A big day in the treatment room: ECGs
You’ve arrived to your shift as triage nurse. You walk into treatment and find the team doing CPR. They’ve stopped to do swap compressors and check for a heart beat. This is the ECG trace after compressions have stopped. What is this trace likely to be?
Ventricular fibrillation
Asystole
Ventricular tachycardia
PEA
Given your previous answer, is this trace:
Shockable
Non-shockable
You’re asked to do an ECG on a stable hospital patient that seems to be bradycardic. This is the trace the multi parameter shows you. Working through your ECG markers (identifying P, QRS, T and length between QRS complexes), what is this trace likely to be? (Hint: in the strip above, your patient has taken a breath).
Sinus arrhythmia
An AV block
Ventricular tachycardia
You’re presented with a poodle that’s been lethargic and has had bloody diarrhoea at home. His heart rate is 40 bpm and he’s quite pale and dehydrated. Your vet asks you to run some electrolytes and you find this patient has a potassium of over 8. Using your ECG markers (P, QRS, T), what abnormality can you see here?
�Wide and bizaare’ QRS
No T wave
No P wave
T wave is reversed
Using the previous ECG, what do you interpret this ECG as?
Atrial standstill
AV block
Asystole
Still working on your poodle from the last two questions, your vet has now gone to speak with the owner regarding treatment options for addisonian crisis. During the time they’re away, you notice the ECG trace change to the above. What is the abnormal beat?
Premature ventricular contraction
Escape beat
Whilst you’re with your poodle patient, another team member brings in a crashed patient for CPR. Your team does a round of compressions and ventilation and stop to assess the ECG. What rhythm does the above ECG show?
Asystole
PEA
Ventricular fibrillation
Using your previous answer, is this arrhythmia:
Non - shockable
Shockable
After a few hours away from your poodle patient, you return to do another ECG whilst your hospital nurse is on break. It’s been a long day… this is the trace you see. What’s happening here? (Hint: look at the ECG upside down)
A ventricular arrhythmia
Ventricular tachycardia
Normal sinus rhythm
Normal sinus rhythm with improper lead placement
Your very last patient is a stable ragdoll cat preventing for lethargy and vomiting. Given you’re used to seeing very stressed cats with high heart rates, you decide to do an ECG when you notice her heart rate is 132. This is the trace you see. Using the ECG markers (P, T, QRS and distance between QRSs), what rhythm is this?
Atrial standstill
Sinus arrhythmia
Normal sinus rhythm
Atrial fibrillation
After spending some time watching her ECG and patting her, you notice her ECG change. You check her over and she’s happier than when she first arrived and has curled up on the bench. What could this be? (Hint: is you auscultated her chest, you would hear some very loud vibrations)
Atrial fibrillation
Normal sinus rhythm
Ventricular fibrillation
Purr interference
As you hand your patient over to the next triage nurse, you note her ECG change once more. Her character hasn’t changed, but she’s not making biscuits on the towel. What happening with this ECG?
Ventricular fibrillation
Ventricular tachycardia
Movement interference
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