Interpreting heart rhythm strips

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Take this question quiz to test your rhythm strip interpretation skills. Please review each Rhythm Strip and select your answer from the choices provided. You must complete all of the questions in order to view your results.

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For many nursing students and new nurses EKG interpretation can be intimidating, to say the least. I remember my first day as a nurse in the ICU. To say that I was overwhelmed is a pretty big understatement.

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Rhythm analysis using a 5 step method will be practiced in this section. Analyze tracings in the following order. Toggle Menu EKG.

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Confirm the name and date of birth of the patient matches the details on the ECG. Hint: If there are obviously P-waves present, check the ventricular rate and the atrial rate. The rates will be the same if there is AV conduction. Mark out several consecutive R-R intervals on a piece of paper, then move them along the rhythm strip to check if the subsequent intervals are the same.

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It is a quick and painless procedure. EKGs captures a tracing of cardiac electrical impulse as it moves from the atrium to the ventricles. These electrical impulses cause the heart to contract and pump blood.

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These are the comments I hear over and over again prior to teaching ACLS classes, both original and recertification. Many people are intimidated by EKGs and unclear on the proper way to interpret a dysrhythmia in lead II. This basic review may benefit others as well.

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For each cardiac rhythm category we provide one or more ECG tracings. A synopsis of the cardiac rhythm dysrhythmia is provided and electronic calipers can be used to study each tracing. A basic EKG course is available using the link below. Essential ECG features are explained along with step-by-step analysis techniques.

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Make EMS1 your homepage. Consistently following a process to analyze a patient's ECG will help you correctly identify their cardiac rhythm. ECG interpretation, using a step-by-step process, ensures we always provide the best patient care.

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Accuracy of cardiac monitoring electrode placement, lead selection, interval assessment, and rhythm interpretation is an important component of patient safety in hospitalized patients who meet the criteria for dysrhythmia monitoring. Quality dysrhythmia monitoring requires nurses to have high levels of knowledge and skill for accuracy and effective clinical decision-making. Gaps in practice related to dysrhythmia monitoring have been documented.

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