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What rhythm is this?

I can't figure out this one rhythm. Can you please help me? THANKS!

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It's a slow one.
How far did you get in your interpretation?

What do you know about this strip?  As in, what do you see?

 

I didn't wanna insert any ideas in your heads.

I was thinking second degree heart block or third degree.

Can you tell me what you think it is??

Edited by j0yegan

9 hours ago, j0yegan said:

[...]

I was thinking second degree heart block or third degree.

[...]

What are the defining characteristics of second degree types 1 and 2, and third degree AV blocks?

9 hours ago, j0yegan said:

[...]

Can you tell me what you think it is??

Why don't you start by telling us specifically what thythm you think it is, and why?

GrumpyRN specializes in Emergency Department.

10 hours ago, j0yegan said:

I didn't wanna insert any ideas in your heads.

Yeah.... We don't need ideas inserted into our head. We know how to work out what the rhythm is.

10 hours ago, j0yegan said:

Can you tell me what you think it is??

I think it is VF with a touch of Asystolic AF thrown in. Could also be some Dextrocardia in there.

GrumpyRN specializes in Emergency Department.

1 minute ago, GrumpyRN said:

Yeah.... We don't need ideas inserted into our head. We know how to work out what the rhythm is.

I think it is VF with a touch of Asystolic AF thrown in. Could also be some Dextrocardia in there.

😜😜

1 hour ago, GrumpyRN said:

😜😜

*snerks*  I think it'sa bad rhythm.  When I was in EMS we'd just keep shocking until we saw a rhythm we knew how to treat.

Edited by CharleeFoxtrot
speeling iz gut.

12 hours ago, j0yegan said:

I didn't wanna insert any ideas in your heads.

I was thinking second degree heart block or third degree.

Can you tell me what you think it is??

My head already has the solution due to many many many hours of practice. Why do you say that it is a heart block? What are the characteristics of the different degrees of heart block? What caught your eye?

https://ekg.academy/heart-block-rhythms

The EKG academy is a great resource and has lots of practice strips.

https://ekg.academy/

Also lots of good practice strips can be found online by googling.

I used to work in surgical PCU. Used to know all rhythms since we had to read our own strips..

If you don't use it you lose it , so true. 

I know what rhythm it is accidentally but they told us not to help solving nursing school questions. 

Just trying not to get banned 🙂

7 minutes ago, NewRN'16 said:

I know what rhythm it is accidentally but they told us not to help solving nursing school questions. 

Don’t think the OP is a student anymore but the reasoning stands. Straight up giving the answer does nothing to help the person actually learn. This holds particularly true for medication math and EKGs but also lab and X-ray interpretation. 

25 minutes ago, Wuzzie said:

Don’t think the OP is a student anymore but the reasoning stands. Straight up giving the answer does nothing to help the person actually learn. This holds particularly true for medication math and EKGs but also lab and X-ray interpretation. 

^This. Not being snotty or anything but ACLS must be learned by analyzing strips using the step process each and every time. Because IRL strips are not always neat and seldom look exactly like the practice ones in the book.

RN-to- BSN specializes in SCRN.

Geez, OP is looking for an answer, shall receive it.

1 vote for the third degree block: PR interval is not fixed, P-wave and QRS allover the place, brady.

Edited by RN-to- BSN
spelling

16 minutes ago, RN-to- BSN said:

Geez, OP is looking for an answer, shall receive it.

1 vote for the third degree block: PR interval is not fixed, P-wave and QRS allover the place, brady.

While the OP might now know what the rhythm is, this wasn't very helpful as he or she still has no idea how you made this determination. 

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