NCLEX Study Notes: Common EKG/ECG Rhythms Nursing

NCLEX Study Notes: Common EKG/ECG Rhythms

EKG/ECG for Nursing Students: How To Read An Electrocardiogram

Following the steps below will allow ease with interpretation of arrhythmias. Analyzing strips in this order and reviewing these 5 aspects will allow for correct identification of cardiac rhythms.

Rate
P Waves
P:QRS
QRS
PR Interval

Rate
What is the ventricular rate?
On a six second strip count the R waves and multiply by 10
Alternatively, you can divide 300 by the number of large squares between R waves or P waves. This method is less reliably if the rate is irregular.

P Waves
Are there P Waves?
What is the rate of the P wave?
What is the morphology of the P wave (upward, smooth, rounded)?

P:QRS
Is there a 1:1 relationship between P wave and QRS complex?

QRS
Are there QRS complexes?
Is the QRS width 0.06 – 0.12 seconds (1.5 – 3 small boxes)?
PR Interval
Is the PRI between 0.12 – 0.20 seconds (3 – 5 small boxes)?

EKG ECG for Nursing Students How To Read An Electrocardiogra

How Not to Blow a Vein 20 Useful Tips for Nurses

How Not to Blow a Vein 20 Useful Tips for Nurses

RN School study notes material How Not to Blow a Vein 20 Useful Tips for Nurses Unique IV Therapy Tips and Tricks

A vein can blow for several reasons. The most common cause is that you have gone through the vein, puncturing the opposite side of the vein causing blood to leak out and creating a hematoma, often collapsing the vein and rendering it useless.
A blown or ruptured vein occurs when a vein gets punctured and it causes blood to leak outside the vein. In the majority of cases, a blown vein is not dangerous, but it should be treated right away and the vein shouldn’t be used to draw blood or start an IV.
The most common symptoms of collapsed veins are cold hands and feet due to circulation loss, sharp pain at injection site, and blue or black discoloration. You may also experience itching at the injection site as the vein starts to heal.

Nursing ACLS Meds Cheat Sheet Cardiac Rhythms CVP

Nursing ACLS Meds Cheat Sheet Cardiac Rhythms CVP

Learning basic life support certification — what the general public calls CPR, or cardiopulmonary resuscitation — is a normal requirement for most nursing jobs. But more units now require nurses to also become certified in advanced cardiovascular life support, or ACLS.

Nursing ACLS Meds Cheat Sheet Cardiac Rhythms CVP

ACLS Drugs
Vent. Fib./Tach. Epinephrine, Amiodarone, Lidocaine, Magnesium
Asystole/PEA Epinephrine
Bradycardia Atropine Epinephrine, Dopamine
Tachycardia adenosine, Diltiazem, Beta-blockers, amiodarone, Digoxin, Verapamil, Magnesium
Acute Coronary Syndromes Oxygen, Aspirin, Nitroglycerin, Morphine, Fibrinolytic therapy, Heparin, Beta-Blockers
Acute Stroke tPA-tissue plasminogen activator, Glucose (D50), Labetalol, Nitroprusside, Nicardipine, Aspirin

Last update: 1-14-2019

MRI Sagittal Anatomy of Brain Level 1

MRI Sagittal Anatomy of Brain Level 1
MRI is sensitive to changes in cartilage and bone structure resulting from injury, disease, or aging. It can detect herniated discs, pinched nerves, spinal tumors, spinal cord compression, and fractures.
MRI provides exquisite detail of brain, spinal cord and vascular anatomy, and has the advantage of being able to visualize anatomy in all three planes: axial, sagittal and coronal.

MRI Sagittal Anatomy of Brain Level 1

Nursing Cheat Sheet: Defence Mechanism

Nursing Tips & Cheatsheet: Defence Mechanism

Defense mechanisms is how someone respond to a situation in life. Everyone handles it in a different light, but it’s important to be able to differentiate the defense mechanism that is being used by the patient and to be able to tell the characteristics of the inability to cope.

Defense mechanisms include, but are not limited to the following:

  • Rationalization
  • Displacement
  • Regression
  • Introjection
  • Reaction Formation
  • Repression
  • Sublimation

Other defense mechanisms not included on the chart also include:
Denial – Rejecting a thought or idea
Suppression – Hiding a thought or idea
Acting Out – Using extreme behavior to get away from the situation
Isolation of Affect – Thinking about the thought but not really feeling it
Intellectualization – Using rational explanation to avoid the thought

Nursing Cheat Sheet: Defence Mechanism