Practice EKG Strips (Sherri) w/ Answers/Evaluations

(Sinus Bradycardia with) First Degree Heart Block

P wave: yes

QRS after P? yes, and narrow complex

PRI: .44 ***

Rhythm: Regular

Rate: 50

(Atrial Fibrillation) Wandering Atrial Pacemaker (?)

P wave: variable

QRS after P? no, and narrow complex

PRI: varies

Rhythm: Irregular

Rate: (V) 70

Normal Sinus Rhythm with a PVC (? PJC since QRS .12, most likely PVC)

P wave: yes, except 2nd beat

QRS after P? yes, and narrow complex except 2nd beat

PRI: .18 when +

Rhythm: Regular underlying

Rate: 80

Ventricular Fibrillation (DEFIBRILLATE!)

P wave: no

QRS after P? n/a

PRI: unable

Rhythm: Irregular

Rate: unable

Atrial Fibrillation

P wave: ?

QRS after P? no, and narrow complex

PRI: unable

Rhythm: Irregular

Rate: 70 (V)

Atrial Fibrillation

P wave: variable

QRS after P? no, and narrow complex

PRI: unable

Rhythm: Irregular

Rate: 90 (V)

Third Degree (Complete) Heart Block

P wave: yes

QRS after P? no, and wide complex

PRI: unable

Rhythm: Regular

Rate: 40 (V), 110 (A)

Ventricular Tachycardia (PULSE???)

P wave: no

QRS after P? n/a and wide complex

PRI: n/a

Rhythm: Regular

Rate: 150 (V)

Normal Sinus Rhythm with a PJC

P wave: yes except 1

QRS after P? yes, and narrow complex

PRI: .16

Rhythm: Regular except premature beat

Rate: 70

Accelerated Junctional Rhythm (junctional inherent rate=40-60)

P wave: no

QRS after P? n/a and narrow complex

PRI: unable

Rhythm: Regular

Rate: 70 (V)

Idioventricular Rhythm

P wave: no

QRS after P? n/a, and wide complex

PRI: unable

Rhythm: Irregular

Rate: 30 (V)

Sinus Bradycardia with a PJC (& 1st degree HB)

P wave: yes except 1

QRS after P? yes, and narrow complex

PRI: .24**

Rhythm: Regular underlying with premature contraction

Rate: 40

(NSR with) ST Segment Elevation

P wave: yes

QRS after P? : yes, and narrow complex

PRI: .16-.18

Rhythm: Regular

Rate: 80

(NSR with) ST Segment Depression

P wave: yes

QRS after P? : yes, and narrow complex

PRI: .18-.20

Rhythm: Regular

Rate: 60

(NSR with) ST Segment Depression

P wave: yes

QRS after P? : yes, and narrow complex

PRI: .16-.18

Rhythm: Regular

Rate: 80

(NSR with) PVC's in Trigeminy

P wave: yes & no

QRS after P? : yes, and narrow complex if they follow, otherwise wide

PRI: .16 when present

Rhythm: Pattern

Rate: ~80

Normal Sinus Rhythm with 2 PAC's

P wave: yes, different

QRS after P? yes, and narrow complex

PRI: most .18

Rhythm: Irregular

Rate: 80

Atrial Flutter

P wave: yes

QRS after P? no, and narrow complex

PRI: unable/variable

Rhythm: Irregular

Rate: 90 (V)

Atrial Flutter

P wave: yes

QRS after P? no, and narrow complex

PRI: unable/variable

Rhythm: Reg Irreg (Pattern)

Rate: 65-70 (V)

Normal Sinus Rhythm with 2 PJC's

P wave: yes except 2

QRS after P? yes, and narrow complex

PRI: .20 if present

Rhythm: Regular except premature beats

Rate: 75-80

Sinus Arrhythmia (speeds up then slows down)

P wave: yes but vary

QRS after P? yes, and narrow complex

PRI: .20 but variable

Rhythm: Irregular

Rate: 70-80

Third Degree Heart Block

P wave: yes

QRS after P? no, and wide complex

PRI: unable

Rhythm: Regular

Rate: 40 (A) 20 (V)

NSR to Sinus Bradycardia with multifocal PVC's (couplet)

P wave: yes except 2

QRS after P? yes, and narrow complex except 2

PRI: .20

Rhythm: Regular underlying

Rate: 50

Sinus Tachycardia

P wave: yes

QRS after P? yes, and narrow complex

PRI: .12

Rhythm: Regular

Rate: 150

PVC's in Bigeminy

P wave: varies

QRS after P? yes, and narrow complex when present/others wide complex

PRI: .16 when present

Rhythm: Pattern

Rate: 80

Single Chamber Pacemaker with Failure to Capture

P wave: no

QRS after P? no, and wide complex

PRI: unable

Rhythm: Irregular

Rate: pacer rate 80