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Relias Dysrhythmia Basic A qns and ans, Study notes of Nursing

Normal sinus rhythm RegularRate: 60-100P Wave: Present, uprightPR Interval: 0.12-0.20 secQRS: <0.12 sec

Typology: Study notes

2024/2025

Available from 03/14/2025

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Relias Dysrhythmia Basic A
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Relias Dysrhythmia Basic A Questions, Answers,
Examples and Graphs. Reviewed and Approved.
1. Normal sinus rhythm
Regular
Rate: 60-100
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
2. Sinus Bradycardia
Regular
Rate: <60
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
3. Sinus Tachycardia
Regular
Rate: 100-150
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
pf3
pf4
pf5
pf8
pf9
pfa
pfd

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Relias Dysrhythmia Basic A Questions, Answers,

Examples and Graphs. Reviewed and Approved.

1. Normal sinus rhythm Regular Rate: 60- P Wave: Present, upright PR Interval: 0.12-0.20 sec QRS: <0.12 sec 2. Sinus Bradycardia Regular Rate: < P Wave: Present, upright PR Interval: 0.12-0.20 sec QRS: <0.12 sec 3. Sinus Tachycardia Regular Rate: 100- P Wave: Present, upright PR Interval: 0.12-0.20 sec QRS: <0.12 sec

4. Premature Atrial Contraction IRREGULAR Rate: depends on underlying rhythm P wave: Present or hidden in T wave PR Interval: 0.12-0.20 sec QRS: <0.12 sec 5. Atrial Fibrillation IRREGULAR Atrial rate: UNMEASURABLE Ventricular rate: variable P wave: unable to see PR Interval: N/A QRS: <0.12 sec 6. A fib RVR IRREGULAR Ventricular rate: 100- P wave: unable to see

PR Interval: None or <0. QRS: <0.12 sec 10.Accelerated Junctional Rhythm Regular Rate: 60- P Wave: NONE or INVERTED PR Interval: None or <0. QRS: <0.12 sec 11.Junctional Tachycardia Regular Rate: > P Wave: NONE or INVERTED PR Interval: None or <0. QRS: <0.12 sec 12.Premature Ventricular Contraction IRREGULAR Rate: refer to underlying rhythm P Wave: NONE

PR Interval: N/A QRS: WIDE and BIZARRE , >0.12 sec 13.Ventricular Tachycardia Regular Rate: > P Wave: NONE PR Interval: N/A QRS: WIDE and BIZARRE, >0.12 sec 14.Ventricular Fibrillation Chaotic Coarse: big waves Fine: small waves Rate: unmeasurable P Wave: NONE PR Interval: N/A QRS: N/A 15.Idioventricular

18.2nd Degree AV Block Type I Mobitz, Wenckebach IRREGULAR Rate: 60- P wave: Present, upright PR Interval: Progressively longer until drop (PR interval longer and longer until drop) QRS: <0.12 sec Husband stays late till 9, then 11, then 1, then doesn't come home at all 19.2nd Degree AV Block Type II Irregular or regular Rate: < P wave: Present, upright PR Interval: PR interval consistently LONGER like type 1 but then a QRS will drop QRS: <0.12 sec Husband stays late till 9 consistently, then wife goes out and doesn't come home 20.3rd Degree AV Block Atrials and ventricles don't communicate Rate: regular atrial

P wave: Present, upright No relationship between P waves and QRS PR Interval: VARIABLE QRS: variable P-P ad R-R consistent but NO correlation Husband and wife live separate lives and don't communicate 21.SA Node 1st 60- 22.AV Node 2nd 40- 23.Bundle of His 3rd 40- 24.Right and Left Bundle Branches 4th 40- 25.Purkinje Fibers 5th 20-

33.Unifocal PVCs Only 1 shape PVC 34.Bigeminy PVC occurs every OTHER beat 35.Trigeminy PVC occurs every THIRD beat 36.Couplet 2 PVCs together 37.Triplet 3 PVCs together 38.Multifocal Multiple shapes 39.Monomorphic V Tach Same Shapes V Tach 40.Polymorphic V Tach Different Shapes V tach

41.Coarse V Fib Chopy but not as high as polymorphic V tach 42.Fine V Fib Fine and fibrillatory 43.Idioventricular Rhythms Only purkinje fibers firing WIDE QRS always 44.Atrially Paced Spike comes before P 45.Ventricularly Paced Spike comes before QRS and QRS will be wide 46.AV Paced Spike before P and before QR 47.Failure to Capture Spikes with no QRS

52.Only Purkinje Fibers Firing Rhythms (Everything else has failed)

  • Fires normally @ 40-
  • -Junctional rhythm 40-
  • -Accelerated junctional rhythm 60-
  • -Junctional tachycardia 100-
  • Fires normally @ 20-
  • -Idioventricular 20-
  • -Accelerated idioventricular 50-