Atrial Rhythms

Question 1

What is abnormal with atrial rhythms?

Answer 1

P waves!!!

and rate repending

Question 2

What happens to P waves in atrial rhythms?

Answer 2

• flattened
• notched
• lost in QRS

Question 3

What are you looking at with premature atrial contractions?

Answer 3

the P wave

Question 4

What occurs with a premature atrial contraction?

Answer 4

the P wave looks exactly like all the others, but it comes EARLY!!!!

(single beat is early)

Question 5

What would you write on the test about PAC?q

Answer 5

“normal sinus rhythm with a PAC”

Question 6

If there is a PAC every other beat, it is called:

Answer 6

Bigeminy

Question 7

If there is a PAC every third beat, it is called:

Answer 7

Trigeminy

Question 8

With atrial tachycardia, what is abnormal?

Answer 8

the rate!! 150-250

P wave is abnormal

Question 9

With atrial flutter, what is abnormal??

Answer 9

Regularity: can be regular or irregular

Rate: 250-350 (ventricular)
atrial: unable to assess

P wave: SAW TOOTH PATTERN

PRI: unable to assess

Question 10

What do you think of with atrial flutter?

Answer 10

SAW TOOTH appearance

Question 11

Atrial flutter:

regularity?

Answer 11

can be regular or irregular

Question 12

Atrial flutter:

rate?

Answer 12

atrial: unable to assess
ventricular: 250-350

Question 13

Atrial flutter:

P wave?

Answer 13

SAW TOOTH

Question 14

Atrial flutter:

PRI?

Answer 14

“unable to assess”

Question 15

What is abnormal for atrial fibrillation?

Answer 15

it is IRREGULAR

and the rate is MORE THAN 350!!

Question 16

What can you not assess with A-fib?

Why?

Answer 16

P wave

PRI

b/c it is quivering so much

Question 17

How do you know it is A-fib and not Junctional tachycardia?

Answer 17

b/c it is irregular!!!