EKG Interpretation

Question 1

Sinus Bradycardia TX

Answer 1

Atropine

Question 2

Sinus Tachycardia

Answer 2

Fix the cause

Question 3

1st Degree HB

Answer 3

PR interval >.20 secs or 5 small boxes

-Fix cause
-If extreme - pacing

Question 4

2nd Degree HB type 1

Answer 4

-Not a QRS for every P wave
-PR interval Longer, Longer, Longer… Drop

Fix cause

If symptomatic - pacing

Question 5

2nd Degree HB type 2

Answer 5

-Not a QRS for every P wave
-PR interval: 0.12 - 0.20 (3-5 small boxes)

Fix the cause
Pacing

Question 6

3rd Degree HB

Answer 6

PR interval Variable

Pacing

Question 7

If the R is far from P, then you

Answer 7

have a First Degree

Question 8

Longer, longer, longer, drop-

Answer 8

then you have a WENCKEBACH.
2nd D type1

Question 9

If some Ps don’t go through,

Answer 9

then you have a MOBITZ II.

2nd D type2

Question 10

If Ps and Qs disagree, then you

Answer 10

have a THIRD DEGREE.

Question 11

Atrial Flutter

Answer 11

P-wave: “saw-tooth”
PR Interval: none
QRS: <0.12
Atrial Rate: 250-400
Ventricular Rate: Varies
Regularity: Regular or Irregular

Question 12

Atrial Flutter TX

Answer 12

-Fix the cause
-Cardioversion
-Pacing
-Antiarrhythmics: amiodarone
-B-blockers: metoprolol
-Ca-channel blockers: diltiazem

Question 13

Atrial Fibrillation

Answer 13

P-wave: ‘wavy’
PR Interval: none
QRS: <0.12
Atrial Rate: >400
Ventricular rate: Varies
Regularity: irregular

Question 14

Atrial Fibrillation TX

Answer 14

-Fix the cause
-Cardioversion
-Antiarrhythmics: amiodarone
-B-blockers: metoprolol
-Surgery: ablation

Question 15

SVT

Answer 15

P-wave: hidden
PR Interval: immeasurable
QRS: <0.12
Rate: 150-250
Regularity: Regular

Question 16

SVT TX

Answer 16

-Fix cause
-Cardioversion
- Adenosine

Question 17

Ventricular Tachycardia

Answer 17

P-wave: none
PR Interval: none
QRS: >0.11 - ‘wide & bizarre’
Rate: 150-250
Regularity: Regular

Question 18

Ventricular Tachycardia TX

Answer 18

-Fix the cause
-Pulse: cardioversion
-NO pulse: CPR, DEFIBRILATE, EPInephrine

Question 19

Ventricular Fibrillation

Answer 19

P-wave: none
PR Interval: none
QRS: none
Rate: none
Regularity: Irregular

Question 20

Ventricular Fibrillation TX

Answer 20

-Fix Cause
-CPR
-Defibrillate
-Epinephrine

Question 21

Asystole TX

Answer 21

-Fix the Cause
-CPR
-Epinephrine

Question 22

Amiodarone

Answer 22

Rapid push close to the heart
warn family will see asystole

Question 23

Adenosine

Answer 23

SVT

Question 24

Atropine

Answer 24

Bradycardia