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Rhythm Strip Samples to help with ACLS Precourse Assessment with Unique Criteria.Heart Block Tricks from Terry20 rhythm strips on precourse assessment with the following matching choices:Agonal rhythm/asystoleAtrial FibrillationAtrial FlutterVentricular FibrillationMonomorphic Ventricular TachycardiaNormal Sinus RhythmPolymorphic Ventricular Tachycardia RHYTHM &ETIOLOGY***Normal SinusRhythm Normal, None***SinusTachycardia nsionPainHypoxemiaAnterior MI***SinusPulseless Electrical ActivitySupraventricular TachycardiaSecond-degree atrioventricular block (Mobitz I, Wenckebach)Second-degree atrioventricular block (Mobitz II block)Sinus bradycardiaSinus tachycardiaThird-degree atrioventricular blockCRITERIAOVERVIEWRHY – RegularR – 60-100P – UprightPRI – 0.12 – 0.20QRS – 0.04 –0.10UNIQUECRITERIANone,normalrhythmRHY – RegularR – 100 - 160P – UprightPRI – 0.12 – 0.20QRS – 0.04 –0.10Rate100 - 160RHY – RegularRate belowSAMPLE STRIPS1
Rhythm Strip Samples to help with ACLS Precourse Assessment with Unique Criteria.Heart Block Tricks from Terry RHYTHM &ETIOLOGYBradycardia Damage SANormal sleepathletesVagalGlaucomaHypothermiaInferior MIDrugs – MS,digoxin, InderalIICP***PVC/PVDPremature VentricularContraction/Depolarization Hypoxia, Hypotension anemia Ischemic hrt dis Electrolytes M.I. Myocarditis,pericarditis CHF Stress, fatigue,smoking,overeating, caffeine Hypoglycemia Sepsis Cyclic antidepressants AcidosisSupraventricularTachycardia Not visible suddenstart or stop.***Atrial FlutterCRITERIAOVERVIEWR – below 60P – UprightPRI – 0.12 – 0.20QRS – 0.04 –0.10UNIQUECRITERIA60AN ECTOPICBEATRHY – IrregularR – 60-100P – UprightPRI – 0.12 – 0.20QRS– 0.04 – 0.10SR, earlybeat hasVENT beat(wide &bizarre)RHY – RegularR – 160 - 250P – UprightPRI – 0.12 – 0.20QRS– 0.04 – 0.10Rate above160 - 250RHY – Regular orRegular orSAMPLE STRIPS2
Rhythm Strip Samples to help with ACLS Precourse Assessment with Unique Criteria.Heart Block Tricks from Terry RHYTHM &ETIOLOGYIschemic heartdiseaseMIDig toxicityMitral, Tricuspidvalve diseaseStressPEHyperthyroidOften tempAtrial Fibrillation Ischemic heartdiseaseDig toxicityCHFMIMitral or Tricuspidvalve diseaseCRITERIAOVERVIEWIrregularR– Atrial 250–400Vent: 70 - 150P – none, F’sPRI – noneQRS – 0.04 –0.10UNIQUECRITERIAIrregular, noP’s (calledF’s)Saw toothRHY – IrregularR– atrial 350-600Vent. – below100 controlled,above 100uncontrolled.P – None f’sPRI – noneQRS – 0.04– 0.10Irregular, noP’s (called f’s)RHY – IrregularPRI – varyQRS– 0.04 – 0.10IrregularEXTRA PsPRI longer &longer,Dropped QRSSAMPLE STRIPS***PEAPulselessElectrical Activity Looks like anyrhythm that shouldhave a pulse butdoes not***2nd degree AVBlock Type I –Mobitz I,Wenckeback3
Rhythm Strip Samples to help with ACLS Precourse Assessment with Unique Criteria.Heart Block Tricks from Terry RHYTHM &ETIOLOGY***2nd degree AVBlockType II or MobitzII3rd degree AVBlock, CompleteHeart Block Same as 1st degree***VentricularTachycardiamonomorpic All complexes arethe same shapeand look the sameWide complextachycardia***VentricularFibrillation Following V TachAcute MIElectrolyteImbalanceCRITERIAOVERVIEWRHY – Regular orIrregularPRI – constantQRS – normal orwideUNIQUECRITERIARegular orIrregularEXTRA PsRHY - RegularPRI – varyQRS – usuallywideRegularEXTRA PsPRI variesgreatlyRHY – RegularR – Above 100P – NonePRI –NoneQRS – Wide,BizarreR over 100All Vent beatsRHY – ChaoticR – NoneP – NonePRI –NoneQRS – none,fibrillatory lineChaotic wavyline.No pulse.SAMPLE STRIPS4
Rhythm Strip Samples to helpelp with ACLS Precourse Assessment with Unique Criteria.Heart Block Tricks from Terry RHYTHM &ETIOLOGYTorasades dePointesPolymorphicventriculartachycardiaBest Treated withmagnesium***Agonal Dying heartDrugs used incardiac arrestprovide someelectrical waves. Primary event incardiac arrest.Untreated V-tach orV-fib***Asystole CRITERIAOVERVIEWRHY – ChaoticwavesR – NoneP – NonePRI –NoneQRS – pointstwistUNIQUECRITERIAChaotic wavyline.No pulse.RHY – RegularR – SlowP – NonePRI – NoneQRS – very verywideRHY – Noneunless only PsR – No Vent rateP – may bepresentPRI – NoneQRS – NoneSlow widebizarrestretched outwaves.No PulseSAMPLE STRIPSSTRIPPoints twistStraight lineor only PsNo PulseCalculating Heart Rate - note strips on pretest are longer than 6 seconds.Table for Small Box MethodTo calculate the heart rate, count the number of 0.04 squares (or small boxes)between two QRS complexes (1500 divideddivid by X HR)Small Boxesfrom R to R9 16814 10719 7924 6329 5234 4439 3844 345 3006 2507 2148 18810 15011 13612 12513 11515 10016 9417 8818 8320 7521 7222 6823 6525 6026 5827 5628 5430 5031 4832 4733 4535 4336 4237 4138 4040 3741 3742 3643 3545 3346 3347 3248 315
Rhythm Strip Samples to helpelp with ACLS Precourse Assessment with Unique Criteria.Heart Block Tricks from TerryHeart BlockBlocks and Tricks for Analysis from Terry2nd degree AV block Type IMobitz IWenckebackebackFrom TerryExtra P'sRhythm is always irregularfrom QRS to QRSPR intervals get longer andlonger2nd degree AV block TypeIIMobitz IIFrom TerryExtra P'sPR intervals on conductedbeatsts are the same - theonly heart block with extraP's that has this.3rd Degree Heart BlockComplete Heart BlockFrom TerryExtra P'sRhythm is always regualrfrom QRS to QRSPR Intervals different.6
Rhythm Strip Samples to help with ACLS Precourse Assessment with Unique Criteria.Heart Block Tricks from 2/ecg1.JPG7
Rhythm Strip Samples to help with ACLS Precourse Assessment with Unique Criteria. Heart Block Tricks from Terry 1 20 rhythm strips on precourse assessment with the following matching choices: Agonal rhythm/asystole Atrial Fibrillation Atrial Flutter Ventricular Fibrillation Monomorphic Ventricular Tachycardia Normal Sinus Rhythm
