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Relias Dysrhythmia Basic Exam – 2023 Study Guide and Practice Review for ECG Interpretation

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This document provides a complete study guide for the Relias Dysrhythmia Basic Exam, focusing on ECG interpretation and recognition of cardiac rhythms. It reviews normal sinus rhythms, atrial and ventricular dysrhythmias, heart blocks, and key emergency interventions such as defibrillation and medication management. The material is designed to help nursing and healthcare professionals master rhythm identification and prepare confidently for the Relias Basic Dysrhythmia assessment.

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Basic Dysrhythmia-Relias
1. normal sinus heart rhythm originating in the sinoatrial node with a ratein patients at
rhythm rest of 60 to 100 beats per minute




2. Sinus Arrhyth- Appearance is ALMOST NORMAL: Respiratory -
mia Circulatory interaction
Rate INCREASES with INSPIRATION (IN=IN)




3. Sinus Bradycar-dia <60
normal sinus rhythm




4. Sinus Tachycar-dia >100 (100-150)
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, Basic Dysrhythmia-Relias
normal sinus rhythm

5. Premature Atri-al Heart Rate: Depends on underlying rhythm
Contraction (PAC) Regularity: Interrupts the regularity of underlying rhythmP-Wave: can
be flattened, notched, or unusual. May be hidden within the T wave
PRI: measures between .12-.20 seconds and can be pro-longed; can be
different from other complexes
QRS: <.12 seconds




6. Sinus Ar- - SA node doesn't fire
rest/Pause - notice absence of P-wave for a complete cycle (a missedcycle)
length of pause ` multiple of normal rate (block)




7. Atrial Fibrillation(A- an irregular and often very fast heart rate originating fromabnormal
Fib) conduction in the atria



8. Atrial Flutter irregular beating of the atria; often described as "a-flutter with 2 to 1
block or 3 to 1 block"


2/7

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