Reading Cardiac Sinus Rhythm strips

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    i have heard that on the NCLEX some people have gotten cardiac sinus rhythm strips and have been asked to identify the rhythm. i am okay with normal, bradycardia and tachycardia, but there are ones that drive me nuts such as Tordade De Pointes. how would one be expected to read and identify the pqrst waves in that. i can see the NCLEX asking what interventions would be used, but not about how to read some of these complex strips. Can anyone please advise, am i wrong to think this?
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    Good Lord! I don't even know what that is!! To be honest, I think the NCLEX will focus on pretty basic things. Mine sure did. I think if you get something like that, it would ask you either for your intervention or to identify it's a regular rhythm or not. I can't see the NCLEX getting too specific because there are things that only specilized nurses are able to identify. Mine was pretty basic, and I passed. Good luck!
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    Quote from mitexas4
    i have heard that on the NCLEX some people have gotten cardiac sinus rhythm strips and have been asked to identify the rhythm. i am okay with normal, bradycardia and tachycardia, but there are ones that drive me nuts such as Tordade De Pointes. how would one be expected to read and identify the pqrst waves in that. i can see the NCLEX asking what interventions would be used, but not about how to read some of these complex strips. Can anyone please advise, am i wrong to think this?
    It's not Tordade, it is Torsades de pointes (maybe you made a typo).
    It could look like vtach, but as you can see, the waves go up and then down.

    Kris
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    catlady5, MedSurgRNiowa, and dieselGIRL like this.
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    i think if they gave you a rhythm like torsades or vfib, you wouldnt be expected to measure anything since there arent really any identifiable complexes. they might have you measure brady/tachy rhythms... just remember the 6 sec method, and that each little box is 0.04 (one big box is 0.20) and you should be fine.
    Eta: this is good website for learning different rhythms-- www.ecglibrary.com, its not too wordy and it just tells you what the important stuff is about each one
    Last edit by flightnurse2b on May 10, '08
    michaRN and dieselGIRL like this.


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