Strip Rate Rhythm P Waves PRI QRS Discussion Atrial Flutter Patient may alternate between a-flutter and a-fib; Varies REG NO--- N/A may be regular or irregular; Or <0.12 typically classified by f-wave “F” distribution; i.e., this strip is IRREG Sec, 3:1—there are 3 f-waves per (Saw =’ QRS complex. Tooth) ~ --Cardioversion; Digoxin; others…. Ventricular Tachycardia >0.12 2 Types: --With or Without a Pulse > 100- N/A N/A Sec, (See PVC’s for more 200 REG =, discussion) -CPR (No Pulse) ~ -Synchronized Cardioversion “Wide -Lidocaine or amiodarone IV & -ACLS! Bizarre” Ventricular Fibrillation (Coarse) N/A 0.12- NONE -CPR -IMMEDIATE 0 NONE 0.20 DEFIBRILLATION sec -ACLS -Epinephrine, others Ventricular Fibrillation (Fine) 0 NONE N/A N/A NONE -CPR -IMMEDIATE DEFIBRILLATION -ACLS -Epinephrine, others Asystole 0 NONE NO N/A NONE -Check the Leads & Patient ! -CPR & ACLS -NON-Shockable Rhythm -Source?? -Epinephrine IV -Atropine IV Strip Rate Rhythm P Waves PRI QRS Discussion Pulseless Electrical Activity (PEA) Varies REG Present,
Strip Rate Rhythm P Waves PRI QRS Discussion Atrial Flutter Varies REG Or IRREG NO--- “F” (Saw Tooth) N/A <0.12 Sec, =’ ~ Patient may alternate between a-flutter and a-fib; may be regular or irregular; typically classified by f-wave distribution; i.e., this strip is 3:1—there are 3 f-waves per QRS complex. --Cardioversion; Digoxin; others…. Ventricular Tachycardia > 100- 200 REG N/A N/A >0.12 Sec, =, ~ “Wide & Bizarre” 2 Types: --With or Without a Pulse (See PVC’s for more discussion) -CPR (No Pulse) -Synchronized Cardioversion -Lidocaine or amiodarone IV -ACLS! Ventricular Fibrillation (Coarse) 0 NONE N/A 0.12- 0.20 sec NONE -CPR -IMMEDIATE DEFIBRILLATION -ACLS -Epinephrine, others Ventricular Fibrillation (Fine) 0 NONE N/A N/A NONE -CPR -IMMEDIATE DEFIBRILLATION -ACLS -Epinephrine, others Asystole 0 NONE NO N/A NONE -Check the Leads & Patient ! -CPR & ACLS -NON-Shockable Rhythm -Source?? -Epinephrine IV -Atropine IV Strip Rate Rhythm P Waves PRI QRS Discussion Pulseless Electrical Activity (PEA) Varies REG Present,
EKG+RHYTHMS--From+Order+to+Chaos+2010.docx