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5 Cards in this Set

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Narrow Complex Tachycardia

rhythm choices
four choices
1.Atrial fib/flutter
2.AVNET(SPVT)/AVRT(WPW)
3.MAT/ST
4.Junctional tach
GET A 12 LEAD AND COMPARE TO RESTING!
Narrow Complex Tachycardia

rhythm choices
four choices
1.Atrial fib/flutter
2.AVNET(SPVT)/AVRT(WPW)
3.MAT/ST
4.Junctional tach
GET A 12 LEAD AND COMPARE TO RESTING!
Narrow Complex Tachycardia

Is the rhythm regular or irreg?
is their a p wave?
If irreg + no p usually means Afib, rarely junctional
if irreg + P = MAT (3 idfferent shapes of P wave or more)or ST with freq pvc's

if regular almost everything else
Narrow Complex Tachycardia

Where is the P wave in relationship to R?
If P follows R closely; AVNRT(slow-fast)or junct. tach
If R follows P closely; ST,atypical fast-slow
No P usually AVNRT(p hidden inside QRS)
P half way=any of above, consider aflut.
AV dissociation iwth intermittant retrograde P = Junct tachycardia (rare)
Narrow Complex Tachycardia

What is the shape of the P wave?
Saw tooth = aflutter
P same as resting = ST