Ekg Quiz 1 Arrhythmia Recognition

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EKG arrhythmia (dysrhythmia) recognition quiz and game.

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Ekg Quiz 1 Arrhythmia Recognition

  1. 1. EKG Rhythm Quiz 1 – Rhythm RecognitionFabulous Nurse Magazine
  2. 2. A Fabulous Nurse Magazine andHarrington Educational Partners Production © 2012 All Rights Reserved
  3. 3. EKG EKG EKG EKG EKGRhythm 1 Rhythm 1 Rhythm 1 Rhythm 1 Rhythm 1Recognition Recognition Recognition Recognition Recognition $100 $100 $100 $100 $100 $200 $200 $200 $200 $200 $300 $300 $300 $300 $300 $400 $400 $400 $400 $400 $500 $500 $500 $500 $500
  4. 4. Your patient’s HR is 60 beats/min. The rhythm is regular with one “P” wave for each “QRS.” PR interval is .18 and QRS width is .10. What is your patient’s rhythm?Return to Main Board Answer
  5. 5. Normal Sinus Rhythm Return to Main Board
  6. 6. What does a QRS >0.10 denote?Return to Main Board Answer
  7. 7. Bundle Branch Block Return to Main Board
  8. 8. This rhythm may be regular or irregular depending on conduction ratio. Hallmark sign is a pattern of multiple “sawtooth” p waves to each QRS.Return to Main Board Answer
  9. 9. Atrial Flutter Return to Main Board
  10. 10. An atrioventricular rhythm in which the PR interval progressively lengthens until QRS is dropped.Return to Main Board Answer
  11. 11. 2* AVB Type 1 aka Wenckebach Return to Main Board
  12. 12. A shockable rhythm with no well defined QRS. Totally disorganized electrical activity which may be fine or coarse. Never presents with a pulse.Return to Main Board Answer
  13. 13. Ventricular Fibrillation Return to Main Board
  14. 14. Regular rhythm. Normal QRS. One p wave per QRS. PR interval > 0.20Return to Main Board Answer
  15. 15. First Degree AV Block (1* AVB) Return to Main Board
  16. 16. Ventricular rhythm. Wide complex QRS. Heart rate 30-40.Return to Main Board Answer
  17. 17. Idioventricular Rhythm (IVR) Return to Main Board
  18. 18. Early escape beat. Wide complex QRS. QRS unlike the rest of patient’s rhythm.Return to Main Board Answer
  19. 19. Premature Ventricular Contraction (PVC) Return to Main Board
  20. 20. Rhythm charcaterized by a total absence of ventricular activity.Return to Main Board Answer
  21. 21. Asystole Return to Main Board
  22. 22. This rhythm originates from the SA node. Is slightly irregular fluctuating with patient’s respirations.Return to Main Board Answer
  23. 23. Sinus Arryhthmia Return to Main Board
  24. 24. Irregular R-R interval. Atrial rate >350. P wave not discernible.Return to Main Board Answer
  25. 25. Atrial Fibrillation Return to Main Board
  26. 26. Originates from SA node. Regular ventricular and atrial rhythm. Heart rate < 60.Return to Main Board Answer
  27. 27. Sinus Bradycardia Return to Main Board
  28. 28. Early “P” wave followed by narrow complex QRS. PR interval normal.Return to Main Board Answer
  29. 29. Premature Atrial Contraction (PAC) Return to Main Board
  30. 30. Wide complex rhythm originating from the ventricles. Rate 140 – 200. Can present with or without a pulse.Return to Main Board Answer
  31. 31. Ventricular Tachycardia Return to Main Board
  32. 32. AV nodal rhythm. Narrow complex. PR <0.12. P wave may be inverted and/or seen after the QRS. Regular R-R HR 40-60Return to Main Board Answer
  33. 33. Junctional Rhythm Return to Main Board
  34. 34. Spikes precede atrial and/or ventricular beats.Return to Main Board Answer
  35. 35. Pacemaker Rhythm Return to Main Board
  36. 36. AV nodal rhythm. Narrow complex. PR <0.12. P wave may be inverted and/or seen after the QRS. Regular R-R HR 60-140Return to Main Board Answer
  37. 37. Accelerated Junctional Rhythm orJunctional Tachycardia Return to Main Board
  38. 38. Regular R-R. P waves march out. QRS may be wide or narrow. More Ps than QRSs.Return to Main Board Answer
  39. 39. Second Degree AV Block Type II or Mobitz II Return to Main Board
  40. 40. Normal QRS and PR interval. Regular ventricular and atrial rhythm. HR >100Return to Main Board Answer
  41. 41. Sinus Tachycardia Return to Main Board
  42. 42. Originates from Atrium. Unable to measure PR interval. QRS normal. Regular atrial and ventricular rhythm. HR 150-250Return to Main Board Answer
  43. 43. Atrial Tachycardia Return to Main Board
  44. 44. Early beat originating from the AV node. PR interval <0.12. Or no P wave before QRS.Return to Main Board Answer
  45. 45. Premature Junctional Contraction Return to Main Board
  46. 46. Organized rhythm on the monitor with no palpable pulse.Return to Main Board Answer
  47. 47. Pulseless Electrical Activity (PEA) Return to Main Board
  48. 48. Ventricular rhythm. Wide complex QRS. Heart rate 60-100.Return to Main Board Answer
  49. 49. Accelerated Idioventricular Rhythm Return to Main Board
  50. 50. SA node ceases to pace. An automaticity focus escapes to become the permanent pacer maintaining patient’s inherent rate.Return to Main Board Answer
  51. 51. Sinus Arrest Return to Main Board
  52. 52. Total block of conduction to the ventricles. P waves have no relationship to QRS. Ventricular rate usually < 40.Return to Main Board Answer
  53. 53. Complete Heart Block (3* AVB) Return to Main Board
  54. 54. To play more games and try other fun learning tools visit the Fabulous Nurse Magazine website. Fabulous Nurse Magazinewww.fabulousnurse.com © 2012 All Rights Reserved
  55. 55. Fabulous Nurse Magazinewww.fabulousnurse.com © 2012 All Rights Reserved

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