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Cardiac Dysrhythmias – Nursing ECG Interpretation & Interventions (Complete Summary, U.S. Nursing Program, 2024/2025)

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This document provides a comprehensive summary of cardiac dysrhythmias, including diagnostic criteria for ECG interpretation and associated treatments. It includes details on normal ECG measurements, key rhythm abnormalities (e.g., atrial fibrillation, ventricular tachycardia), and emergency interventions. Also covered are foundational cardiology terms and essential nursing care procedures for managing arrhythmias, cardiac arrest, and sudden cardiac death.

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Cardiac Dysrhythmias

1. 6 questions for EKG analysis <Answer> -Is it regular?

-Does every P have a QRS and does every QRS have a P?

-What is the Rate?

-Is the PR interval WNL?

-Is the QRS WNL?

-Is the ST segment prolonged, short or elevated?

2. Normal heart rate <Answer> 60-100 bpm

3. Normal PR interval length <Answer> 0.12-0.20 sec

4. 1 small box on the EKG is <Answer> 0.04 sec

5. 1 big box is on the EKG is <Answer> 0.20 sec

6. 30 big boxes on the EKG are <Answer> 6 sec

7. To determine HR on the EKG <Answer> count the R waves in 6 sec and multiply b

10

8. Normal QRS length <Answer> < 0.12 or equal to 0.12

9. Normal ST segment <Answer> 0.08 to 0.12, not elevated

10. Normal sinus Rhythm: -regular

-every P has a QRS
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, -rate 70 bpm

-PR interval is 0.20, WNL

-QRS length is 0.04 WNL

-ST segment is 0.08, WNL

11. Sinus Tachycardia <Answer> -regular

-every P has a QRS

-rate 140 bpm (high)

-PR interval is 0.12, WNL

-QRS length is 0.04 WNL

-ST segment is 0.08, WNL

TX <Answer> only if symptomatic, treat underlying cause

12. Sinus Bradycardia <Answer> -regular

-every P has a QRS

-rate <60 bpm

-PR WNL

-QRS length WNL

-ST segment is WNL

TX <Answer> only if symptomatic, IV atropine or isoproterenol, and/or pacemaker

13. Premature Atrial Beat <Answer> Result of an irritable ectopic electrical impulse
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