EKG Question #11

Question

The same client with atrial flutter receives an intervention resulting in the following electrocardiogram (ECG):

Answers

  1. Cardioversion was depicted on the ECG monitor
    • Rationale:
  2. Pacemaker was depicted on the monitor
    • Rationale:
  3. Unstable atrial flutter and normal sinus rhythm fluctuations
    • Rationale:
  4. The patient requires 5L oxygen by nasal cannula
    • Rationale:

Overview

Explanation

The patient required cardioversion for the atrial flutter in order to convert the rhythm back to sinus rhythm. The ECG monitor depicts the electrical charge that is delivered with synchronized cardioversion and usually occurs with or just after the peak of the R-wave. The monitor strip does not indicate a spiked rhythm found with pacemakers. The atrial flutter responded to the electrical shock and the ECG strip depicts the return to sinus rhythm. While the client may have oxygen during the procedure, the intervention of applying oxygen is not the intent of the evaluation of cardioversion for atrial flutter.

Learning Outcomes

Test Taking Tip

Video Rationale