KAISER TELE RHYTHM STRIPS EXAM 5 FULL
PRACTICE QUESTIONS WITH ECG
INTERPRETATION AND ARRHYTHMIA
RECOGNITION
◉ A flutter treatment.
Answer: Atrial rate 250-400 beats/minute
Ventricular rate depends on the conduction ratio
tx: control rate, beta blockers, diltizem, verpamil, digoxin
anticoagulants- coumadin, lovenox
amiodarone to convert rhythm
If symptomatic - synchronized cardioversion
Prevent complications from atrial flutter with early cardioversion.
For the patient with unstable tachycardia due to this
tachyarrhythmia (atrial flutter), immediate cardioversion is
recommended.
,Drugs are not used to manage unstable tachycardia. AHA
recommends an initial shock dose 0f 50-100 J for cardioverting
unstable atrial flutter
◉ A fib.
Answer: Atrial rate not measurable. Ventricular rate variable
rhythm irregular
Goal is to control rate
BBB- verpamil, dilt, digoxin
Amiodarone to convert
Complicatons: PE, DVT, CVA, MI
ACLS: if unstable, need immediate synchronized cradioversion. 120-
200 J
◉ SVT vs. Paroxysmal SVT.
Answer: SVT rate of >150
Parox >160-250
Treat if stable: vagal maneuver, adenosine
, Unstable: synchronized cardio
◉ Junctional rhythm and accelerated Junctional Rhythm causes and
treat.
Answer: Inverted P wave, narrow QRS
accelarated if >60 HR
40-60 junctional rhythm
Causes: Occurs when sinus is too slow & with AV blocks
• Treatment: Observe, if bradycardia and patient is symptomatic—
Atropine 0.5mg
rhythm R-R regular
◉ Premature Junctional COmplex.
Answer: • Narrow QRS complex, either (1) without a preceding P
wave or (2) preceded by an
abnormal P wave with a PR interval of < 0.12 sec referred as a
"retrograde" P wave
• Occurs sooner than would be expected for the next sinus impulse.
• Followed by a compensatory pause.
PRACTICE QUESTIONS WITH ECG
INTERPRETATION AND ARRHYTHMIA
RECOGNITION
◉ A flutter treatment.
Answer: Atrial rate 250-400 beats/minute
Ventricular rate depends on the conduction ratio
tx: control rate, beta blockers, diltizem, verpamil, digoxin
anticoagulants- coumadin, lovenox
amiodarone to convert rhythm
If symptomatic - synchronized cardioversion
Prevent complications from atrial flutter with early cardioversion.
For the patient with unstable tachycardia due to this
tachyarrhythmia (atrial flutter), immediate cardioversion is
recommended.
,Drugs are not used to manage unstable tachycardia. AHA
recommends an initial shock dose 0f 50-100 J for cardioverting
unstable atrial flutter
◉ A fib.
Answer: Atrial rate not measurable. Ventricular rate variable
rhythm irregular
Goal is to control rate
BBB- verpamil, dilt, digoxin
Amiodarone to convert
Complicatons: PE, DVT, CVA, MI
ACLS: if unstable, need immediate synchronized cradioversion. 120-
200 J
◉ SVT vs. Paroxysmal SVT.
Answer: SVT rate of >150
Parox >160-250
Treat if stable: vagal maneuver, adenosine
, Unstable: synchronized cardio
◉ Junctional rhythm and accelerated Junctional Rhythm causes and
treat.
Answer: Inverted P wave, narrow QRS
accelarated if >60 HR
40-60 junctional rhythm
Causes: Occurs when sinus is too slow & with AV blocks
• Treatment: Observe, if bradycardia and patient is symptomatic—
Atropine 0.5mg
rhythm R-R regular
◉ Premature Junctional COmplex.
Answer: • Narrow QRS complex, either (1) without a preceding P
wave or (2) preceded by an
abnormal P wave with a PR interval of < 0.12 sec referred as a
"retrograde" P wave
• Occurs sooner than would be expected for the next sinus impulse.
• Followed by a compensatory pause.
