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21 Cards in this Set

  • Front
  • Back
EKG Paper
Small square = 0.04 seconds
Large square = 0.20 seconds
30 large squares in 6 sec. strip
Rhythm Analysis
1. Regular/ Irregular
2. Rate
3. P waves
4. PR interval (measure)
5. QRS (measure)
6. ST segment - elevated/ depressed
7. T wave - shape, direction
8. QT interval (measure)
Normal EKG Interval Measurements
PR interval = 0.12- 0.20 sec
QRS complex = 0.04- 0.10 sec
QT interval = 0.32- 0.40 sec
Normal Sinus Rhythm
(NSR)
Regular Rhythm
Rate= 60-100 bpm
Ps - 1 per QRS/ all look alike
PR - 0.12- 0.20 sec
QRS - 0.04-0.10 sec/ all look alike
QT- 0.32-0.40 sec
Sinus Tachycardia
Rate = 100-160 bpm
Sinus Bradycardia
Rate = < 60 bpm
Sinus Pause
Skipped beat for < 3 seconds
Sinus Arrest
Skipped beat for > 3 seconds
Premature Atrial Contraction
(PAC)
Regular rhythm except where early beat, P waves may look different from each other
Wandering Atrial Pacemaker
Regular or irregular rhythm
Rate = 60-100 bpm
Atrial Tachycardia
Rate 150- 250 bpm (210)
Cannot determine Ps from Ts
PR interval not measured
Atrial Flutter
Rate = 250-350 (300)
More Ps than QRS (sawtooth)
PR interval not measured
Atrial Fibrillation
Atrial rate= > 400
Ventricular rate = 50-60, 170s
NO P WAVES
PR interval not measured
Premature Junctional Contraction
(PJC)
regular rhythm except where early beat
rate depends on UR
Ps- inverted,precede, buried, or follow QRS
PR Interval = < 0.12 (narrow)
Junctional Rhythm
Regular rhythm
Rate = 40-60 bpm
PR interval = <0.12 sec. (narrow)
Accelerated Junctional Rhythm
Regular rhythm
Rate = 60-100 bpm
PR interval = <0.12 sec (narrow)
Junctional Tachycardia
Regular rhythm
Rate = >100 bpm
PR interval= <0.12 sec (narrow)
1st Degree AV Block
PR interval= > 0.20 (wide)
2nd Degree AV Block Type 1
(Wenckebach/ Mobitz 1)
A rate = 60-100
V rate = < 60-100
More Ps than QRS
PR interval increases with each beat
QRS normal, dropped in cyclic pattern
2nd Degree AV Block Type 2
(Mobitz 2)
PR interval may be normal or prolonged but all are alike
QRS normal, dropped in cyclic pattern
3rd Degree Heart Block
(Complete Heart Block)
Regular rhythm
More Ps than QRS
PR interval varies with no relation to QRS
LETHAL RHYTHM