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Advent Health EKG (Latest 2025/ 2026 Update) Questions with Diagrams and Illustrations| 100% Correct | Graded A.
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Advent Health EKG (Latest 2025/ 2026 Update) Questions with Diagrams and Illustrations| 100% Correct | Graded A. Advent Health EKG (Latest 2025/ 2026 Update) Questions with Diagrams and Illustrations| 100% Correct | Graded A.

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  • April 15, 2025
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Advent Health EKG

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4/15/25, 10:12 AM Advent Health EKG (Latest 2025/ 2026 Update)




Advent Health EKG (Latest 2025/ 2026
Update) Questions with Diagrams and
Illustrations| 100% Correct | Graded A.
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

Afib • 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
Impulse starts in the AV junction
•P waves are absent, short,
inverted or retrograde
Junctional Rhythm
• Ventricular Rhythm: Regular

• Ventricular Rate: 40-60 bpm

• QRSis usually within normal limits
Accelerated Junctional
Same criteria as Junctional
Rhythm, except the Ventricular
Accelerated Junctional
Rhythm rate is 60-100
For stable patients: IV access,
vagal maneuvers, adenosine,
O2, Beta blockers, calcium
channel blockers

, 4/15/25, 10:12 AM Advent Health EKG (Latest 2025/ 2026 Update)




Impulse originates in the ventricles
▪ Rhythm: Ventricular is usually regular
▪ Rate:Ventricular between 20-40
▪ QRS: ≥ 0.12

Idioventricular Rhythm (IVR) ▪ Atrial rate, rhythm, and PRI: N/A
- Treatment: assess pt, check for
DNR in chart, transcutaneous
pacing, atropine. NEVER GIVE
ANTI-ARRYTHMICS
MEDICATIONS
Follows the same criteria as
IVR, except Ventricular rate is
40-100.
Accelerated Idioventricular • If no intervention happens, the
Rhythm patient will deteriorate.
- Treatment: assess pt,
atropine, transcutaneous
pacing. NEVER GIVE ANTI-
ARRHYTHMIC MEDICATIONS
• The pacemaker lead is
placed in to right ventricle.
• The pacemaker generator fires
an impulse Initiating
ventricular activity.
• The right ventricle will
contract first followed by the
left ventricle. This results in a
Ventricular Pacing
wide QRS
• Atrial activity is typically
absent. Therefore, Atrial
rhythm, rate, and PRI are
non- measurable
• Rhythm: Ventricular regular
• Rate: Ventricular within set

pacer limits. Measured from
pacer spike to pacer spike
• QRS: Wide; Pacer spike seen
before each QRS. Measured
from pacer spike to end of
QRS

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