Ecg Ekg Rhtythm Strip Criteria

Front 1

Normal Sinus Rhythm

Back 1

Rate: 60-100 beats/min
Rhythm: Regular
P Waves: Present, ↑, one before every QRS
PR Interval: ≤ .20
QRS: .08-.12

Front 2

Sinus Brady

Back 2

All normal criteria except a rate < 60
Rate: < 60
Rhythm: Regular
P Waves: Present, ↑, one before every QRS
PR Interval: ≤ .20
QRS: .08-.12

Front 3

Sinus Tachycardia

Back 3

All normal criteria except a rate > 100
Rate: > 100
Rhythm: Regular
P Waves: Present, ↑, one before every QRS
PR Interval: ≤ .20
QRS: .08-.12

Front 4

Sinus arrhythmia

Back 4

Rate: 60-100 beats/min
Rhythm: Irregular
P Waves: Present, ↑, one before every QRS
PR Interval: ≤ .20
QRS: .08-.12

Front 5

Sinus Block

Back 5

Rate: 60-100 beats/min
Rhythm: Irregular due to pause. When you measure the R-R interval it will fit exactly in the pause
P Waves: Present, ↑, one before every QRS
PR Interval: ≤ .20
QRS: .08-.12

Front 6

Sinus Arrest

Back 6

Rate: 60-100 beats/min
Rhythm: Irregular due to the pause. When you measure the R-R Interval, it will not fit in the pause
P Waves: Present, ↑, one before every QRS
PR Interval: ≤ .20
QRS: .08-.12

Front 7

Premature Atrial complex (PAC)

Back 7

The complex will come early and will have an upright P wave (usually a little skinner and taller than normal). Will have an irregular rhythm due to early beat. The underlying rhythm is usually sinus

Front 8

Atrial Tachycardia

Back 8

Rate will be > 150 with a visible P wave (There will be two humps between each complex)

Front 9

Supraventricular Tachycardia (SVT)

Back 9

Rate: > 150
Rhythm: Always Regular
P wave: No visible P waves (One hump between each QRS complex)

Front 10

Wandering Atrial Pacemaker (WAP)

Back 10

Will have three different shaped P waves in 6-sec strip, will have a regular rhythm. It is rare. Due to different places in the atria trying to pace the heart.

Front 11

Multifocal Atrial Tachycardia (MAT)

Back 11

A WAP with a rate > 100
Never use electricity to treat only drugs

Front 12

Atrial Flutter

Back 12

Sawtooth or picket fence baseline
Cannot tell P’s from T’s
Atria is firing faster than the ventricle
Can be regular or irregular
If rate is > 100 uncontrolled ventricular response
If rate is < 100 controlled ventricular response

Front 13

Atrial Fibrillation

Back 13

Most common dysrhythmia
Will have at least two out of three criteria
-chaotic baseline
-irregular rhythm-ALWAYS
-no identifiable P wave
If rate is > 100 uncontrolled ventricular response
If rate is < 100 controlled ventricular response

Front 14

Wolf Parkinson White Syndrome (WPW Syndrome)

Back 14

Will have a delta symbol in QRS
Significance: Pt. is predisposed to lethal dysrhythmia’s because of vulnerability

Front 15

Junctional Rhythms (Rate: 40-60 beats/min)

Back 15

-The rhythm is ALWAYS regular
-Will be no P wave or an inverted P wave

Front 16

Premature Junctional Complex (PJC)

Back 16

Early beat with no P wave or an inverted P wave

Front 17

Accelerated Junctional Rhythm

Back 17

Rate > than 60 with no P wave or and inverted P wave

Front 18

Junctional Tachycardia

Back 18

Rate > 100 with no P wave or inverted P wave

Front 19

Junctional Escape Beat

Back 19

A Junctional beat that comes late. Beat will have no p wave or inverted P wave that will come late

Front 20

Premature Ventricular Complex (PVC)

Back 20

Early complex with wide, bizarre QRS
-unifocal: 2 PVCs that look alike
-multifocal: 2 or more PVCs that don’t look alike
-couplet: 2 PVCs in a row
-bigeminy: every other beat is a PVC
-trigeminy: every third beat is a PVC

Front 21

Idioventricular Rhythm (IVR)

Back 21

Rate:20-40
Normally regular rhythm
Will have all ventricular beats (wide, bizarre QRS):

Front 22

Accelerated IVR (AVIR)

Back 22

Rate > 40 with all ventricular beats

Front 23

Ventricular tachycardia

Back 23

Wide, fast, regular
Ventricular rhythm with rate > 100
Lethal rhythm

Front 24

Ventricular tachycardia

Back 24

Can be monomorphic V-Tach (Same shaped QRS) or polymorphic tach ( different shaped QRS)
With monomorphic v-tach-check to see of they have a pulse or not
if yes with pulse give O2, IV acess
If no pulse defib
If unstable with pulse Cardioversion

Front 25

Torsades de Pointe

Back 25

polymorphic v-tach

Front 26

Short Run of V tach

Back 26

3 or more PVCs in a row

Front 27

Ventricular fibrillation (v-fib)

Back 27

Rate, rhythm, P wave’s, QRS, cannot be identified. Just looks like line is quivering (fibrillation)

Front 28

Asystole

Back 28

Total absence of ventricular activity
There will be very little quivering of the baseline
No pulse, No rate, No rhythm, No activity
Action CPR, IV access, transcutaneous pacing, medication therapy

Front 29

Pulseless Electrical Activity (PEA)

Back 29

Rhythm will appear to be normal, but the patient will have no pulse
Nothing is wrong with the electrical system of the heart, but the mechanical system is not working
Action CPR
The most common cause is hypovolemia

Front 30

1st degree Heart Block

Back 30

All is normal except the PR interval is Greater than .20
Will have the same number of P’s as QRS’s

Front 31

2nd degree Mobitz I (Wenkebach)

Back 31

Will have more P’s than QRS’s
The PR interval will longer until the QRS gets dropped (the cycle will repeat)

Front 32

2nd degree Mobitz II

Back 32

Will have more P’s than QRS
The PR interval will be the same for each complex

Front 33

3rd degree Complete Block

Back 33

Will have mores P’s than QRS
PR interval will vary (no pattern) TREAT WITH PACEMAKER + Atropine