1 / 50

Name That Rhythm!

Name That Rhythm!. Sinus Bradycardia (SB). Normal except HR<60. V-paced. Spike before the QRS. Clogged blood vessels = i oxygen to the heart = heart attack. Electricity blocked from traveling normally = arrhythmia.

Download Presentation

Name That Rhythm!

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Name That Rhythm!

  2. Sinus Bradycardia (SB) • Normal except HR<60

  3. V-paced Spike before the QRS

  4. Clogged blood vessels = ioxygen to the heart = heart attack Electricity blocked from traveling normally = arrhythmia What’s the Difference Between Heart Blockage & Block?

  5. Idioventricular Rhythm • Ventricular beats, but… at a slow rate Your patient is Going down the Drain if he stays In this rhythm very Long!

  6. Pulseless Electrical Activity (PEA) • Normal rhythm, but… • No Pulse* Gabriel is blowing his horn!! Call Code!

  7. normal longer longer dropped QRS Mobitz I: Wenkebach • PR interval gradually longer until a QRS is dropped • Pattern repeats

  8. Bigeminy • Every second beat is a PVC Geminy Cricket!

  9. Atrial Fibrillation (Afib) • Irregular • No definable P waves unable to count the # of waves

  10. Premature Ventricular Contraction (PVC) • Early ventricular beat

  11. Normal Values Heart Rate: 60-100 beats per minute .12-.20 seconds PR Interval: QRS Interval: < .11 seconds

  12. Couplet

  13. Failure to Capture • Pacer spike is fired, but no beat follows

  14. Blocked QRS Mobitz II • PR interval consistent except some QRS missing Example PR intervals: .16 – B - .16 – B - .16 - .16 - B

  15. Normal Sinus Rhythm (NSR) • Rhythm is normal • Rate normal 60-100 • PR normal .12-.20 • QRS normal < .11

  16. Junctional Rhythm • No P wave or PR < .12

  17. Pause • Period of no electrical activity, then resumes

  18. 6 Beats of VT

  19. QRS look similar in shape Paroxysmal Atrial Tachycardia (PAT) • Sudden rate change > 150 bpm • QRS shape is similar before & after rate change

  20. 1 º AVB PR interval >.20 PR intervals: .24 - .24 - .24 - .24 - .24

  21. Sinus Tachycardia (ST) • Normal except HR >100 bpm

  22. Ventricular Tachycardia (VT) • Ventricular beats (wide QRS’s) • Rate > 150 bpm Call Code!

  23. Sinus Arrhythmia (SA) • Normal except irregular

  24. Asystole • No electrical activity Call Code! My heart may stop if This guy was swimming With me!!!

  25. Trigeminy Every 3rd beat is a PVC

  26. normal normal blocked blocked blocked blocked blocked short 3rd Degree AV Block(3º AVB) Atria & ventricles act independently • Regular P waves • Regular QRS complexes But…P waves and QRS not working together • PR interval varies (but not in Wenkebach pattern) • Harmful -- patient needs a pacemaker soon! Example PR intervals: .14 – B - .20 – B – B - .12 – B - .44 - .32 - B

  27. Torsades de Pointes • A form of VTach which looks like the rhythm strip is twisting Call CODE!

  28. SINUS ATRIAL JUNCTIONAL VENTRICULAR Steps to Interpret Rhythms • 1. Are the beats at regular or irregular intervals apart? • 2. Do you see P, QRS, T pattern? • 3. What is the HEART RATE? • 4. What is the PR interval? • 5. What is the QRS interval?

  29. A-paced A spike before the P wave site

  30. Mobitz II PR regular except some QRS are dropped PR intervals: .12 – B - .12 - .12 – B - .12 – B QRS

  31. Atrial Flutter • Numerous P waves that you can count

  32. Premature Beats PVC PJC PAC Wide QRS PR<.12 PR=.12-.20

  33. Wenkebach PR gradually longer until QRS dropped PR intervals: .12 - .18 - .24 – B - .12 - .18 - .24 – B

  34. Ventricular Fibrillation (VF) • Squiggly line Call CODE!

  35. Failure to Sense • Heart is beating just fine, but pacemaker fires anyway • Spikes are not in a consistent place before P or QRS --seen in many different places

  36. exits enters ST Elevation QRS exits higher than it starts

  37. Wandering Atrial Pacemaker (WAP) • P waves vary in shape (at least 3 different P waves)

  38. 3º AVB PR interval varies, but not in Wenkebach pattern PR intervals: .12 – B - .20 – B – B - .16 - .44 – B - .32

  39. Premature Beats 3 Types Premature AtrialContraction (PAC) Premature JunctionalContraction (PJC) Premature Ventricular Contraction (PVC)

  40. Bundle Branch Blocks (BBB) QRS >.11

  41. AV-paced Spikes before the P wave site & QRS

  42. Premature JunctionalContraction (PJC) • Early beat • No P wave or PR interval is <.12

  43. // A V First Degree AV Block(1º AVB) • PR interval > .20 Example PR intervals: .28 - .28 - .28 - .28 - .28 - .28

  44. enters exits ST Depression QRS exits lower than it starts

  45. QRS look different in shape Paroxysmal Supraventricular Tachycardia (PSVT) • Sudden rate change >150 bpm • QRS may look different after rate change

  46. First Degree 1°AVB • Second Degree • Third Degree 3°AVB Wenkebach Mobitz II Types of AV Blocks

  47. Premature Atrial Contraction (PAC) • Early beat • Normal PR interval The alarm clock Always goes off PREMATURELY!!

  48. Triplet

  49. Which rhythms are a CODE Blue? • VT • VFib • Asystole • Torsades • PEA

  50. WAY TO GO!You’re catching on!

More Related