Daily Lesson Plan

Lesson plan title: Sinus Interpretation and Dysrhythmias

Purpose of the lesson :This lesson will prepare learners in interpretation of rhythms onan ECG, and be able to identify P and T waves, and QRS complexes for use in clinical practice. Nursing students’ presenting in an intensive care unit need to recognize the basic concepts for interpretation of normal sinus rhythms to advance to the more

complicated and lethal rhythms.Theoretical framework:Benner’s stages of clinical competence (from Novice to

Competent) are applicable to this Lesson:

Teaching Methods: Lecture Group Discussion Simulation

Instructional Aids: White board Handouts Computer based simulation Projector

General goal:To teach nursing students how to interpret normal rhythms’ on an ECG, understand and interpret the concepts of a P wave, QRS

complex and T wave.

Specific objectives:At the completion of this lesson, the learner will be able to:

Identify waveforms of the cardiac cycle correctly. Correctly identify ECG strips of normal sinus rhythm. Identify at least two pacemaker malfunctions. Interpret 100% accuracy all the abnormal Sinus rhythms

strips.

Length of time:

3 hours, (0800-1100)

TimeTopicActivity

0800 - 0815IntroductionLecture / GroupDiscussion

0815 – 0845Electrocardiogram

Waveforms, Segments,

Intervals.Lecture / Group

Discussion

0845– 0910Analyzing a RhythmStrip

Group Discussion /

Simulation practice Lecture / Group

Discussion0910 - 0940Analyzing rhythm:

Sinus Arrhythmias

0940 - 0955PacemakermalfunctionLecture

0955-1020Abnormal sinusrhythms

Presentation/ Simulation

practice 1020-1040Practice ECG Rhythm Strip Practice

1040- 1100ClosureReview the lesson and

address further question

Resources:

Newberry, L. 2010. Sheehy’s Emergency Nursing: Principles and Practice. 6th Edition. USA: Mosby.

Lynn-McHale Wiegand, DJ and Carlson, KK. 2005. AACN Procedure Manual for Critical Care. USA: Evolve Elsevier.

Hampton, J. (2008). The ECG made easy (7th ed.). Edinburgh: Elsevier/Churchill Livingstone.

ECG Simulator - SkillSTAT. (n.d.). Retrieved April 8, 2015, from http://www.skillstat.com/tools/ecg-simulator.

Evaluation:

Multiple-choice (A Selected Response Item Type) Contains an incomplete phrase or ask a question, followed by

a number of responses, may have more than one answer that iscorrect.

Only the best answer or option. Useful to measure learning at cognitive levels of knowledge,

comprehension, application, and analysis.

Quiz on Sinus Arrhythmias

Student Name: Grade: /10

Take a following question quiz to test your rhythm strip interpretation skills.Please review each Rhythm Strip and select your answer from the choices provided. You must complete all of the questions in orderto view your results.

Remember to run through this checklist as you first scan any ECG: Check the R—R interval --Is the rhythm regular or irregular? Check the P waves—are the P waves visible and do they all

look alike? Check the QRS--- Do the QRS waves all look alike? Are any

of the QRS waves wide or bizarre looking? Check the relationship between the P and QRS—is there a P

wave for every QRS? Is the P-R interval normal and consistent?

As you prepare to write up the measurements, take these steps:

Determine rate Determine if rhythm is regular or irregular: check the R-R

intervals

Interpret the rhythms

Question 1:

The heart rate of this dysrhythmia is ___ beats per minute. 30 40 65 70

This dysrhythmia has a/an _____ rhythm. Regular Very irregular Occasionally irregular Regular irregular

This dysrhythmia is: normal sinus rhythm sinus arrest sinus dysrhythmia sinus bradycardia

Question 2:

The heart rate of this dysrhythmia is ___ beats per minute. 30 40 65 70

This dysrhythmia has a/an _____ rhythm. Regular Very irregular Occasionally irregular Regular irregular

This dysrhythmia is: normal sinus rhythm sinus arrest sinus dysrhythmia sinus bradycardia

Question 3:

The heart rate of this dysrhythmia is ___ beats per minute. 69 60 79 75

This dysrhythmia has a/an _____ rhythm. has a QRS complex that is narrower than normal cause it to be regularly irregular irregular irregular irregular

This dysrhythmia is: sinus rhythm sinus dysrhythmia junctional rhythm wandering atrial pacemaker

Question 4:

The heart rate of this dysrhythmia is ___ beats per minute. 94 110 125

140

This dysrhythmia has a/an _____ rhythm. Regular Very irregular Occasionally irregular Regular irregular

This dysrhythmia is: normal sinus rhythm sinus tachycardia sinus dysrhythmia sinus bradycardia

Question 5:

The heart rate of this dysrhythmia is ___ beats per minute. 88 79 100 84

This dysrhythmia has a/an _____ rhythm. Regular Very irregular Occasionally irregular

Regular irregular

This dysrhythmia is: sinus rhythm with artifact sinus tachycardia sinus dysrhythmia Atrial fibrillation

GoodLuck