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Steps for Reading Rhythms.docx - Table 35-5 Approach to...

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Table 35-5Approach to Assessing Heart RhythmWhen assessing a heart rhythm, use a consistent and systematic approach. One such approachincludes the following:1. Look for the P wave. Is it upright or inverted? Is there one for every QRS complex or morethan one? Are atrial fibrillatory or flutter waves present?2. Evaluate the atrial rhythm. Is it regular or irregular?3. Calculate the atrial rate.4. Measure the duration of the PR interval. Is it normal duration or prolonged? Is the durationconsistent before each QRS?5. Evaluate the ventricular rhythm. Is it regular or irregular?6. Calculate the ventricular rate.7. Measure the duration of the QRS complex. Is it normal duration or prolonged?8. Assess the ST segment. Is it isoelectric (flat), elevated, or depressed?9. Measure the duration of the QT interval. Correct for heart rate (cQT) to determine if it isnormal or prolonged.*10. Note the T wave. Is it upright or inverted?

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Term
Fall
Professor
NoProfessor
Tags
Cardiology, Cardiac electrophysiology, Electrical conduction system of the heart, QRS complex

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