ECG rhythm interp Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
| Rhythm | Rate / Regularity | P wave | P wave duration | QRS duration | Ration P to QRS notes |
| ECG Rules and Characteristics (5 step)Rhythm Interpretation | Analyze Rate (How fast or slow) | Analyze Rhythm (Regular?) (occasional irreg)(reg irreg)(irreg irreg) | Analyze P wave (P present)(P regular to Ps)(One P for each QrS)(upright or inv)(look alike) | Analyze PRI (norm 0.12-0.20sec) | Analyze QRS (look alike)(Duration norm 0.04-0.12) |
| Normal Sinus Rhythm (NSR) | 60-100bpm / Reg-Reg | Upright and similar | 0.12-0.20sec & consistent | 0.04-0.10sec | 1P:1qRs |
| Sinus Tachycardia | >100bpm / Reg-Reg | Upright and similar | 0.12-0.20 sec & consistent | 0.04-0.10 sec | 1P:1qRs |
| Sinus Bradycardia | <60bpm / Reg-Reg | Upright & similar | 0.12-0.20 sec & consistent | 0.04-0.10 sec | 1P:1qRs |
| Premature Atrial Contraction(PAC) | usually <100bpm /dependant on underlying rhythm / Irregular | Early & upright/ different from Sinus | 0.12-0.20sec / different from Sinus | 0.04-0.10sec | 1P:1qRs |
| Atrial Flutter | Atrial: 250-350 / Ventricle: 150 common/ A: Regular Vent: Reg or Irregular | Not identifiable / F waves uniform (sawtooth) | not measurable | 0.04-0.10sec | n/a due to no P defined |
| Atrial Fibrillation | Atr: 400-700 /Vent: 160-180 /A: Irr V: Irr | not identifiable P / f waves may be seen | unable to measure | usually normal | n/a due to no P |
| Paroxysmal Atrial Tachycardia(PAT) | usually 160-220bpm / Reg-Reg | differ in shape from Sinus/ difficult to identify due to rate | Normal when P identified / short if WPW | normal | 1P:1qRs onset sudden often inititated by PAC |
| Premature Junctional Conatraction(PJC) | usually <100bpm (dependant on undr) /Irregular | Inverted before or after qRs or not visible | <0.12sec when inverted P is before qRs | 0.04-0.10 sec | 1P:1qRs if P visible |
| Junctional Escape Rhythm | 40-60bpm or 61-100 (accelerated)/Regular | Inverted before or after qRs or not visible | <0.12sec when inverted before QRs | 0.04-0.10sec | 1P:1qRs if P visible |
| Junctional Tachycardia | 101-200bpm/Regular | Inverted before or after qRs or not visible | <0.12sec when inverted before QRs | 0.04-0.10sec | 1P:1qRs if P visible |
| Supraventricular Tachycardia (SVT)/ umbrella term used when unable to distinquish which rhythm present | >150bpm / absolutely regular | P wave not visible | not measurable | 0.04-0.10sec | |
| Premature Ventricular Complex (PVC) | dependant / A: Reg V: Irr | usually absent if present not associated with PVC | if present? | 0.12 or greater / bizarre and notched | n/a ST&T often opposite qRs/ every other bigeminy / multifocal if different shape/ RonT =PVC |
| Ventricular Tachycardia (Vtach) | >100bpm usually not >220 / usually regular | no P or not associated | n/a | Wide and bizarre | three PVC in row or more at 100bpm is Vtach |
| Ventricular Fibrillation (Vfib) | could be any | no regularity/chaotic undulating | no P | n/a | No qRs |
| Idioventricular Rhythm | 20-40bpm / 40-100bpm(accelerated) / Regular | No P associated with qRs | n/a | >0.12sec notched /bizarre | ST/T oppposite direction of qRs |
| Aystole | 0 / unless P present then could be reg or irregular | may be present | n/a | not there | not there |
| 1st degree AV block | 1P:1qRs | indicated by prolonged PRI (>0.20sec but not >0.40sec) | |||
| 2nd degree AV block type 1 | Ap not equal V | More P waves than qRs | PRI progressively increases until P appears w/o qRs | cyclic pattern reoccurs non-conducted Pwave | |
| 2nd degree AV block type 2 | could be Reg or Irreg | More P waves than qRs | PRI consistent | qRs normal (if wide Bundled Branch block) | non-conducted P waves present |
| 3rd degree AV block | More P waves than qRs | P not related to qRs (P too close or too far) | PRI varies greatly | qRs normal or wide | could have regular Vent |
Created by:
rdslack
Popular Paramedic/EMT sets