EK G No .

P wave for every QRS?

Rhythm

HR/ (min)

PR int (sec)

QRS durat ion (sec)

QT a int. . (se c)

Descripti on: T waves ST segment s Q waves b (if any)

Interpretati on

Implication to nursing diagnosis management

1.

1 P wave for every QRS

regular

125/min 0.16 sec

0.08 sec

0.28 T waves sec upright

Normal sinus rhythm, HR ST of 125/min, segment with isoelectric isoelectric ST segment and upright T waves

Monitor patient. Continue rhythm monitoring if with a known cardiac disease. The patient is a 4 month old male so this is a normal heart rate.

2.

1 P wave for every QRS

regular

68/min

0.16 sec

0.08 sec

0.32 T waves sec upright elevated ST segment in Leads V3, V4

Normal sinus rhytm, HR 68/min, with upright T waves with anterolateral infarct

This could affect the function of the heart as a pump depending on the area affected.

3.

1 P wave for every QRS

regular

75/min

0.20 sec

0.08 sec

0.36 T waves sec upright

Normal sinus rhythm, HR Isoelectric of 75/min, ST with upright segment T waves and isoelectric ST segment Normal Sinus rhythm, HR of 75/min upright T wave and ST elevation in Lead III

Continue monitoring patient especially if with known cardiac disease

4.

1 P wave for every QRS

regular

75/min

0.24 sec

0.08 sec

0.36 Elevated sec ST segment III

Monitor patient and ECG rhythm Assess for chest pain of difficulty breathing. Monitor hemodynamic status.

Upright T wave

5.

1 P wave for every QRS

regular

100/min 0.20 sec

0.08 sec

0.32 Isoelectric Normal sec segment sinus on rhythm, HR of 100/min Upright T with wave isoelectric ST segment and upright T waves

Monitor patient and ECG rhythm Assess for chest pain of difficulty breathing. Monitor

hemodynamic status. 6. 1 P wave for every QRS regular 71/min 0.16 sec 0.08 sec 0.36 T waves sec upright Normal Sinus rhytm, HR of 71/min, with upright T waves and inferior wall infarct Monitor patient and ECG rhythm Assess for chest pain of difficulty breathing. Monitor hemodynamic status. 7. 1 P wave for every QRS regular 63/min 0.20 sec 0.12 sec 0.40 T waves sec upright. Isoelectric ST segment Normal Sinus rhythm, HR 63/min with isoelectric ST segment and upright T waves Sinus Bradycardia, HR 57/min, with upright T wave and anterolatero-septal Continue monitoring patient especially if with known cardiac disease

ST elevation on II, AVF

8.

1 P wave for every QRS

regular

57/min

0.16 sec

0.12 sec

0.40 T waves sec upright. Elevated ST segment on V2,V3, V4, V5, V6

Decreased cardiac output. Monitor patient and rhythm. Monitor for

MI

further decrease in heart rate Monitor patient and ECG rhythm. Assess for chest pain of difficulty breathing. Monitor hemodynamic status.

9.

1 P wave for every QRS

regular

83/min

0.16 sec

0.12 sec

0.32 Upright T sec wave

ST elevation on V2

Normal Sinus rhythm, HR 83/min with upright T waves and ST elevation on V2

10.

1 P wave for every QRS

regular

57/min

0.20 sec

0.12 sec

.40 sec

Isoelectric Sinus ST Bradycardia, segment HR of 57/min with Upright T Isoelectric wave ST segment and upright T wave Isoelectric Normal ST Sinus segment rhythm, HR of 60/min Upright T with wave Isoelectric

Decreased cardiac output. Monitor heart rate and pulse.

11.

1 P wave for every QRS

irregular

60/min

0.20 sec

0.12 sec

40 sec

Continue monitoring patient especially if with known

ST segment and upright T wave

cardiac disease