ECG Practice Rhythms 08 PDF

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1.

Assume all rhythms are 6 second strips

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

2.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

3.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

4.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________ 1

5.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

6.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

7.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

8.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

2

9.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

10.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

11.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

12.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________ 3

13.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

■ 14.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

15.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

4

16.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

17.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

18.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

5

19.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

20.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

21.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

22.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________ 6

23.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

24.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

25.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

26.

7

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

27.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

28.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

29.

QRS____________________P wave_____________________

PR interval_____________________ 8

Rhythm_________________ Rate________________________

Interpretation:________________________

30.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

31.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

9

32.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

33.

QRS____________________P wave_____________________

PR interval_____________________

Rhythm_________________ Rate________________________

Interpretation:________________________

10

Answers QRS

P wave

PR Interval

Rhythm

Rate

1.

.08

Present

.16

Regular

80

Normal Sinus

2.

.06 .12-.14 (two beats) .06

Present except 2 wide beats Present

.18

Irregular with 2 wide beats Irregular

80

NSR with multifocal PVCs

60

2nd degree heart block, Type I Wenckebach

4.

.12 (with bundle branch block)

Present

Varies greatly – no relationship btw atria/vent

Regular

50

3rd degree heart block

5.

.04

Unable to measure

Very irregular

90

Atrial Fibrillation

6.

.06

100

Atrial Flutter 2:1

.06

Unable to measure None

Regular

7.

Absentwavy baseline Sawtooth baseline None

Regular

80

Accelerated Junctional

8.

.06

Present

.32

Regular

60

1st degree heart block

9.

None

None

Regular

80

Ventricular Pacemaker

10.

.16 (with pacer spike) None

None

None

Irregular

11.

.06

Inverted

.08

Regular

None wavy 50

3.

Varies until QRS is dropped

Ventricular Fibrillation ? some torsades de pointes Junctional 11

12.

None

None

None

None

0

Asystole

13.

.06 some QRS missing .04

Present

.16

Irregular

60

2nd degree heart block Type II

Present

.20

Regular

50

Sinus Bradycardia

14.

Torsades de pointes

15. 16.

.04

Present

.16

Regular

120

Sinus tachycardia

17.

.16

Present

Varies

Regular

50

3rd degree heart block Atrial fibrillation

18.

19.

QRS .12

P wave Absent

PR Interval Absent

Rhythm Regular

Rate 180

Ventricular Tachycardia

20.

.06

Present

.18

Regular

130

Sinus tachycardia

21.

None

None

None

Irregular

None-wavy

22.

.06

Present

.20

80

Sinus with PAC

23.

Present except with wide beats Present

.16

90

Sinus with two episodes of couplets

24.

.08 with 4 wide beats - .12 .04

Regular except early 5th best Irregular

.12

Regular

180

Sinus Tachycardia

25.

.06

Inverted

.04

Regular

60

Junctional

26.

.28

Absent

Absent

Regular

170

Ventricular Tachycardia

27.

Absent

Absent

Absent

Wavy baseline

Unable to measure

Ventricular Fibrillation

28.

.08

Present except before wide beats

.18

Regular except 2 wide beats

90-100

Sinus with ventricular couplet

(wide beats . 16)

Ventricular Fibrillation

12

29.

.06

None

None

Regular

50

Junction

30.

.06

.18

Irregular

100

Sinus with PACs

31.

.06

.18

Regular

Atrial – 70 Ventricular – 40

32.

.06

Present except early beats Present – doesn’t relate to QRS Present

Progressively longer

Irregular

60

33.

.06

None

None

Regular

100

Third degree heart block

2nd degree heart block Wenckebach Junctional tachycardia

While reflecting on the rhythms above, consider the appropriate treatment and nursing implications for a client experiencing these dysrhythmias

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