ECG Strip Ease: An Arrhythmia Interpretation Workbook by Springhouse

By Springhouse

This ECG workbook supplies nurses and nursing scholars the chance to perform and excellent their rhythm interpretation talents on greater than six hundred lifelike ECG strips. Introductory textual content deals a refresher on cardiac anatomy and body structure and ECG basics—electrophysiology, waveforms, lead placement, and steps in interpretation. next chapters offer in-depth assurance of every kind of arrhythmia, pacemakers, and 12-lead ECGs, with ratings of perform strips in each one bankruptcy. A finished posttest gauges the power to interpret ECGs and distinguish between arrhythmia forms. The booklet comes with a laminated ruler and expense calculator that doubles as a bookmark.

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Sample text

Using the same method, measure the distance between P waves (the P-P interval) to determine whether the atrial rhythm is regular or irregular. Caliper method Ⅵ Ⅵ Ⅵ Ⅵ Ⅵ 25 With the ECG on a flat surface, place one point of the calipers on the peak of the first R wave of two consecutive QRS complexes. Adjust the caliper legs so the other point is on the peak of the next R wave, as shown below. This distance is the R-R interval. Pivot the first point of the calipers toward the third R wave, and note whether it falls on the peak of that wave.

Estimate the ventricular rate the same way, using the R wave. ) Calculating heart rate This table can help make the sequencing method of determining heart rate more precise. After counting the number of boxes between the R waves, use this table to find the rate. For example, if you count 20 small blocks, or 4 large blocks, the rate would be 75 beats/minute. To calculate the atrial rate, use the same method with P waves instead of R waves. Rapid estimation This rapid-rate calculation is also called the countdown method.

ECG paper is marked in increments of 3 seconds, or 15 large boxes. To calculate the atrial rate, obtain a 6-second strip, count the number of P waves on it, and multiply by 10. Ten 6-second strips equal 1 minute. Calculate ventricular rate the same way, using the R waves. Ⅵ 1,500 method: If the heart rhythm is regular, use the second method—the 1,500 method, so named because 1,500 small squares equal 1 minute. Count the number of small squares between identical points on two consecutive P waves, and then divide 1,500 by that number to get the atrial rate.

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