What rhythm is this?

Posted
by j0yegan j0yegan Member Nurse

Has 4 years experience.

Guest219794

Guest219794

2,453 Posts

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?

CharleeFoxtrot, BSN, RN

Has 11 years experience. 836 Posts

19 hours ago, Wuzzie said:

https://nursing.com/blog/interpret-ekgs-heart-rhythms/

Not being a snot but to really get this to sink in try doing the steps listed to interpret what the rhythm is.

Yes! Learn the steps to interpretation and practice practice practice. Otherwise you are just guessing and that can have a bad outcome.

j0yegan

j0yegan

Has 4 years experience. 171 Posts

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

chare

3,447 Posts

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, NP

Specializes in Emergency Department. Has 40 years experience. 1,208 Posts

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, NP

Specializes in Emergency Department. Has 40 years experience. 1,208 Posts

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.

??

CharleeFoxtrot, BSN, RN

Has 11 years experience. 836 Posts

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.

CharleeFoxtrot, BSN, RN

Has 11 years experience. 836 Posts

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.

NewRN'16

NewRN'16, ADN, RN

204 Posts

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 ?

Wuzzie

4,812 Posts

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.