Junctional escape rhythm
40-60
Reg rhythm
QRS normal
NO P wave
Ventricular escape
20-40
Reg rhythm
NO P WAVE
WIDE QRS
PAC
*Normal rate
*IRREGULARLY IRREGULAR RHYTHM
*P waves sometimes hidden
normal pr, qrs
PVC
*Any rate
*Irregular rhythm
*NO P WAVE
PVC IS WIDE QRS, others normal
SVT
V tach
**3+ PVCs in row or 6+ in minute is Vtac
Vtac , must ask
Pulse?
Atrial flutter
A fib
*Rate: atrium = fib Ventricular = vary *IRREGULARLY IRREGULAR *NO P WAVES + FIB *QRS normal
V fib
1st degree heart block
Long PR
2nd degree Type I
Wichebache
*long longer drop
2nd Degree Block Type 2
Bradycardic
Random drops
3rd Degree
Complete ventr atrial dissociation