate cardioversion of SVT 5. a. Ventricular tachycardia b. Idioventricular rhythm c. Complete heart block d. Ventricular paced Answers 1.d. Sinus rhythm with quadrigeminal PVCs. The rhythm is irregular due to the PVCs. The rate is around 88 bpm. The P waves are upright and...

Identify the following rhythms. 1. a. Supraventricular tachycardia b. Sinus tachycardia c. Multifocal atrial tachycardia d. Ventricular tachycardia 2. a. Sinus rhythm with bigeminal PACs b. Sinus rhythm with bigeminal PJCs c. Sinus rhythm with bigeminal PVCs d. sinus rhythm with bigeminal fusion beats 3. a. Sinus rhythm with multifocal PVCs b. Sinus rhythm with uniform PACs c. Sinus rhythm with unifocal PVCs d. Sinus rhythm with frequent PJCs 4. After delivering a shock to cardiovert a 45 year old with supraventricular you look at the monitor and see the following rhythm. What should your next intervention be? a. Place the defibrillator in the synch mode and deliver a shock at a higher joule setting b. Deliver an unsynchronized 2nd shock at a higher joule setting c. Have the patient perform vagal maneuvers and deliver another shock d. Administer a dose of adenosine 6 mg IV rapidly Answers 1. a. Supra...