Practice Rhythms Strips Chapter 3 Practice Rhythms Strips Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-7 This rhythm strip is from a 33-year-old woman complaining of abdominal pain. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-7 This rhythm strip is from a 33-year-old woman complaining of abdominal pain. Ventricular rate/rhythm 71 bpm / regular Atrial rate/rhythm PR interval 0.12 sec QRS duration 0.08 sec Identification Sinus rhythm at 71 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-8 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-8 Ventricular rate/rhythm 85 bpm / regular Atrial rate/rhythm PR interval 0.16 sec QRS duration 0.08 sec Identification Sinus rhythm at 85 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-9 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-9 Ventricular rate/rhythm 95 bpm / regular Atrial rate/rhythm PR interval 0.16 second QRS duration 0.08 sec Identification Sinus rhythm at 95 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-10 This rhythm strip is from a 73-year-old man complaining of chest pain. History of hypertension and lung disease. Medications include aspirin, albuterol, and Lotensin. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-10 This rhythm strip is from a 73-year-old man complaining of chest pain. History of hypertension and lung disease. Medications include aspirin, albuterol, and Lotensin. U wave Ventricular rate/rhythm 44 bpm / regular Atrial rate/rhythm PR interval 0.16 sec QRS duration 0.06 sec Identification Sinus bradycardia at 44 bpm, ST-segment depression. Note the upright U waves following each T wave. Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-11 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-11 Ventricular rate/rhythm 94 bpm / regular Atrial rate/rhythm PR interval 0.18 sec QRS duration 0.12 sec Identification Sinus rhythm at 94 bpm with a wide (and notched) QRS, ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-12 This rhythm strip is from an 86-year-old woman complaining of chest pain that she rates a 4 on a 0 to 10 scale. Blood pressure 142/72. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-12 This rhythm strip is from an 86-year-old woman complaining of chest pain that she rates a 4 on a 0 to 10 scale. Blood pressure 142/72. Ventricular rate/rhythm 60 bpm / regular Atrial rate/rhythm PR interval 0.20 second QRS duration 0.06 second Identification Sinus rhythm at 60 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-13 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-13 Ventricular rate/rhythm 71/min, regular Atrial rate/rhythm PR interval 0.16 to 0.20 sec QRS duration 0.12 to 0.14 sec Identification Sinus rhythm at 71 bpm with a wide QRS, ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-14 These rhythm strips are from a 35-year-old man complaining of a sudden onset of severe substernal chest pain. He has no significant past medical history and takes no medications. His initial blood pressure is 56/0. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-14 These rhythm strips are from a 35-year-old man complaining of a sudden onset of severe substernal chest pain. He has no significant past medical history and takes no medications. His initial blood pressure is 56/0. Ventricular rate/rhythm 71 bpm / regular Atrial rate/rhythm PR interval 0.14 second QRS duration 0.08 second Identification Sinus rhythm at 71 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-15 This rhythm strip is from a 79-year-old woman with a nosebleed. Blood pressure is 222/118. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-15 This rhythm strip is from a 79-year-old woman with a nosebleed. Blood pressure is 222/118. Ventricular rate/rhythm 130 bpm / regular Atrial rate/rhythm PR interval 0.16 second QRS duration 0.12 second Identification Sinus tachycardia at 130 bpm with a wide-QRS and ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-16 This rhythm strip is from a 39-year-old man complaining of “feeling faint.” Blood pressure is 200/120. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-16 This rhythm strip is from a 39-year-old man complaining of “feeling faint.” Blood pressure is 200/120. Ventricular rate/rhythm 67 to 83 bpm / irregular Atrial rate/rhythm PR interval 0.16 second QRS duration 0.06 to 0.08 second Identification Sinus arrhythmia at 67 to 83 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-17 This rhythm strip is from a 61-year-old woman with an altered level of responsiveness. Blood pressure is 112/62. Blood sugar is 42. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-17 This rhythm strip is from a 61-year-old woman with an altered level of responsiveness. Blood pressure is 112/62. Blood sugar is 42. Ventricular rate/rhythm 65 bpm / regular Atrial rate/rhythm PR interval 0.20 second QRS duration 0.10 second Identification Sinus rhythm at 65 bpm with ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-18 This rhythm strip is from a 26-year-old man after a seizure. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-18 This rhythm strip is from a 26-year-old man after a seizure. Ventricular rate/rhythm 64 to 94 bpm / irregular Atrial rate/rhythm PR interval 0.16 second QRS duration 0.06 to 0.08 second Identification Sinus arrhythmia at 64 to 94 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-19 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-19 Ventricular rate/rhythm 0 to 75 bpm / irregular Atrial rate/rhythm PR interval 0.16 second QRS duration 0.08 second Identification Sinus rhythm at 0 to 75 bpm with an episode of sinus arrest; tall T waves Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-20 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3-20 Ventricular rate/rhythm 167 bpm / regular Atrial rate/rhythm PR interval 0.12 second QRS duration 0.06 second Identification Sinus tachycardia at 167 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Questions? Copyright © 2006 by Mosby Inc. All rights reserved.