,1/22/25, 5:27 PM UPDATED 2025 | EKG: Advent Health EKG 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It …
The impulse originates in the
Atria
• The Atrial rate is > 300 and
unable to measure [N/A]
• No discernable P waves - PRI
& Atrial rhythm cannot be
measured [N/A]
• The Ventricular rhythm is
irregular
• QRS within normal limits
• If the Ventricular rate is <100
the rhythm is controlled A-fib;
Afib
if the Ventricular rate is > 100
the rhythm is uncontrolled A-
fib
• This is a chronic rhythm for
some patients
Treatment: controlled patients:
anticoagulants and
antiarrythmics; uncontrolled
but stable patients: Beta
blockers, calcium channel
blockers, or digoxin; Unstable
patients: cardioversion
Impulse starts in the AV
junction
• P waves are absent, short,
inverted or retrograde
Junctional Rhythm
• Ventricular Rhythm: Regular
• Ventricular Rate: 40-60 bpm
• QRS is usually within normal
limits
, 1/22/25, 5:27 PM UPDATED 2025 | EKG: Advent Health EKG 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It …
Accelerated Junctional
Same criteria as Junctional
Rhythm, except the Ventricular
Accelerated Junctional rate is 60-100
Rhythm For stable patients: IV access,
vagal maneuvers, adenosine,
O2, Beta blockers, calcium
channel blockers
Impulse originates in the
ventricles
▪ Rhythm: Ventricular is usually
regular
▪ Rate: Ventricular between 20-
40
Idioventricular Rhythm ▪ QRS: ≥ 0.12
(IVR) ▪ Atrial rate, rhythm, and PRI:
N/A
- Treatment: assess pt, check
for DNR in chart,
transcutaneous pacing,
atropine. NEVER GIVE ANTI-
ARRYTHMICS MEDICATIONS
Follows the same criteria as
IVR, except Ventricular rate is
40-100.
• If no intervention happens,
Accelerated
the patient will deteriorate.
Idioventricular Rhythm
- Treatment: assess pt, atropine,
transcutaneous pacing. NEVER
GIVE ANTI-ARRHYTHMIC
MEDICATIONS
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