Heart Rhythms
Terms
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- Rate 60-100, Regular PQRST
- Normal Sinus Rhythm
- Rate > 100 Regular PQRST
- Sinus Tachycardia
- Rate < 60 Regular PQRST
- Sinus Bradycardia
- "Sawtooth" Irregular Rate
- Atrial Flutter
- "Flatline"
- Asystole
- "Floating" P Wave, Regular QRS
- 3rd degree AV Block
- PR interval > .20
- 1st degree AV Block
- Complexes present with no pulse
- PEA
- Epinephrine
- 1 mg q 3-5 minutes
- Lidocaine
- 1-1.5mg max 3mg/kg
- Procainamide
- 30 mg/min total 17 mg/kg
- Atropine
- 0.5-1.0 mg repeat in 3-5 min. max dose 0.04mg/kg
- Adenosine
- 6mg repeat at 12 mg and 12 mg
- Verapamil
- 2.5-5 mg slow IV over several minutes
- Magnesium
- 1-2 gms IV
- Bicarbonate
- 1 MEQ/kg IV for pre-existing metabolic acidosis