Ekg

Front 1

Normal Sinus

Back 1

rate of 60-100
normal PRI and QRS

Front 2

sinus bradycardia

Back 2

Normal sinus but rate of less than 60

Front 3

Sinus Tachycardia

Back 3

Normal sinus but rate of 100 or greater

Front 4

sinus arrhythmia

Back 4

Normal sinus but irregular rate

Front 5

Sinus Arrest

Back 5

normal sinus with long pause in beats. no p no qrs. usually does not march out, generally comes back slower than original for a few beats

Front 6

Sinus Block

Back 6

normal sinus until one or more missing beats. no p or QRS. will march out.

Front 7

Wandering Atrial Pacemaker

Back 7

will have different shaped P waves. PRI may vary due to changing site of pacing, but stay within normal range.

Front 8

Premature Atrial Contractions (PAC)

Back 8

Normal sinus with eary beat led by a p wave. look for p wave in the T. may have a notched or different sized T indicated an early P. Some P waves come so early that the QRS is still in refractory and cannot fire. this is called NON Conducted.
Normal sinus w/ two PAC's nonducted

Front 9

Paroxysmal Atrial Tachycardia (PAT)

Back 9

caused by a rapid discharge of an ectopic focus in the atria. rapid onset usually ends abruptly

Front 10

Atrial Flutter

Back 10

Saw tooth P waves. 2:1 3:1

Front 11

Atrial Fibrillation

Back 11

Normal QRS with just a wavy line showing rapid but shallow P waves

Front 12

Premature Junctional Contraction PJC

Back 12

Similar to PAC except pace originates in the AV junction.

Front 13

Junctional Rhythm

Back 13

regular rhythm, inverted P before, during or after the QRS. normal rate of 40 to 60. junction has taken over for a failed SA node.

Front 14

Junctional Tachycardia

Back 14

Junctional rhythm of 100 or greater

Front 15

Accelerated Junctional Rhythm

Back 15

Junctional rhythm of 60 to 100

Front 16

Premature Ventricular Contraction

Back 16

early beat starting in the ventricles. wide QRS w/ no associated P

Front 17

Ventricular Tachycardia

Back 17

wide qrs w/ no associated p, rate of greater 140 to 250

Front 18

Torsades de pointes

Back 18

v tach with a twisting pattern.

Front 19

Ventricular Fibrillation

Back 19

irregular wavy baseline

Front 20

Idioventricular rhythm

Back 20

regular, no p at all. rate of 30 and 40

Front 21

Accelerated Idioventricular rhythm

Back 21

same as idoventricular but rate of 50 to 100

Front 22

First degree AV block

Back 22

sinus rhythm with consistant pro longed PRI.

Front 23

Second degree AV block type I

Back 23

longer longer drop than u have this. compare the pri and look for a progressively longer PRI. compare first to last

Front 24

Second Degree AV block type II

Back 24

some impulses are conducted to the ventricles but most are blocked. P and QRS are linked in rate, but most QRS are missing

Front 25

Third Degree AV Block

Back 25

P and QRS march at there own beats, have no relation to each other

Front 26

Bundle Branch Block

Back 26

sinus P with a wide QRS.

Front 27

Two types of pace makers

Back 27

VVI and DDD.

Front 28

Question to answer with pacemaker

Back 28

1. what type. DDD or VVI
2. does it pace the ventricular or both or dual
3. does it sense