Rhythm | What is abnormal? Plug it in!!!! |
Sinus Rhythms | P's upright and uniform to pick these rhythms |
Normal Sinus Rhythm | v rate 60 to 100 |
Sinus Brady | v rate < than 60 |
Sinus Tach | v rate > than 100 until you cannot see the P waves |
Sinus Arrhythmia | R to R's Slightly irregular |
Atrial Rhythms | P waves are abnormal |
Wandering Pace Maker | R to R's Slightly irregular and P's change |
Atrial Flutter |
A rate 250 and 350. P's are sawtooth/picket fence |
Atrial Fib | Irregular R to R, A rate > than 350. P's are wavy |
Atrial Tach (SVT) | Cannot see P's and v rate > than 150. |
Junctional Rhythms | P waves inverted or absent (located before, in or after the QRS) |
Escaped Junctional Rhythm | v rate of 40 to 60 |
Accelerated Junctional | v rate of 60 to 100 |
Junctional Tach | v rate of 100 to 180 |
Ventricular Rhythms | QRS measures at or greater than .12 |
Ventricular Tach | V rate of 100 to 300 |
Ventricular Fib | Ventricles are chaotic and fast |
Idioventricular | No P's and V rate of 20 to 40 |
Asystole | No activity and leads are on pt. |
Heart Blocks | Extra P waves |
1st degree | Everything normal but the PRI is constant and > than .20 |
2nd degree type 1 | The PRI consequently gets progressively longer until dropping a QRS. Saying "PRI gets longer, longer, longer, drop one type 1. |
2nd degree type 2 | Extras P waves but PRI is constant |
3rd degree | PRI has no pattern |