| October 19 - October 23: EKG Leading Review, Introducing Junctional Rhythms OBJECTIVES: Be able to correctly indentify and interpret all sinus rhythms and atrial rhythms learned in class so far Be able to correct identify and interpret the PAC Be able to correct identify and interpret a junctional rhythm, accelerated junctional rhythm, and junctional tachycardia Class, Please download the EXAM FIRST. We are working through MOST Exam questions in the YOUTUBE video lectures. Click Here to Download Exam 3 Part B due Friday Oct. 23 by 12 Midnight CLICK the links below and PRINT Worksheets #1, #2, #3, and #4 (OK to do this first for all of these Worksheets) Please CLICK this link and PRINT Worksheet #1 Please CLICK this link and PRINT Worksheet #2 Please CLICK this link and PRINT Worksheet #3 Please CLICK this link and PRINT Worksheet #4 Note to Class: There are 2 Youtube Videos with this Week (see below): Please DOWNLOAD Worksheet #1 (see above) and interpret 12 lead A and B. |
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| Junctional Rhythms Overview | ||||||||
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| Note the Different Names of Junctional Rhythms, All determined by Heart Rate | ||||||||
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| Below are some examples of Junctional Rhythms with Hidden 'P' waves, Inverted 'P' waves, and 'P' waves after QRS complex | ||||||||
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| Introducing the Premature Atrial Contaction (PAC) | ||||||||
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| CLASS, REMENDER YOU REPORT THE UNDERLYING RHYTHM, RATE, P WAVES, PRI AND QRS TO THE LEFT (i.e., BEFORE) OF THE PAC! THEN STATE WHERE THE PAC IS; IN THIS CASE IT IS THE 7th COMPLEX. | ||||||||
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| Paroxysmal Rhythms Review | ||||||||
| Paroxysmal means sudden onset. In class, whenever you see a rhythm 'suddenly' get significantly faster (100 b/min or faster) this is a paroxysmal rhythm. For class, we will ONLY identify a paroxysmal rhythm when we see it (like below). Often times our textbook author will say this is a 'paroxysmal rhythm', meaning the author wanted you to know it suddenly happened. | ||||||||
| For the interpretation. Interpret a paroxysmal rhythm like TWO rhythms. Interpret the FIRST rhythm and then the Paroxysmal rhythm. Interpet like below: NSR into paroxysmal atrial tachycardia. | ||||||||
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| With atrial flutter the 'P' waves are 'flutter' waves. The PRI is indeterminate. Note the 'Flutter' or 'F' waves. They often look like a 'saw tooth' as well. Baseline is absent. Report the F wave to QRS ratio. If not a consistent ratio it is called Atrial Flutter with Variable AV conduction (as seen above). | ||||||||
| Examples of Atrial Flutter | ||||||||
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| Exam 3 Part B: Click here to get questions: Exam is due by 12midnight on Oct 23. No late papers accepted. | ||||||||
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