Arrythmia Name ECG Appearance Causes Symptoms Treatment
Normal Sinus Rhythm -P wave NORMAL;
-QRS wave Regular impulses at a NORMAL
-T wave normal rate.
-60-100 bpm;
-Equal distances between
each beat
-PRI: 0.12-0.20 sec.
-QRS: < 0.12 sec
Sinus Arrhythmia Normal Sinus Rhythm but Normal Rate increases with Normal
IRREGULAR!!! Varies with breathing inspiration and decreases
with expiration
A sinus arrhythmia is an
irregular heartbeat that's either
too fast or too slow. One type
of sinus arrhythmia, called
respiratory sinus arrhythmia,
is when the heartbeat changes
pace when you inhale and
exhale. ... It's a naturally
occurring heartbeat variation,
and it doesn't mean you have a
serious heart condition
, Arrythmia Name ECG Appearance Causes Symptoms Treatment
Sinus Bradycardia Same as NSR *Meds (digoxin, beta blockers, -Sinus Brady is ok it pt. is 1. May be normal for pt. If not, assess pt.
**Sinus= arrhythmia except pulse is 40-60 narcotics) asymptomatic treat underlying cause first.
originates in -If patient is cold, warm them up.
SA (sinus) node** Athlete’s have low base HR Symptomatic Sinus Brady -If pt. is constipated- give stool softener
Sleep can cause: -If due to patients Thyroid, give Synthroid.
Valsalva maneuver -Hypotension
Normal rhythm, just slow Rhythm: reg Straining with BM -Diaphoresis 2. O2
Check pts. hemodynamic stability PR: normal Vagal stimulation -Chest Pain
May be normal for athletes and pts QRS: normal Hypothermia -SOB 3. Pacer, Epi or dopamine gtts
asleep Carotid sinus massage -Change in mental status
Shape and duration: normal Hypothyroidism 4. Atropine- help increase HR
Increased IOP
Patient with s/s – give ATROPINE; if
Pale cool skin atropine is ineffective, give epi or
HYPOtension dopamine. Next, O2, maybe pacer, if due
SOB to drugs – may need to hold or discontinue
Angina
Weakness
Dizziness/syncope
Confusion/disorientation
Sinus Tachycardia -Same as NSR except pulse Running/exercise Depends on pts. tolerance 1. If normal for pt. then no treatment.
is hypovolemia (dehydration) of Inc. HR. What is underlying cause- assess and treat.
**Sinus= arrhythmia originates in SA over 100 pain, anxiety -May experience -Limit Stimulants such as caffeine/meds
(sinus) node** fever, infection dizziness, hypotension, -If pt is SOB- Give O2
CHF (heart thinks its not Inc need for o2 -HF-Give Lasix,
getting enough O2 out, ↑ -If pt has fever-treat fever
Rhythm: reg HR) HYPOtension -Dr. can do carotid massage.
PR: normal HYPOglycemia Dizziness -Vagal maneuvers
QRS: normal HYPOtension SOB (they need o2) 2. Meds to Decrease HR- Ca channel and
HYPOvolemia Beta blockers (DIGOXIN)
Shape and duration: normal HYPERthyroids
Anxiety, cocaine, caffeine UNSTABLE=cardioversion
Atropine/epi
Albuterol
Normal Sinus Rhythm -P wave NORMAL;
-QRS wave Regular impulses at a NORMAL
-T wave normal rate.
-60-100 bpm;
-Equal distances between
each beat
-PRI: 0.12-0.20 sec.
-QRS: < 0.12 sec
Sinus Arrhythmia Normal Sinus Rhythm but Normal Rate increases with Normal
IRREGULAR!!! Varies with breathing inspiration and decreases
with expiration
A sinus arrhythmia is an
irregular heartbeat that's either
too fast or too slow. One type
of sinus arrhythmia, called
respiratory sinus arrhythmia,
is when the heartbeat changes
pace when you inhale and
exhale. ... It's a naturally
occurring heartbeat variation,
and it doesn't mean you have a
serious heart condition
, Arrythmia Name ECG Appearance Causes Symptoms Treatment
Sinus Bradycardia Same as NSR *Meds (digoxin, beta blockers, -Sinus Brady is ok it pt. is 1. May be normal for pt. If not, assess pt.
**Sinus= arrhythmia except pulse is 40-60 narcotics) asymptomatic treat underlying cause first.
originates in -If patient is cold, warm them up.
SA (sinus) node** Athlete’s have low base HR Symptomatic Sinus Brady -If pt. is constipated- give stool softener
Sleep can cause: -If due to patients Thyroid, give Synthroid.
Valsalva maneuver -Hypotension
Normal rhythm, just slow Rhythm: reg Straining with BM -Diaphoresis 2. O2
Check pts. hemodynamic stability PR: normal Vagal stimulation -Chest Pain
May be normal for athletes and pts QRS: normal Hypothermia -SOB 3. Pacer, Epi or dopamine gtts
asleep Carotid sinus massage -Change in mental status
Shape and duration: normal Hypothyroidism 4. Atropine- help increase HR
Increased IOP
Patient with s/s – give ATROPINE; if
Pale cool skin atropine is ineffective, give epi or
HYPOtension dopamine. Next, O2, maybe pacer, if due
SOB to drugs – may need to hold or discontinue
Angina
Weakness
Dizziness/syncope
Confusion/disorientation
Sinus Tachycardia -Same as NSR except pulse Running/exercise Depends on pts. tolerance 1. If normal for pt. then no treatment.
is hypovolemia (dehydration) of Inc. HR. What is underlying cause- assess and treat.
**Sinus= arrhythmia originates in SA over 100 pain, anxiety -May experience -Limit Stimulants such as caffeine/meds
(sinus) node** fever, infection dizziness, hypotension, -If pt is SOB- Give O2
CHF (heart thinks its not Inc need for o2 -HF-Give Lasix,
getting enough O2 out, ↑ -If pt has fever-treat fever
Rhythm: reg HR) HYPOtension -Dr. can do carotid massage.
PR: normal HYPOglycemia Dizziness -Vagal maneuvers
QRS: normal HYPOtension SOB (they need o2) 2. Meds to Decrease HR- Ca channel and
HYPOvolemia Beta blockers (DIGOXIN)
Shape and duration: normal HYPERthyroids
Anxiety, cocaine, caffeine UNSTABLE=cardioversion
Atropine/epi
Albuterol
