| October 26 - October 30: EKG Update Review Part 1 and 2, Introducing the Premature Junctional Contraction (PJC), Sinus Block and Sinus Arrest OBJECTIVES: Be able to correctly indentify and interpret all sinus rhythms, atrial rhythms and junctional rhythms learned in class so far Be able to correctly identify and interpret the PAC Be able to correctly identify and interpret the premature junctional contraction (PJC) Be able to correctly identify and interpret a sinus block and a sinus arrest 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 C due Friday Oct. 30 by 12 Midnight Note to Class: There are 4 Youtube Videos with this Week (see below...work through this page to the Sinus Block and Sinus Arrest YOUTUBE videos): Please watch EKG Update Review Part 1 and Part 2 YOUTUBE videos. Click here for the EKG Update Review Part 1 YOUTUBE lecture video Click here for the EKG Update Review Part 2 YOUTUBE lecture video Please CLICK this link and PRINT Worksheet #1 I want you to interpret Worksheet #1 on YOUR OWN. This will give me feedback on how you are doing with your EKG interpretations. Suggest you do AFTER going over the Part 1 and Part 2 reviews Class, here is the same Junctional Rhythm Worksheet you used last week (just as a reference sheet for you) Please CLICK this link and PRINT Worksheet #2 (Junctional Rhythm worksheet) Click here for the Introducing the PJC YOUTUBE lecture video |
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Click here for the Sinus Block and Sinus Arrest YOUTUBE lecture video Please CLICK this link and PRINT Worksheet #3 |
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| With SA Block the R-R interval measurement is within plus or minus 2 small boxes. Here is how you report a rhythm with a sinus block: NSR with a Sinus Block. Note how you do NOT have to state where the block is. | ||||||||
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| With SA Arrest the R-R interval measurement is greater than plus or minus 2 small boxes. Here is how you report a rhythm with a sinus arrest: NSR with a Sinus Arrest. Note how you do NOT have to state where the arrest is. | ||||||||
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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). | ||||||||
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| Exam 3 Part C: Click here to get questions: Exam is due by 12midnight on Oct 30. No late papers accepted. | ||||||||
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