Download EKG Practice Strips File

Rhythm
40-59 bpm
sinus
normal (.06-.12)
P-R normal or slightly
prolonged at slower rates
regular or slightly irregular
Rate
P wave
QRS
Conduction
Rhythm
101-160/min
sinus
normal
normal
regular or slightly
Rate
P wave
QRS
Conduction
Developed by C. Doyle 11/10
Rate
P wave
QRS
Conduction
Rhythm
Symptoms
Developed by C. Doyle 11/10
atrial 250-350/min; ventricular
conduction depends on the
capability of the AV junction
(usually rate of 150-175 bpm).
not present; usually a "saw
tooth" pattern is present.
normal
2:1 atrial to ventricular most
common.
usually regular, but can be
irregular if the AV block
varies.
palpitations, rapid heart rate,
chest pain, shortness of breath,
lightheadedness, fatigue, and
low blood pressure.
Rate
P wave
QRS
Conduction
Rhythm
Developed by C. Doyle 11/10
variable
usually obscured by the QRS,
PST or T wave of the PVC
wide > 0.12 seconds;
morphology is bizarre with the
ST segment and the T wave
opposite in polarity. May be
multifocal and exhibit different
morphologies.
the impulse originates below
the branching portion of the
Bundle of His; full
compensatory pause is
characteristic.
irregular. PVC's may occur in
singles, couplets or triplets; or
in bigeminy, trigeminy or
quadrigeminy
Rate
P wave
QRS
Conduction
Rhythm
Rate
P wave
QRS
Conduction
Rhythm
Developed by C. Doyle 11/10
usually between 100 to
220/bpm, but can be as rapid as
250/bpm
obscured if present and are
unrelated to the QRS
complexes.
wide and bizarre morphology
as with PVCs
three or more ventricular beats
in a row; may be regular or
irregular.
unattainable
may be present, but obscured
by ventricular waves
not apparent
chaotic electrical activity
chaotic electrical activity
Rate
P wave
QRS
Conduction
Rhythm
none
may be seen, but there is no
ventricular response
none
none
none
http://www.rnceus.com/course_frame.asp?exam_id=16&directory=ekg
EKG Rhythm Recognition Practice Test
Developed by C. Doyle 11/10
1.
A. Sinus Bradycardia
B. Normal Sinus Rhythm
C. Bundle Branch Block
D. First degree AV block
Rate
P Wave
PR Interval
A.
B.
C.
D.
Atrial Flutter
Sinus Tachycadia
SVT
Ventricular Tacycardia
Rate
P Wave
PR Interval
A.
B.
C.
D.
Normal Sinus Rhythm
Second Degree Heart Block type 1
NSR with Mulit Focal PVC’s
Venticular Fibrillation
A.
B.
C.
D.
Second Degree Heart Block Type 1
Second Degree Heart Block type 2
Sinus Bradycardia
Normal Sinus Rhythm
A.
B.
C.
D.
Third Degree Heart Block
Sinus Bradycardia
Junctional Rhythm
Normal Sinus Rhythm with PVC’s
2.
3.
Rate
P Wave
PR Interval
4.
Rate
P Wave
PR Interval
5.
Developed by C. Doyle 11/10
Rate
P Wave
PR Interval
6.
A.
B.
C.
D.
Artifact
Atrial Fibrillation
Atrial Flutter
Ventricular Fibrillation
Rate
P Wave
PR Interval
A.
B.
C.
D.
Atrial Flutter
Atrial Fibrillation
SVT
Normal Sinus Rhythm
Rate
P Wave
PR Interval
A.
B.
C.
D.
Normal Sinus Rhythm
NSR with 1st Degree AV Block
Bundle Branch Block
Ventricular Tachycardia
A.
B.
C.
D.
NSR with bundle branch block
Third Degree Heart Block
Ventricular Tachycardia
Normal Sinus Rhythm
7.
8.
Rate
P Wave
PR Interval
9.
Rate
P Wave
PR Interval
10.
A. Asystole
B. Fine Ventricular Fibrillation
C. Normal Sinus Rhythm
D. Slow Junctional Rhythm
Developed by C. Doyle 11/10
Rate
P Wave
PR Interval
11.
A.
B.
C.
D.
Artifact
Torsades de Pointes
Ventricular Fibrillation
Normal Sinus Rhythm
Rate
P Wave
PR Interval
A.
B.
C.
D.
Ventricular Tachycardia
Ventricular Fibrillation
Artifact
Normal Sinus Rhythm with PVC’s
Rate
P Wave
PR Interval
A.
B.
C.
D.
Sinus Bradycardia
Normal Sinus Rhythm
Junctional Rhythm
1st Degree Heart Block
12.
13.
http://www.aces4hearts.com/EKGs.htm
Developed by C. Doyle 11/10
Rate
P Wave
PR Interval
References
EKG rhythm recognition practice test (n.d.). In American cardiac education specialist. Retrieved
from http://www.aces4hearts.com/EKGs.htm
EKG strip identification and evaluation (1999). In RNCEUS.com. Retrieved from
http://www.rnceus.com/course_frame.asp?exam_id=16&directory=ekg
Developed by C. Doyle 11/10