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22 Cards in this Set

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Common methods for calculating heart rate from an EKG

- 6-Second Strip Method


- the Memory Method


- the Little Block Method

The 6-Second Method

- least accurate method


-count the number of QRS complexes in a six second strip and multiply by 10


-do not use this method alone

The Memory Method

- memorize these numbers:


300-150-100-75-60-50-43-37-33-30


-these numbers represent the large blocks between each QRS complex seen on an EKG strip

The Little Block Method

-count the number of little blocks between the QRS complexes and divide into 1500.

The Little Block Method

-count the number of little blocks between the QRS complexes and divide into 1500.


-calculation is 1500/11=137

Rhythm regularity

-knowing whether or not the patients heart is beating with constancy


-to determine if heart rate is constant we measure the R to R intervals between consecutive QRS complexes


-to be considered regular, R to R intervals in a rhythm may vary by only 1 to 2 small blocks

Calculating heart rate with regular rhythm

-calculate heart rate by choosing any two successive QRS complexes and use the little block method or memory method

Calculating heart rate with regular rhythm but interrupted by premature beats

-ignore the premature beats


-calculate heart rate using the little block or memory method on an uninterrupted part of the strip

Calculating heart rate with regular rhythm but interrupted by pauses

Calculate heart rate from slowest to fastest along with mean rate

Calculating heart rate with irregular rhythm

-calculate mean rate by using the 6 second strip method


-then calculate heart rate range (slowest to fastest) using the little block or memory method

Heart rate

Number of QRS complexes in 1 minute

Heart rate

Number of QRS complexes in 1 minute

Heart rate is same as

Ventricular rate

Atrial rate

Number of P waves in 1 minute

Heart rate calculations are

Regularity based

Regularity

Refers to the constancy of QRS complexes and/or P waves

Regularity

Refers to the constancy of QRS complexes and/or P waves

R-R interval

-distance between consecutive QRS complexes


-count number of little blocks between QRS complexes and that’s the R-R interval

3 types of regularity

-regular


-regular but interrupted


-irregular

Regular

R-R intervals vary by only 1 or 2 little blocks

Regular but interrupted

R-R intervals are regular until interrupted by a premature beat or a pause

Irregular

R-R intervals are all over the place (completely unpredictable)