1 / 17

Basic Dysrhythmia &Recording ECG

Basic Dysrhythmia &Recording ECG. Kamlya balgoon 2009. Ventricular Rhythms. General characteristics Wide QRS. NO P wave Mostly very fast Could be Lethal . Ventricular Rhythms. Premature Ventricular Contraction ( PVC ) Ventricular Tachycardia ventricular Fibrillation ( V-tach.)

mirari
Télécharger la présentation

Basic Dysrhythmia &Recording ECG

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Basic Dysrhythmia &Recording ECG Kamlya balgoon 2009

  2. Ventricular Rhythms • General characteristics • Wide QRS. • NO P wave • Mostly very fast • Could be Lethal kemo 2009

  3. Ventricular Rhythms • Premature Ventricular Contraction ( PVC ) • Ventricular Tachycardia • ventricular Fibrillation ( V-tach.) • No electrical Activity ( Asystole ) kemo 2009

  4. 1- Premature Ventricular Contraction ( PVC ) • It impulse start ventricle before next normal sinus impulse • Premature = comes early with bizarre shape. • Most of the time accompany sinus rhythm. PVCs ( early, wide and bizarre) kemo 2009

  5. PVCs … continued Multifocal ( different shape ) kemo 2009

  6. Premature Ventricular Contraction ( PVC ) Unifocal kemo 2009

  7. PVCs … continued 3- Couplets ,tow in arow pair Couplets kemo 2009

  8. PVCs … continued 4- Bigeminy every other beat is PVC kemo 2009

  9. PVCs … continued 5- Trigeminy every third complex is PVC kemo 2009

  10. Premature Ventricular Contraction ( PVC ) • Ventricle & a trial rate : depend on rhythm • Ventricle & a trial rhythm : irregular due to early QRS creating PR interval is shorter • QRS shape & duration : duration 0.12 second or more . Bizarre , abnormal shape • P wave shape : visibility p wave depend time of PVC may absent or in front QRS • P-R interval : less than 0,12 second • Each P followed by a QRS • P: QRS ratio : 0 :1 , 1 :1 kemo 2009

  11. 2- Ventricular Tachycardia( V-tach.) • It three or more PVC in arow • A whole strip with PVCs. • No P waves. • If there is no pulse, it is lethal • Always check the Pulse and BP kemo 2009

  12. Ventricular Tachycardia( V-tach.) • Ventricle & a trial rate : ventricle rate 100 – 200beats /m • QRS shape & duration : duration 0.12 second or more . • P wave shape : very difficult to detect • P-R interval : very irregular if see p wave • Each P followed by a QRS • P: QRS ratio : more QRS then p wave kemo 2009

  13. Ventricular Tachycardia( V-tach.) Treatment • lidocaine • Synchronized cardioversion kemo 2009

  14. 3- ventricular Fibrillation • No P waves, No QRS, only electrical activity present. • Lethal, always check Pulse and BP kemo 2009

  15. ventricular Fibrillation • Ventricle rate ; greater than 300 per mint • Ventricle rhythm : irregular • QRS shape & duration irregular kemo 2009

  16. No electrical Activity( Asystole) • No QRS, no electrical activity, • P waves may present. • No heart rate ,pulse kemo 2009

  17. Thank you kamlya kemo 2009

More Related