Chapter 3 Practice Rhythms Strips Copyright 2006 by

Chapter 3 Practice Rhythms Strips Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -7 This rhythm strip is from a 33 -year-old woman complaining of abdominal pain. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -7 This rhythm strip is from a 33 -year-old woman complaining of abdominal pain. Ventricular rate/rhythm 71 bpm / regular Atrial rate/rhythm 71 bpm / regular PR interval 0. 12 sec QRS duration 0. 08 sec Identification Sinus rhythm at 71 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -8 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -8 Ventricular rate/rhythm 85 bpm / regular Atrial rate/rhythm 85 bpm / regular PR interval 0. 16 sec QRS duration 0. 08 sec Identification Sinus rhythm at 85 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -9 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -9 Ventricular rate/rhythm 95 bpm / regular Atrial rate/rhythm 95 bpm / regular PR interval 0. 16 second QRS duration 0. 08 sec Identification Sinus rhythm at 95 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -10 This rhythm strip is from a 73 -year-old man complaining of chest pain. History of hypertension and lung disease. Medications include aspirin, albuterol, and Lotensin. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -10 This rhythm strip is from a 73 -year-old man complaining of chest pain. History of hypertension and lung disease. Medications include aspirin, albuterol, and Lotensin. U wave Ventricular rate/rhythm 44 bpm / regular Atrial rate/rhythm 44 bpm / regular PR interval 0. 16 sec QRS duration 0. 06 sec Identification Sinus bradycardia at 44 bpm, STsegment depression. Note the upright U waves following each T wave. Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -11 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -11 Ventricular rate/rhythm 94 bpm / regular Atrial rate/rhythm 94 bpm / regular PR interval 0. 18 sec QRS duration 0. 12 sec Identification Sinus rhythm at 94 bpm with a wide (and notched) QRS, ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -12 This rhythm strip is from an 86 -year-old woman complaining of chest pain that she rates a 4 on a 0 to 10 scale. Blood pressure 142/72. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -12 This rhythm strip is from an 86 -year-old woman complaining of chest pain that she rates a 4 on a 0 to 10 scale. Blood pressure 142/72. Ventricular rate/rhythm 60 bpm / regular Atrial rate/rhythm 60 bpm / regular PR interval 0. 20 second QRS duration 0. 06 second Identification Sinus rhythm at 60 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -13 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -13 Ventricular rate/rhythm 71/min, regular Atrial rate/rhythm 71/min, regular PR interval 0. 16 to 0. 20 sec QRS duration 0. 12 to 0. 14 sec Identification Sinus rhythm at 71 bpm with a wide QRS, ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -14 These rhythm strips are from a 35 -year-old man complaining of a sudden onset of severe substernal chest pain. He has no significant past medical history and takes no medications. His initial blood pressure is 56/0. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -14 These rhythm strips are from a 35 -year-old man complaining of a sudden onset of severe substernal chest pain. He has no significant past medical history and takes no medications. His initial blood pressure is 56/0. Ventricular rate/rhythm 71 bpm / regular Atrial rate/rhythm 71 bpm / regular PR interval 0. 14 second QRS duration 0. 08 second Identification Sinus rhythm at 71 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -15 This rhythm strip is from a 79 -year-old woman with a nosebleed. Blood pressure is 222/118. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -15 This rhythm strip is from a 79 -year-old woman with a nosebleed. Blood pressure is 222/118. Ventricular rate/rhythm 130 bpm / regular Atrial rate/rhythm 130 bpm / regular PR interval 0. 16 second QRS duration 0. 12 second Identification Sinus tachycardia at 130 bpm with a wide-QRS and ST-segment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -16 This rhythm strip is from a 39 -year-old man complaining of “feeling faint. ” Blood pressure is 200/120. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -16 This rhythm strip is from a 39 -year-old man complaining of “feeling faint. ” Blood pressure is 200/120. Ventricular rate/rhythm 67 to 83 bpm / irregular Atrial rate/rhythm 67 to 83 bpm / irregular PR interval 0. 16 second QRS duration 0. 06 to 0. 08 second Identification Sinus arrhythmia at 67 to 83 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -17 This rhythm strip is from a 61 -year-old woman with an altered level of responsiveness. Blood pressure is 112/62. Blood sugar is 42. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -17 This rhythm strip is from a 61 -year-old woman with an altered level of responsiveness. Blood pressure is 112/62. Blood sugar is 42. Ventricular rate/rhythm 65 bpm / regular Atrial rate/rhythm 65 bpm / regular PR interval 0. 20 second QRS duration 0. 10 second Identification Sinus rhythm at 65 bpm with STsegment depression Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -18 This rhythm strip is from a 26 -year-old man after a seizure. Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -18 This rhythm strip is from a 26 -year-old man after a seizure. Ventricular rate/rhythm 64 to 94 bpm / irregular Atrial rate/rhythm 64 to 94 bpm / irregular PR interval 0. 16 second QRS duration 0. 06 to 0. 08 second Identification Sinus arrhythmia at 64 to 94 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -19 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -19 Ventricular rate/rhythm 0 to 75 bpm / irregular Atrial rate/rhythm 0 to 75 bpm / irregular PR interval 0. 16 second QRS duration 0. 08 second Identification Sinus rhythm at 0 to 75 bpm with an episode of sinus arrest; tall T waves Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -20 Ventricular rate/rhythm Atrial rate/rhythm PR interval QRS duration Identification Copyright © 2006 by Mosby Inc. All rights reserved.

Figure 3 -20 Ventricular rate/rhythm 167 bpm / regular Atrial rate/rhythm 167 bpm / regular PR interval 0. 12 second QRS duration 0. 06 second Identification Sinus tachycardia at 167 bpm Copyright © 2006 by Mosby Inc. All rights reserved.

Questions? Copyright © 2006 by Mosby Inc. All rights reserved.