9 ECG RHYTHM STRIPS

Question 1

Normal Sinus rhythm

Answer 1

• 60 bpm-100
• normal
• causes l: being healthy

Question 2

Bradycardia

Answer 2

• less than 60 bpm
• causes meds ( CCB, and Beta blockers)
• Tx: Atropine
• memory trick: HR on top of the PINE tree.
• Brady Bunch for slower time

Question 3

Atrial Flutter

Answer 3

Aka:
SawTooTh

Tx: same as A. Fib
1. Dig: ( Deep contraction)
 • check ATP
 • Apical pulse for 1 min.
 • Toxicity  ( max 2.0 range)
 • Potassium (3.5-5.0)

Question 4

Atrial Fibrillation (A-Fib)

Answer 4

• No P wave: Fibrillation Flopping
- causes: valvular disease, pulmonary HTN
   heart failure. 
-• tx:  1. Digoxin = Deep contraction
  • check ATP
    - Apical pulse for 60 min. 
    - Toxicity ( Max range 2.0) visual disturbances, n/v and anorexia
    - Potassium (3.5-5.0)

Question 5

Ventricular Fibrillation

aka (V. Fib)

Answer 5

• Fib is flopping = squiggly lines
• causes: Post MI, untreated V-tach, hypoxia
- Tx: V- Fib =Defib # 1 Defibrillation
1. Immediately STOP CPR to do it & before
drugs ! “No synchronization needed
2. Drugs:! LAP =!Lidocaine , Amiodarone
and Procainamide

Question 6

Ventricular tachycardia

aka ( V-Tach)

Answer 6

• V-tach Tombstone 
 Causes: Post MI, Hypoxia 
    Low potassium & low magnesium
* magnesium mellows the muscles 
Tx: early defib
 • apply defib pads 
• call out and look for everyone to be CLEAR!
• shock & immediately continue chest compressions
• v-tach w/ pulse cardioversion
• v-tach w/o pulse defib.