Strip Interpretation

Sinus Bradycardia

IV access, oxygen, monitor vitals, atropine

Sinus Tachycardia

Beta-blockers, Calcium Channel Blockers, Catheter Ablation

Supraventricular Tachycardia (SVT)

Vagal Maneuvers, Adenosine

(Rhythm) with a PAC

Monitor for hemodynamic stability, Holter monitor

(Rhythm) with a PVC

Beta blockers, amiodarone, catheter ablation

*Say if couplet PVCs, Trigeminy, or Bigeminy

(Rhythm) with a First-Degree Heart Block

D/C meds that prolong PR interval such as beta blockers or calcium channel blockers, fall precautions

Atrial Fibrillation

Electro cardioversion, catheter ablation, anticoagulants

Atrial Flutter

Monitor for hemodynamic stability, anticoagulants

*Make sure to identify the ratio of the flutter

Ventricular Tachycardia

Check pulse

If pulse: Amiodarone, synchronized cardioversion, oxygen

If no pulse: CPR, maintain airway, epinephrine, defibrillate

Ventricular Fibrillation

Check pulse: CPR, maintain airway, epinephrine, defibrillate