Basic Dysrhythmia Review For The Nurse Rhythm Strip Packet

Junctional Rhythm (PR, QRS, QT, RHYTHM, TX) {Ans: Rate: Atrial 40-60, Ven. 40-60, Regular P-Wave: Inverted, Before/After QRS, Absent PR: <0.12 (May not be able to if Absent) (May be <0.12 if before QRS) QRS: 0.06-0.10 QT: 0.36-0.44 Tx: If symptomatic Atropine, Pacemaker}Torsades de pointes (TdP) {Ans: type of polymorphic VT associated with a prolonged QT interval; the QRS changes in shape, amplitude, and width and appears to twist around the isoelectric line, resembling a spindle PR: Unable to determine Rate: >150-300 QRS: >0.12 QT: Prolonged > 0.44 Tx: IV Magnesium Sulfate unresponsive & Pulseless = CPR, DEFIB}normal sinus rhythm (NSR) Criteria: (PR, QRS, QT, Rhythm: reg or irreg) {Ans: 1 P-wave for Every QRS, REGULAR rhythm PR: 0.12-0.20 QRS: 0.06-0.10 BBB = > 0.12 QT: 0.36-0.44 BPM: 60-100}paroxysmal atrial tachycardia (PAT) (PR, QRS, QT, RHYTHM, TX) {Ans: an episode that begins and ends abruptly during which there are very rapid and regular heartbeats that originate in the atrium PR: 0.12-0.20 QRS: 0.06-0.10 QT: 0.36-0.44 Atrial Rate: 150-250 Reg Vent Rate: 150-250 Tx: Adenosine, Diltiazem, vagal, Cardiovert}Junctional Tachycardia (PR, QTS, QT, RHYTHM, TX) {Ans: Rate: 100 to 180bpm Regularity: regular P-wave: inverted, absent, or occur