factoramor

[factoramor]

Working on the LED Heart: Vfib, VTach, 1AVB

So assuming normal sinus rhythm is the following:

P Wave: 80ms

PR Segment: 50-120ms - I’ll use 100ms for a PR Interval of 180ms

QRS: 80-120ms - I’ll use 100ms

RR Interval: 0.6-1.2s but taking away the 280ms from the PQRS, that leaves us with 720ms assuming a RR of 1second.

Ventricular fibrillation code:

So Vfib is where all hell breaks loose and there are electrical impulses coming from everywhere in the ventricles.  I included the atrium here (labelled Pub PR) but on the rhythm itself, you really don’t see anything but ventricular electrical patterns.  I did the same thing here as I did for atrial fibrillation, just made it so that the ventricles looked like paparazzi too!

Ventricular tachycardia code:

So I pretty much just made this ventricular activity.  Calculated that I wanted the bpm to be more than 150.  And the waveform for vtach has a greater “QRS” (if it can be called that), by nearly double if not triple that of normal sized QRSes.

I don’t like seeing this and kinda panic when I see this on a patient’s rhythm strip.

Sinus Rhythm with 1st degree atrioventricular block (1AVB) Code:

So the main difference here is that instead of the PR segment being only 100ms, giving us a total PR interval (in Normal Sinus Rhythm) of 180ms - in SR1AVB, the PR interval is greater than 200ms.  So I made it 230ms.  Easy enough!  And physiologically, this represents a delayed conduction between the sinoatrial node and the atrioventricular node.  It just takes longer for electricity to get from one place to another for some reason (maybe scar tissue).

Next rhythms!: Second Degree AV Block Type 1, Second Degree AV Block Type 2, Third Degree AV Block

@atdiy/@tymkrs

[factoramor]

Ventricular Tachycardia:

(NOTICE HOW IT LOOKS LIKE A BUNCH OF PRAYING NUNS-THEY’RE PRAYING THAT THIS DOESN’T TURN INTO A DEADLY RHYTHM).

Is defined as three or more successive ventricular complexes.  It is sustained V-Tach when it lasts for more than thirty seconds, whereas it is Non-Sustained V-Tach when it is a series of repetitive ventricular beats which have a duration of less than thirty seconds.

-100-200 beats per minute-very unstable because ventricles cannot keep this rhythm up for a sustained period of time.

-Regular Rhythm, composed of wide, tall bizarre looking complexes (they look like praying nuns).

-P:QRS ratio is variable, no P waves.

-QRS is WIDE (greater than 0.12 seconds)

-Causes include acute MI, CAD, CHF, Digoxin toxicity, or electrolyte imbalances.

-How to fix it:  Cardioversion, defibrillation.

[factoramor]

me: *triggers myself on purpose*

me: *relapses*

me:

[factoramor]

[factoramor]

[factoramor]

I think I‘ve to apologize to my own body and soul

[factoramor]

Depression is not just sadness. Depression is weight that keeps you in bed. Depression can feel empty, like nothing at all. Depression can be unexplainable. Depression keeps yout stuck. Fun can’t fix it. Instead it isolates you from what you love. Depression is an overwhelming numbness.

[factoramor]

[factoramor]

[factoramor]

“It is better to be alone than to be with someone who can’t see who you are.”

— E. Lockhart (via quotemadness)

[factoramor]

“It was never going to ‘You and I’ like I wanted it to be.”

-Day 435

[factoramor]

[factoramor]

At this point it’s like who am I not in love with

[factoramor]

[factoramor]

[factoramor]

remember: distracted doesn’t mean healed. once you lose what’s distracting you, all the hurt that you were trying to ignore rushes back. you have to figure out how to get past it for REAL

[factoramor]

“I’m a very strong believer that whoever is meant to be in your life will always gravitate back towards you, regardless how far they wander.”

— (via deeplifequotes)