Chapter 5. Practice Rhythm Strips

Transcription

1 Chapter 5 Practice Rhythm Strips 1

2 Figure 5-9 2

3 Figure bpm/regular None None 0.06 sec Junctional rhythm at 45 bpm 3

4 Figure

5 Figure bpm (sinus beats)/regular except for the event 115 bpm (sinus beats)/regular except for the event 0.16 sec (sinus beats) 0.06 sec (sinus beats) Sinus tachycardia with a PJC 5

6 Figure

7 Figure bpm (sinus beats)/regular except for the event (every third beat is a PJC) 63 bpm (sinus beats)/regular except for the event (every third beat is a PJC) 0.12 to 0.16 sec (sinus beats) 0.06 sec (sinus beats) Sinus rhythm with PJCs 7

8 Figure

9 Figure bpm/regular Unable to determine Unable to determine 0.10 sec Narrow-QRS tachycardia, probably junctional tachycardia 9

10 Figure

11 Figure 5-13 Ventricular rate/ rhythm 33 bpm (sinus beats) 32 bpm (junctional beats) 33 bpm (sinus beats) Unable to determine (junctional beats) 0.20 sec (sinus beats) 0.04 to 0.06 sec Sinus bradycardia to junctional bradycardia 11

12 Figure

13 Figure bpm/regular None None 0.08 sec Accelerated junctional rhythm; ST-segment depression 13

14 Figure

15 Figure /min (junctional beats) to 56/min (sinus beats)/irregular None (junctional beats) to 56/min (sinus beats) None (junctional beats) to 0.18 (sinus beats) 0.04 second (junctional beats) to 0.08 (sinus beats) Junctional bradycardia at 30 bpm to sinus bradycardia at 56 bpm 15

16 Figure 5-16 This rhythm strip is from a 74-year-old woman complaining of difficulty breathing. Blood pressure 158/122. Identify the rhythm (lead II). 16

17 Figure 5-16 This rhythm strip is from a 74-year-old woman complaining of difficulty breathing. Blood pressure 158/122. Identify the rhythm (lead II). 65 to 103 bpm/irregular Unable to determine Unable to determine 0.06 to 0.08 second Atrial fibrillation at 65 to 103 bpm 17

18 Figure

19 Figure bpm/regular None None 0.06 second Accelerated junctional rhythm at 75 bpm 19

20 Figure 5-18 This rhythm strip is from a 63-year-old woman who is complaining of dizziness. Identify the rhythm (lead II). 20

21 Figure 5-18 This rhythm strip is from a 63-year-old woman who is complaining of dizziness. Identify the rhythm (lead II). 64 bpm (sinus beats)/regular except for the event 64 bpm (sinus beats)/regular except for the event 0.16 to 0.18 sec 0.08 sec Sinus rhythm with an episode of sinus arrest and a junctional escape beat 21

22 Figure 5-19 This rhythm strip is from an 88-year-old woman who experienced a syncopal episode. Blood sugar is 96. Medications include verapamil. History: Myocardial infarction 9 years ago, stroke 5 years ago, hypertension, and diabetes. 22

23 Figure 5-19 This rhythm strip is from an 88-year-old woman who experienced a syncopal episode. Blood sugar is 96. Medications include verapamil. History: Myocardial infarction 9 years ago, stroke 5 years ago, hypertension, and diabetes. 75 bpm/regular 75 bpm/regular 0.16 sec 0.08 sec Accelerated junctional rhythm 23

24 Figure 5-20 This rhythm strip is from a 51-year-old man found unresponsive. He has a history of esophageal varices and gastrointestinal bleeding. Blood pressure 182/100. Identify the rhythm (lead I). 24

25 Figure 5-20 This rhythm strip is from a 51-year-old man found unresponsive. He has a history of esophageal varices and gastrointestinal bleeding. Blood pressure 182/100. Identify the rhythm (lead I). 75 bpm/regular 75 bpm/regular 0.12 sec 0.08 sec Sinus rhythm at 75 bpm 25

26 Figure

27 Figure bpm/regular None None 0.08 sec Junctional rhythm; ST-segment elevation 27

28 Figure

29 Figure to 79 bpm/irregular Unable to determine Unable to determine Unable to determine Atrial flutter at 58 to 79 bpm 29

30 Figure

31 Figure bpm/regular (junctional beats) Not measurable in junctional beats Not measurable in junctional beats 0.06 sec Sinus rhythm changing to an accelerated junctional rhythm, back to a sinus rhythm 31

32 Figure

33 Figure 5-24 Junctional escape beat Nonconducted PAC 70 bpm/regular except for the event 70 bpm/regular except for the event 0.16 sec 0.08 sec Sinus rhythm with a nonconducted PAC and a junctional escape beat 33

34 Figure

35 Figure bpm/regular 44 bpm/regular 0.14 sec 0.08 sec Junctional rhythm; ST-segment elevation 35

36 Questions? 36