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Let’s Practice!For each practice strip, use the 6 step approach to identify: Rate, Rhythm, P-R interval, QRS complex, QT interval, and P-wave characteristicsRate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened?0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation: ______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened?0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 or widened? 0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened?0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened?0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened?0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________Rate_______________ Rhythm_______________ P-R Interval______________ Tachy/Brady/Normal? Regular/Irregular? 0.12-0.20 sec?QRS complex______________________ QT Interval________________________ 0.04 – 0.10 sec or widened?0.36 – 0.44 sec? Every QRS looks the same?P-Wave (upright? Precedes every QRS?)__________________________________Interpretation:_______________________________________________________ResourcesEKG Arrhythmia Practice Drill Academy Success, Education, Opportunity (SEO) Heart Blocks video Workout (workbook)Huff, J. (1997).?ECG workout: Exercises in arrhythmia interpretation. Philadelphia: Lippincott.Aehlert, B. (2002). ECGs made easy (2nd ed.). St. Louis: Mosby. ................
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