Chapter 7. Practice Rhythm Strips

Transcription

1 Chapter 7 Practice Rhythm Strips 1

2 Figure

3 Figure bpm/regular 88 bpm/regular 0.28 sec 0.08 sec Sinus rhythm with first-degree AV block; ST-segment elevation 3

4 Figure 7-11 Ventricular rate/ rhythm 4

5 Figure 7-11 Ventricular rate/ rhythm 107 bpm/regular 107 bpm/regular 0.24 sec 0.08 sec Sinus tachycardia with first-degree AV block at 107 bpm 5

6 Figure 7-12 This rhythm strip is from a 57-year-old man with a sprained ankle. 6

7 Figure bpm/regular 54 bpm/regular 0.28 sec 0.12 sec Sinus bradycardia at 54 bpm with first-degree AV block, notched P waves and a wide, notched QRS 7

8 Figure

9 Figure bpm/irregular 94 bpm/regular Lengthens 0.10 sec Second-degree AV block type I at bpm; ST-segment elevation 9

10 Figure bpm/regular 68 bpm/regular Varies 0.06 sec Third-degree AV block at 38 bpm with ST-segment depression and inverted T waves 10

11 Figure bpm/regular 68 bpm/regular Varies 0.06 sec Third-degree AV block at 38 bpm with ST-segment depression and inverted T waves 11

12 Figure 7-15 These rhythm strips are from a 77-year-old woman complaining of shortness of breath and weakness. BP 140/86. Ventricular rate/ rhythm 12

13 Figure to 107 bpm/irregular Unable to determine None 0.06 sec Atrial fibrillation at bpm with ST-segment depression 13

14 Figure 7-16 This rhythm strip is from a 69-year-old man complaining of shortness of breath. Lung sounds reveal bilateral crackles. Blood pressure 160/58. Identify the rhythm (lead II). Ventricular rate/ rhythm 14

15 Figure 7-16 This rhythm strip is from a 69-year-old man complaining of shortness of breath. Lung sounds reveal bilateral crackles. Blood pressure 160/58. Identify the rhythm (lead II). 107 bpm (sinus beats)/regular 107 bpm (sinus beats)/regular 0.20 sec (sinus beats) 0.08 sec (sinus beats) Sinus tachycardia at 107 bpm with uniform PVCs 15

16 Figure 7-17 This rhythm strip is from an 83-year-old woman with syncope. 16

17 Figure 7-17 This rhythm strip is from an 83-year-old woman with syncope. <20 94 bpm/irregular 94 bpm/regular lengthening 0.08 sec Second-degree AV block type I 17

18 Figure

19 Figure bpm/regular 108/regular 0.16 sec 0.08 to 0.10 sec High-grade second-degree AV block with 3:1 conduction at 36 bpm 19

20 Figure

21 Figure bpm/regular 68 bpm/regular 0.28 sec 0.06 sec Sinus rhythm at 68 bpm with firstdegree AV block, ST-segment depression 21

22 Figure 7-20 This rhythm strip is from an 83-year-old woman with syncope. Identify the rhythm (lead II). 22

23 Figure 7-20 This rhythm strip is from an 83-year-old woman with syncope. Identify the rhythm (lead II). 38 to 75 bpm/irregular 75 bpm/regular Lengthens 0.06 to 0.08 sec Second-degree AV block, type I at 38 to 75 bpm 23

24 Figure 7-21 This rhythm strip is from the same patient as the previous rhythm strip. Identify the rhythm (lead II). 24

25 Figure 7-21 This rhythm strip is from the same patient as the previous rhythm strip. Identify the rhythm (lead II). 36 bpm/regular 72 bpm/regular 0.20 to 0.22 sec 0.06 to 0.08 sec 2:1 AV block, probably type I at 36 bpm 25

26 Figure

27 Figure bpm/regular 167 bpm/regular Varies 0.06 sec Third-degree AV block at 50 bpm; S-T segment elevation 27

28 Figure 7-23 This rhythm strip is from a 77-year-old woman who stated she felt fine. She stopped at a blood pressure machine in Wal-Mart and the machine would not read her pulse rate. She later went to her physician s office and then to the emergency department. 28

29 Figure 7-23 This rhythm strip is from a 77-year-old woman who stated she felt fine. She stopped at a blood pressure machine in Wal-Mart and the machine would not read her pulse rate. She later went to her physician s office and then to the emergency department. 30 bpm/regular 68 bpm/regular 0.28 sec 0.16 sec 2:1 AV block, probably type II at 30 bpm; ST-segment elevation 29

30 Figure

31 Figure 7-24 <20 60 bpm/irregular 60 bpm/regular 0.16 sec 0.12 sec Second-degree AV block type II at <20 to 60 bpm; ST-segment depression 31

32 Figure

33 Figure to 58 bpm/irregular 58 bpm/regular Lengthens 0.06 to 0.08 sec Second-degree AV block type I at bpm, ST-segment depression 33

34 Figure

35 Figure 7-26 Ventricular rate/ rhythm 48 to 83 bpm/irregular 167 bpm/regular 0.24 sec 0.12 sec Second-degree AV block type II at 48 to 83 bpm; ST-segment depression 35

36 Figure

37 Figure bpm/regular 72 bpm/regular 0.32 sec 0.10 sec 2:1 AV block, probably type 1 at 36 bpm 37

38 Figure

39 Figure bpm/regular 115 bpm/regular Varies 0.16 sec Third-degree AV block at 45 bpm 39

40 Figure

41 Figure to 98 bpm/irregular 111 bpm/regular Lengthens 0.08 sec Second-degree AV block type I at 60 to 98 bpm; ST-segment depression 41

42 Figure

43 Figure bpm/regular 68 bpm/regular 0.14 to 0.16 sec 0.10 sec 2:1 AV block probably type I at 34 bpm; ST-segment depression; tall T waves 43

44 Figure 7-31 Ventricular rate/ rhythm 44

45 Figure bpm/regular 83 bpm/regular 0.24 sec 0.10 sec 2:1 AV block, probably type I; STsegment depression 45

46 Questions? 46