Telemetry Interpretation fully solved graded A+ 2023/2024

Telemetry InterpretationStep by Step Guide - correct answer *What is ventricular rate (count QRS complexes) *Rhythm regular or irregular (look at p-p and r-r) *Evaluate the P wave *Determine PR interval and QRS duration *Evaluate T wave NSR - correct answer *Rate: 60-100 *Rhythm: Regular *P wave: present, always followed by QRS complex *PR interval: 0.12-0.20 seconds *QRS duration: <0.12 seconds Sinus Tachycardia - correct answer *HR>100 bpm Causes of Sinus Tach - correct answer *Hypovolemia/dehydration *Angina *Stress *Caffeine *Exercise *Nicotine Sinus Bradycardia - correct answer *HR<60 bmp *Can be symptomatic or asymptomatic Sinus Bradycardia s/s - correct answer *Dizzy *Weak *Syncope *Confusion *Hypotension *IF SYMPTOMATIC, GIVE ATROPINE Atrial Fibrillation - correct answer *Rate: Atria > 350, Ventricles vary *Rhythm: Irregular *P wave: May not be visible *PR interval: Can't measure *QRS duration: Normal A. Fib s/s - correct answer *Palpitations *SOB *Lightheadedness *Abd pain *CP/pressure *Fatigue A. Fib treatment - correct answer *Blood thinners (warfarin, Pradaxa, Xarelto) *A. FIB WITH RVR (GIVE DILTIAZEM) *Cardioversion Premature Ventricular Complexes (PVC) - correct answer *Ventricles generate a random electrical impulse *Rate: Varies *Rhythm: Regular except for the PVC beat *P wave: Present except for the PVC beat *PR interval: Can't measure at PVC beat