Scribd Logo
Upload

Welcome to Scribd!

  • 698 views

    ECG Strips

    Uploaded by

    NursingSchoolNotes
    This document summarizes several cardiac rhythms including normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, and asystole. For each rhythm it describes the characteristics on an ECG, typical heart rates, causes, signs and symptoms, and management or treatment approaches.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    ECG Strips

    Uploaded by

    NursingSchoolNotes
    698 views5 pages
    This document summarizes several cardiac rhythms including normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, and asystole. For each rhythm it describes the characteristics on an ECG, typical heart rates, causes, signs and symptoms, and management or treatment approaches.

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document summarizes several cardiac rhythms including normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, and asystole. For each rhythm it describes the characteristics on an ECG, typical heart rates, causes, signs and symptoms, and management or treatment approaches.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    698 views5 pages

    ECG Strips

    Uploaded by

    NursingSchoolNotes
    This document summarizes several cardiac rhythms including normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial flutter, atrial fibrillation, ventricular tachycardia, ventricular fibrillation, and asystole. For each rhythm it describes the characteristics on an ECG, typical heart rates, causes, signs and symptoms, and management or treatment approaches.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    NORMAL SINUS RHYTHM

    ECG: Rate: 60-100; Rhythm: regular; QRS shape: normal; P:QRS ratio: 1:1 (p always in front of QRS)

    SINUS BRDYCARDIA

    Sinus node creates an impulse at a slower than normal rate Causes: o Athlete, sleep, ICP, MI o Vagal stimulation vomiting, straining, suctioning, sever pain o Meds bb, ccb, amiodarone o The Hs and Ts hypovolemia, hypoxia, hydrogen ion (acidosis), hypo/hyperkalemia, hypoglycemia, hypothermia; toxins, tamponade, tension pneumothorax, thrombosis, trauma Management: IV atropine blocks vagal stimulation; Pacemaker ECG: Same as those for normal sinus rhythm, except for the Rate: less than 60

    SINUS TACHYCARDIA

    Sinus node creates an impulse at a faster than normal rate Causes: o Stress, blood loss, anemia, shock, hypo/hypervolemia, HF, fever, exercise, anxiety o Meds/ stimulants/ illicit drugs catecholamines, aminophylline, atropine, caffeine, ETOH, nicotine Management: BB, CCB; catheter ablation, pacemaker if unresponsive to meds ECG: Same as those of normal sinus rhythm, except for Rate: greater than 100

    ATRIAL FLUTTER

    Conduction defect in the atrium causing rapid, regular, atrial rate (250-400/min) Because the atrial rate is faster than the AV node can conduct not all impulses reach the ventricle causing a therapeutic block which helps prevent ventricular fibrillation. S/S: SOB, low BP, chest pain Causes : COPD, valvular disease, open heart surgery Management: monitoring, cardioversion, ablation; meds to slow ventricular response BB, CCB, digitalis ECG: Rhythm: regular; QRS shape: normal; P:QRS ratio: 2-4:1 (p-waves have saw tooth appearance)

    ATRIAL FIBRILLATION

    Uncoordinated atrial electrical activity that causes rapid, disorganized and uncoordinated twitiching of atrium; atrial rate: 300-600, vent rate: 120-200; can be transient or persistent A-fib causes an increased risk of stroke b/c erratic atrial contractions promote thrombi formation Due to smaller stroke volume, loss in AV synchrony, and atrial kick (= c/o) S/S may include: SOB, fatigue, hypotension, CP, Pulm edema, altered LOC, syncope, palpitations, pulse deficit Cause: age, heart disease, HF, CAD, HTN, DM, obesity, hyperparathyroidism, pulm HTN/emboli, heavy ingestion of ETOH (holiday heart), pulmonary or open heart surgery Management: o Self limiting; return to normal sinus rhythm within 24 hrs o Cardioversion, Amiodarone, BB, CCB, ablation o Coumadin to prevent thrombi formation ECG: Rhythm: highly irregular; QRS shape: normal; P:QRS ratio: many:1; no discernible p-waves

    VENTRICULAR TACHYCARDIA

    Abnormal impulses within the ventricles causing the heart to beat more than 160 bpm causing inadequate filling of the ventricles = less systemic circulation; ventricle rate: 100-200 Causes: MI, CAD, heart disease Management: Cardioversion, defibrillation if pt is pulse less, implantable cardioverter defibrillator ECG: Rate: +100; Rhythm; regular; QRS shape: bizarre, abnormal; p-waves are very difficult to detect

    VENTRICULAR FIBRILLATION

    Rapid disorganized ventricular rhythm that causes ineffective quivering of the ventricles; ventricular rate greater than 300 bpm V-fib is always characterized the absence of an audible HB, palpable pulse, and respirations. Cause: MI, CAD, untreated VT, Heart disease, electrolyte imbalances, electrical shock Treatment: Defibrillation, if more than 4 min response CPR then defibrillation, epinephrine ECG: No p-waves; rhythm extremely irregular without a specific pattern; unrecognizable QRS

    ASYSTOYLE

    No cardiac electrical activity

    You might also like