ECG TRACING
Option 1: Normal sinus rhythm. Atrial and ventricular rhythms are regular and the rates are 60
to 100 beats per minute.
Option 2: Atrial fibrillation or Atrial Flutter. Multiple rapid impulses from many foci
depolarize in the atria in a totally disorganized manner. The atria quiver, which can lead to
thrombus formation. Usually no definitive P waves can be observed, only fibrillatory waves
before each QRS. Medication therapy is often effective for treating atrial fibrillation.
Option 3: Ventricular tachycardia. Occurs because of a repetitive firing of an irritable
ventricular ectopic focus at a rate of 140 to 250 beats/minute or more; it can lead to cardiac
arrest.
Option 4: Ventricular fibrillation. Impulses from many irritable foci in the ventricles fire in a
totally disorganized manner. It is characterized by a chaotic rapid rhythm in which the ventricles
quiver and there is no cardiac output. The client lacks a pulse, blood pressure, respirations, and
heart sounds. Ventricular fibrillation is fatal if not successfully terminated within 3 to 5 minutes.