Advent Health EKG
Afib - ANSThe impulse originates inside the Atria
• The Atrial price is > three hundred and not able to measure [N/A]
• No discernable P waves - PRI & Atrial rhythm cannot be measured [N/A]
• The Ventricular rhythm is irregular
• QRS inside regular limits
• If the Ventricular fee is <100 the rhythm is controlled A-fib;
if the Ventricular rate is > 100 the rhythm is out of control A-fib
• This is a continual rhythm for some sufferers
Treatment: controlled sufferers: anticoagulants and antiarrythmics; uncontrolled however stable
sufferers: Beta blockers, calcium channel blockers, or digoxin; Unstable patients: cardioversion
Junctional Rhythm - ANSImpulse starts in the AV junction
• P waves are absent, quick, inverted or retrograde
• Ventricular Rhythm: Regular
• Ventricular Rate: forty-60 bpm
• QRS is generally inside ordinary limits
Accelerated Junctional Rhythm - ANSAccelerated Junctional
Same criteria as Junctional Rhythm, besides the Ventricular charge is 60-100
For solid sufferers: IV get right of entry to, vagal maneuvers, adenosine, O2, Beta blockers,
calcium channel blockers
Idioventricular Rhythm (IVR) - ANSImpulse originates inside the ventricles
▪ Rhythm: Ventricular is commonly regular
▪ Rate: Ventricular between 20-40
▪ QRS: ≥ zero.12
▪ Atrial rate, rhythm, and PRI: N/A
- Treatment: examine pt, test for DNR in chart, transcutaneous pacing, atropine. NEVER GIVE
ANTI-ARRYTHMICS MEDICATIONS
Accelerated Idioventricular Rhythm - ANSFollows the same criteria as IVR, besides Ventricular
fee is 40-a hundred.
• If no intervention takes place, the patient will deteriorate.
- Treatment: investigate pt, atropine, transcutaneous pacing. NEVER GIVE
ANTI-ARRHYTHMIC MEDICATIONS
Ventricular Pacing - ANS• The pacemaker lead is located in to proper ventricle.
• The pacemaker generator fires an impulse Initiating ventricular pastime.
• The right ventricle will agreement first accompanied through the left ventricle. This effects in a
wide QRS
• Atrial pastime is normally absent. Therefore, Atrial rhythm, rate, and PRI are non- measurable
, • Rhythm: Ventricular ordinary
• Rate: Ventricular inside set pacer limits. Measured from pacer spike to pacer spike
• QRS: Wide; Pacer spike seen before each QRS. Measured from pacer spike to give up
of QRS
Atrial-ventricular Pacing - ANSOne pacemaker lead is located into the right atria and some other
is positioned into the proper
ventricle.
• The pacemaker generator fires an impulse to the atria and then to the ventricle sequentially
inflicting atrial then ventricular contraction.
• Rhythm: Atrial and Ventricular everyday
• Rate: Atrial and Ventricular same & within set limits
• P waves: Pacer spike seen at starting of atrial activity P waves can also or won't be seen
(lead type established)
• PRI: WNL - Measured from atrial spike to ventricular spike
• QRS: Wide - Measured from ventricular spike to cease of QRS
Failure to seize - ANSA pacer spike notice observed by using the proper atrial or ventricular
response
• Can be a probably lethal scenario!
Failure to pace - ANSAbsence of pacer hobby (spikes) while the pacemaker generator should
have fired an impulse.
• Typically seen when the patient's intrinsic heart charge falls much less than the pacemaker's
low HR restrict and
the pacer fails to fireplace.
Everyday sinus rhythm (NSR) - ANSImpulse begins inside the SA Node
• Rate: Atrial & Ventricular 60-a hundred [WNL]
• Rhythm: Atrial and Ventricular are regular
• P waves: Normal; every observed by way of QRS
• PRI: zero.12 - 0.20 [WNL]
• QRS: 0.04 - 0.10 [WNL]
Sinus Tachycardia - ANSThese rhythms observe all of the criteria for NSR besides for the fee.
• Rate: Atrial and Ventricular 100-one hundred fifty
Sinus Bradycardia - ANSThese rhythms comply with all the standards for NSR except for the
charge.
• Rate: Atrial and Ventricular < 60
Sinus Arrythmia - ANS• Impulse starts in the SA Node but activity varies with respirations
• Rate: Atrial and Ventricular are 60-100, but varies (slower or faster)
• Rhythm: Atrial and Ventricular is irregular (P-P and R-R intervals are irregular)
Afib - ANSThe impulse originates inside the Atria
• The Atrial price is > three hundred and not able to measure [N/A]
• No discernable P waves - PRI & Atrial rhythm cannot be measured [N/A]
• The Ventricular rhythm is irregular
• QRS inside regular limits
• If the Ventricular fee is <100 the rhythm is controlled A-fib;
if the Ventricular rate is > 100 the rhythm is out of control A-fib
• This is a continual rhythm for some sufferers
Treatment: controlled sufferers: anticoagulants and antiarrythmics; uncontrolled however stable
sufferers: Beta blockers, calcium channel blockers, or digoxin; Unstable patients: cardioversion
Junctional Rhythm - ANSImpulse starts in the AV junction
• P waves are absent, quick, inverted or retrograde
• Ventricular Rhythm: Regular
• Ventricular Rate: forty-60 bpm
• QRS is generally inside ordinary limits
Accelerated Junctional Rhythm - ANSAccelerated Junctional
Same criteria as Junctional Rhythm, besides the Ventricular charge is 60-100
For solid sufferers: IV get right of entry to, vagal maneuvers, adenosine, O2, Beta blockers,
calcium channel blockers
Idioventricular Rhythm (IVR) - ANSImpulse originates inside the ventricles
▪ Rhythm: Ventricular is commonly regular
▪ Rate: Ventricular between 20-40
▪ QRS: ≥ zero.12
▪ Atrial rate, rhythm, and PRI: N/A
- Treatment: examine pt, test for DNR in chart, transcutaneous pacing, atropine. NEVER GIVE
ANTI-ARRYTHMICS MEDICATIONS
Accelerated Idioventricular Rhythm - ANSFollows the same criteria as IVR, besides Ventricular
fee is 40-a hundred.
• If no intervention takes place, the patient will deteriorate.
- Treatment: investigate pt, atropine, transcutaneous pacing. NEVER GIVE
ANTI-ARRHYTHMIC MEDICATIONS
Ventricular Pacing - ANS• The pacemaker lead is located in to proper ventricle.
• The pacemaker generator fires an impulse Initiating ventricular pastime.
• The right ventricle will agreement first accompanied through the left ventricle. This effects in a
wide QRS
• Atrial pastime is normally absent. Therefore, Atrial rhythm, rate, and PRI are non- measurable
, • Rhythm: Ventricular ordinary
• Rate: Ventricular inside set pacer limits. Measured from pacer spike to pacer spike
• QRS: Wide; Pacer spike seen before each QRS. Measured from pacer spike to give up
of QRS
Atrial-ventricular Pacing - ANSOne pacemaker lead is located into the right atria and some other
is positioned into the proper
ventricle.
• The pacemaker generator fires an impulse to the atria and then to the ventricle sequentially
inflicting atrial then ventricular contraction.
• Rhythm: Atrial and Ventricular everyday
• Rate: Atrial and Ventricular same & within set limits
• P waves: Pacer spike seen at starting of atrial activity P waves can also or won't be seen
(lead type established)
• PRI: WNL - Measured from atrial spike to ventricular spike
• QRS: Wide - Measured from ventricular spike to cease of QRS
Failure to seize - ANSA pacer spike notice observed by using the proper atrial or ventricular
response
• Can be a probably lethal scenario!
Failure to pace - ANSAbsence of pacer hobby (spikes) while the pacemaker generator should
have fired an impulse.
• Typically seen when the patient's intrinsic heart charge falls much less than the pacemaker's
low HR restrict and
the pacer fails to fireplace.
Everyday sinus rhythm (NSR) - ANSImpulse begins inside the SA Node
• Rate: Atrial & Ventricular 60-a hundred [WNL]
• Rhythm: Atrial and Ventricular are regular
• P waves: Normal; every observed by way of QRS
• PRI: zero.12 - 0.20 [WNL]
• QRS: 0.04 - 0.10 [WNL]
Sinus Tachycardia - ANSThese rhythms observe all of the criteria for NSR besides for the fee.
• Rate: Atrial and Ventricular 100-one hundred fifty
Sinus Bradycardia - ANSThese rhythms comply with all the standards for NSR except for the
charge.
• Rate: Atrial and Ventricular < 60
Sinus Arrythmia - ANS• Impulse starts in the SA Node but activity varies with respirations
• Rate: Atrial and Ventricular are 60-100, but varies (slower or faster)
• Rhythm: Atrial and Ventricular is irregular (P-P and R-R intervals are irregular)
