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RU EKG Class 3 11-1 - RU EKG Use Interpretation Class#3...

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RU EKG Use & Interpretation Class #3 February 1, 2011 Junctional & Ventricular Rhythms and AV Heart Block
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/HW¶V WDNH D PLQXWH WR UHYLHZ Last week we covered Atrial Rhythm disturbances. /HW¶V VHH KRZ PXFK \RX FDQ UHPHPEHU±
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A 74 y/o man demonstrates this rhythm. What is it? What is his immediate treatment if he has chest pain? Atrial flutter with variable block; cardioversion
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This rhythm strip is taken from a 34 y/o man. He has been up all night with his newborn VRQ² DQG IHHOV µIOXWWHULQJ¶ LQ KLV FKHVW± :KDW¶V JRLQJ RQ DQG ZKDW GR \RX WHOO KLP" PACs ± irritability in his atria of his heart Reassure him and tell him his wife should take turns to be up with the baby!
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This rhythm strip is taken from a 58 \³R IHPDOH ZKR ³IHHOV ILQH´± What is the rate and rhythm? Atrial flutter with 3:1 block; rate ~120 What is the treatment? Vagal maneuvers, Ibutilide, cardioversion
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Your patient is a 38 y/o female marathon runner, taking no medications. She denies c/o. What is the rate and rhythm? SB; 45 bpm What is the recommended treatment? Nothing -- reassurance
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This rhythm strip is taken from a 78 y/o man who presents for his annual physical, offering no complaints. What is the rhythm? What medication should he be taking? Rhythm = atrial fibrillation Should be on Coumadin for anticoagulation
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Some information on diagnosing cardiac rhythm disorders:
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The EKG Machine
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Medical devices are used to find and document atrial arrhythmias: Holter monitor
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Holter Monitor in use : Usually used for 24-48 hours of continuous monitoring.
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  • Spring '08
  • MICHAELLEYTON
  • Atrial fibrillation, Cardiac electrophysiology, junctional rhythm, Ventricular fibrillation, Degree AV Block

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