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06.04 Differentiating Ectopy and Aberrancy for CCRN Review

06.04 Differentiating Ectopy and Aberrancy for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Outline

Nursing Points

General

  1. Ectopy & Aberrancy
    1. Aberrancy
      1. Supraventricular arrhythmia that starts in the atrium
      2. Arriving from atrium to “tired” bundle
        1. Right Bundle branch block
          1. viewed/seen as a little mountain pattern, this is a little problem
        2. Left bundle branch block
          1. All complexes are wide
          2. Narrow R wave
    2. Ectopy
      1. Ventricular arrhythmia
        1. Preventricle Contractions (PVCs)
        2. Right ventricle
          1. Rare
          2. Resembles left bundle branch block
          3. Shown on EKG with wider than normal R wave
        3. Left ventricle
          1. Seen on EKG as big mountain waves which is a big problem
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