University:
Stevenson University
Course:
NURS 460 | Medical/Surgical Nursing II
Academic year:

2022
Views:

196

Pages:

5
Author:

Dominick Dickson

ECG Quiz and Review 1. a. b. c. d. e. f. g. HR(bpm):130 Rhythm: Irregular or Regular? PR Interval: 0.16 QRS Interval:0.08 QT Interval:0.24 Rhythm Interpretation: Sinus Tachycardia Treatment/Medications (if any):Treat if symptomatic, Betablocker (metoprolol), treat underlying cause (infection, hypovolemia) 2. a. HR(bpm):80 b. Rhythm: Irregular or Regular? c. PR Interval: 0.12 d. QRS Interval:0.06 e. QT Interval:0.36 f. Rhythm Interpretation: Normal sinus rhythm g. Treatment/Medications (if any): N/A 3. a. b. c. d. e. f. g. HR (bpm):110 Rhythm: Irregular or Regular? PR Interval: Unable to determine QRS Interval:0.08 QT Interval: Unable to determine Rhythm Interpretation: Atrial Fibrillation Treatment/Medications (if any): Rate Control: Betablockers (metoprolol) and CCB (diltiazem) and anticoagulation (apixaban, rivaroxaban), Synchronized Cardioversion, Surgical Ablation 4. a. HR (bpm): Too rapid to accurately count b. Rhythm: Irregular or Regular? c. PR Interval: Unable to determine, no identifiable P waves d. e. f. g. QRS Interval: Unable to determine, bizarre shape QT Interval: Unable to determine Rhythm Interpretation: Ventricular Fibrillation Treatment/Medications (if any): Immediate Cardioversion/Defibrillation 5. a. b. c. d. e. f. HR (bpm):170 Rhythm: Irregular or Regular? PR Interval: Unable to determine QRS Interval:0.06 QT Interval: Unable to determine Rhythm Interpretation: Atrial fibrillation with Rapid Ventricular Rate (Afib with RVR) g. Treatment/Medications (if any): IVP Betablockers (Metoprolol), Synchronized Cardioversion, Surgical Ablation 6. a. HR (bpm):200 b. Rhythm: Irregular or Regular? c. PR Interval: Unable to determine, no identifiable P waves d. QRS Interval: >/=0.20, wide, bizarre shape e. QT Interval: Unable to determine f. Rhythm Interpretation: Ventricular Tachycardia g. Treatment/Medications (if any): Immediate Defibrillation, IV antiarrhythmic (procainamide, amiodarone), Surgical Ablation. 7. a. b. c. d. e. f. g. 8. HR (bpm):0 Rhythm: Irregular or Regular? No rhythm PR Interval: Unable to determine QRS Interval: Unable to determine QT Interval: Unable to determine Rhythm Interpretation: Asystole Treatment/Medications (if any): Immediate CPR/Defibrillation (ACLS Protocol) a. b. c. d. e. f. g. HR (bpm):50 Rhythm: Irregular or Regular? PR Interval: 0.20 QRS Interval:0.08 QT Interval:0.40 Rhythm Interpretation: Sinus Bradycardia Treatment/Medications (if any): Atropine, Transcutaneous Pacing, Implanted Pacemaker a. b. c. d. e. f. g. HR (bpm):70 Rhythm: Irregular or Regular? PR Interval: Unable to determine QRS Interval:0.08 QT Interval:0.16 Rhythm Interpretation: Atrial Flutter Treatment/Medications (if any): Rate control: Betablockers (metoprolol), CCB (diltiazem), antiarrhythmic (amiodarone), Synchronized Cardioversion 9.