lOMoARcPSD|13016834 5 Step EKG INTERPRETATION Heart rate Rhythm P wave PR interval (in seconds) QRS (in seconds) 60 -100/min Regular Present before 0.10 - 0.20 (<5 small squares) Normal shape < 0.12 8 x 10 = 80 Heart Rate 1. Normal Sinus Rhythm Rate - 60 -100 count the peaks - we have 8 here multiply by 10 = 80 beats! 1 2 3 4 5 6 7 8 Rhythm 2. Rhythm - R peaks are evenly spaced apart. To quickly measure this simply grab a paper & mark 2 R peaks then just march it out. The R peaks should be even every time. R R R-R int. R R R R P Wave R 3. P wave - which is our atria contracting is it present? & does it have its buddy QRS? we need a P with QRS every time R P T Q PR interval (in seconds) Q S R 5 mm 0.2 sec 0.5 mV 4. PR interval - basically measures the time it takes between atrial contractions & ventricular contraction should be 5 mini boxes or less - or .10 - 2.0 seconds here. P PR int. QRS (in seconds) R-R int. Downloaded by mgn Zee (megan0922@icloud.com) PR 5 mm 0.2 sec ST seg. seg. P PR int. T Q ST int. S QRS int. QT int. 0.5 mV 5. QRS - Ventricles contracting Is it present, upright & TIGHT! Should NOT be wide should only be 3 boxes - .12 seconds here. T P S R