Advent Health EKG Questions and Answers Rated A

Advent Health EKG Questions and Answers Rated A Afib The impulse originates in the Atria • The Atrial rate is 300 and unable to measure [N/A] • No discernable P waves - PRI & Atrial rhythm cannot be measured [N/A] • The Ventricular rhythm is irregular • QRS within normal limits • If the Ventricular rate is 100 the rhythm is controlled A-fib; if the Ventricular rate is 100 the rhythm is uncontrolled A-fib • This is a chronic rhythm for some patients Treatment: controlled patients: anticoagulants and antiarrythmics; uncontrolled but stable patients: Beta blockers, calcium channel blockers, or digoxin; Unstable patients: cardioversion Junctional Rhythm Impulse starts in the AV junction • P waves are absent, short, inverted or retrograde • Ventricular Rhythm: Regular • Ventricular Rate: 40-60 bpm • QRS is usually within normal limits Accelerated Junctional Rhythm Accelerated Junctional Same criteria as Junctional Rhythm, except the Ventricular rate is 60-100 For stable patients: IV access, vagal maneuvers, adenosine, O2, Beta blockers, calcium channel blockers Idioventricular Rhythm (IVR) Impulse originates in the ventricles ▪ Rhythm: Ventricular is usually regular ▪ Rate: Ventricular between 20-40 ▪ QRS: ≥ 0.12 ▪ Atrial rate, rhythm, and PRI: N/A - Treatment: assess pt, check for DNR in chart, transcutaneous pacing, atropine. NEVER GIVE ANTI-ARRYTHMICS MEDICATIONS