ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is...

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1 ACLS EKG REVIEW

Transcript of ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is...

Page 1: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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ACLS

EKG REVIEW

Page 2: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Rate 60-100 bpm

Rate 40-60 bpm

Rate 20-40 bpm

Page 3: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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A

Sinus Rhythm

B

Sinus Brady

C

Sinus Tach

D

Page 4: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Sinus Rhythm w/ PAC (look for the inverted P wave. Upright P waves generally are

Above the baseline.

E

SVT ( No P waves narrow complex) Treatment if stable think meds ( Adenosine

6mg, 12mg,12mg)

Unstable think (Synchronized cardioversion without delay.)

F

Atrial Fibrillation ( No regular Ps and variable rate)

G

Page 5: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Atrial Flutter

H

Wandering Atrial Pacemaker ( WAP) / if > 100 = Multifocal Tach ( MAT)

I

Page 6: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Junctional Rhythm - 60 bpm

J

Sinus Rhythm W / ST Depression and PJC

K

Junctional Tach @ 100 bpm

L

Page 7: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Sinus Rhythm W/ PVC

M

Sinus Rhythm W/ multifocal PVC’S

N

Monomorphic V-Tach

O

Page 8: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Poly V-Tach

P

Poly V-Tach / Torsades de points ( prolong QT)

Q

Poly V-Tach / Torsades de points

R

Page 9: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Fine V-fib

S

Coarse V-fib

T

Coarse V-fib that converts to Asystole after defibrillation.

U

Page 10: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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1st degree ( P wave distant from the Q)

V

1st degree

W

2nd

degree type 1

X

Page 11: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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2nd

degree type 1

Y

2nd

degree type 2 ( P wave will march out same space)

Z

2nd

degree type 2

AA

Page 12: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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3rd

degree ( look at P wave )

BB

3rd

degree

CC

Asystole

DD

Page 13: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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STEMI

EE

Non STEMI

Page 14: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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In BBB, one ventricle contracts slightly later than

the other, causing two “joined QRS’s to appear on

the EKG

The diagnosis of BBB is based primarily on the

width and appearance of the QRS. Ask these three

questions.

1. Is the QRS wide (> 0.12 seconds) 2. Look for R and R’(prime) (only in V1 and V2 or

V5 and V6)

3. Look on the right (V1 or V2) or left side (V5 and V6) of the heart.

This is generally accurate for the basic right and

left bundle branch blocks.

Page 15: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Are these right or left BBB?

Right side

Page 16: ACLS EKG REVIEW guide.pdf · the EKG The diagnosis of BBB is based primarily on the ... This is generally accurate for the basic right and left bundle branch blocks. 15

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Left Side