1 Identify each rhythm 2 Give rationale for whyhow you ident

1. Identify each rhythm 2. Give rationale for why/how you identified the rhythm 3. List the treatment for the identified rhythm A. ww.prectic ielincasHils cbnm Rhythm: Rationale: Treatment:

Solution

Rhythm: Atrial flutter

Atrial flutter occurs in the atrium and creates impulses at an atrial rate between 250-400 times per minute. Because the atrial rhythm is faster than the AV node can conduct, not all atrial impulses are conducted into the ventricle, causing therapeutic block at the AV node.

Rationale:

1. Calculate the heart rate:

Ventricular rate =75 per minute.

Rationale 7.5 R-R intervals multiply by 10 = 75 beats per minute or 300 is divided by number of large squares between R-R interval

Atrial Rate = 280 per min.

Rationale: the number of flutter waves in 6 seconds multiply by 10.

2. Determine the rhythm

Ventricular rhythm is Regular.

Rationale: R-R interval is regular.

3. Examine p wave

P wave saw-toothed shape and referred as F wave.

P: QRS ratio: 4:1 number of flutter waves to each of the QRS complex.

4. Measure the QRS complex

Count the number of small squares and multiply by 0.04.

1*0.04 = 0.04. QRS complex is normal (0.0 4-0.08).

Treatment: