· Web viewLet’s Practice! For each practice strip, use the 6 step approach to identify: Rate,...
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Let’s Practice! For each practice strip, use the 6 step approach to identify: Rate, Rhythm, P-R interval, QRS complex, QT interval, and P-wave characteristics Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec? QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec? Every QRS looks the same? P-Wave (upright? Precedes every QRS?)__________________________________ Interpretation: ______________________________________________________ Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec? QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec? Every QRS looks the same?
Transcript of · Web viewLet’s Practice! For each practice strip, use the 6 step approach to identify: Rate,...
Let’s Practice!For each practice strip, use the 6 step approach to identify: Rate, Rhythm, P-R interval, QRS complex, QT interval, and P-wave characteristics
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation: ______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Kevin Ng, 04/28/17,
NSR (Cardiac Review PPT)
Kevin Ng, 04/28/17,
SB (Cardiac Review PPT)
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Kevin Ng, 04/28/17,
ST (Cardiac Review PPT)
Kevin Ng, 04/28/17,
SR with PACs (internet)
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Kevin Ng, 04/28/17,
A flutter (Cardiac Review PPT)
Kevin Ng, 04/28/17,
A Fib (Cardiac Review PPT)
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Kevin Ng, 04/28/17,
V Tach monomorphic (Cardiac Review PPT)
Kevin Ng, 04/28/17,
SVT (Cardiac Review PPT)
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________
Kevin Ng, 04/28/17,
SR with PVC (internet)
Kevin Ng, 04/28/17,
V Tach polymorphic (Cardiac Review PPT)
0.04 – 0.10 or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Kevin Ng, 04/28/17,
Fine V-fib (Cardiac Review PPT)
Kevin Ng, 04/28/17,
A Paced (Cardiac Review PPT)
Kevin Ng, 04/28/17,
Torsades (Cardiac Review PPT)
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Rate_______________ Rhythm_______________ P-R Interval______________
Kevin Ng, 04/28/17,
Ventricular paced (Cardiac Review PPT)
Kevin Ng, 04/28/17,
Asystole (Cardiac Review PPT)
Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?
QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec?
Every QRS looks the same?
P-Wave (upright? Precedes every QRS?)__________________________________
Interpretation:_______________________________________________________
Resources
EKG Arrhythmia Practice Drill
https://www.practicalclinicalskills.com/ekg-practice-drill
EKG Academy
https://ekg.academy/
EMS Success, Education, Opportunity (SEO)
http://www.emsseo.com/2011/07/ekg-flash-chart/
Heart Blocks video
http://www.youtube.com/watch?v=3NgiiMHUrfQ
ECG Workout (workbook)Huff, J. (1997). ECG workout: Exercises in arrhythmia interpretation. Philadelphia: Lippincott.
Aehlert, B. (2002). ECGs made easy (2nd ed.). St. Louis: Mosby.
Kevin Ng, 04/28/17,
SR with BBB (Cardiac Review PPT)
