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To interpret ekg use have a method that listed the following
Rate, rhythm, axis, hypertrophy, and infarction,
Following the system is the key to prevention of missing
Information and findings
The definition of rate is
Measuring rate are beats per minute on the ECG
To figure rate count the number of beats and a
six second strip or 30 boxes and multiplied by 10
Another way to figure rate is to find
An R wave that peaks on a heavy black line and start their. At the next heavy line, start counting 300, 150, 100, 75, 60, 50, for each heavy line. The rate is at the assigned a number where the next R wave fall
Look at the rhythm and ask these questions.
What is the rhythm?
Is a regular or irregular?
To measure the regularity of a rhythm…. Four and atria rhythm measure
P - P intervals
To measure the regularity of a rhythm for ventricle rhythm measure
R - R intervals.
If no R use Q or S
Regular intervals indicate
Regular atrial are ventricle rhythms
Regarding rhythm check to see if these waves are present
P waves
Regarding rhythm … Do the P waves have a
Normal configuration
Regarding rhythm … Is there a
1:1 ratio between P waves in QRS complexes
Regarding rhythm …Do all P waves have similar
Shape and size
Regarding rhythm …Is the PR interval
Constant
Regarding rhythm … Measure the QRS from the end of the PR interval to the end of the
S wave
Regarding rhythm … Is the duration of the QRS
Within normal limits
Regarding rhythm … Are all of that QRS is the same size and
Shape
Regarding rhythm … Does a QRS com after each
P wave
Regarding R wave progression…. Normally the are weight becomes progressively
Taller as you move across the precordial leads
Regarding R wave progression…. The presence of a good are weight progression rules out the following
Left bundle branch block
Anterior MI
Anterior septal MI
Anterior lateral MI
Regarding R wave progression…. poor R wave progression is when the R wave in leads
V1 through V3 - V4 either does not become bigger, or only increases vary slightly in size.
Regarding R wave progression…. Presence of poor R wave progression is associated with
Left ventricular hypertrophy Right ventricular hypertrophy Pulmonary disease Anterior or anterior septal infarction Conduction defects Intra -ventricular conduction delay Cardiomyopathy Chest wall deformity Normal variant Or lead mis-placement
Regarding rhythm and T waves……are T waves..
present
Regarding rhythm and T waves……do they all have a normal
shape