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It contains a chart of dysrhythmias and heart blocks. It includes the dysrhythmia type, rate/rhythm, p wave type, pr interval, QRS complex, and treatment
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Dysrhythmia Rate/Rhythm P Wave PR Interval (0.12-0.2)
Complex (< 0.12) Treatment Visual NSR 60 - 100 bpm, regular Normal Normal Normal N/A Sinus Bradycardia <60 bpm, regular Normal Normal Normal Determine cause, review current rx Sinus Tachycardia 101 - 200 bpm, regular Normal Normal Normal Determine underlying cause (caffeine), B blockers PSVT/SVT 150 - 220 bpm, regular Abn, may be hidden in T wave Normal or shortened Normal Determine underlying cause, bear down, vagal massage, cardioversion, review current rx Atrial Flutter > or < 100 bpm and may be irregular or regular F waves (sawtooth pattern) N/A Normal Amiodarone, cardioversion, B blockers, antioag Atrial Fibrillation
or < 100 bpm and may be irregular or regular F waves N/A Normal Depends on onset, B blockerse, Coumadin, cardioversion
1° Block Normal, regular Normal >0.2 s Normal Monitor, check current rx 3° Block 20 - 60 bpm, regular Normal, no connection to QRS complex (marching P waves) Variable Normal or widened, no relationship with P waves Medical emergency, transcutaneous pacer, contact physician PEA CPR, drug therapy (IV epinephrine), intubation, atropine Ventricular Tachycardia 150 - 250 bpm, regular or irregular Not usually visible N/A Wide, distorted Pulse? Amiodarone, lidocaine, look for underlying cause No pulse? Defib Ventricular Fibrillation Not measureable and irregular Absent N/A Not measurable Defib