
Here are the answers to this post:
(*keep in mind, these are my interpretations and because they are neither real or on ekg paper, my answers might not be the same answer that another person might get)
1. Normal sinus rhythm. All of you got this one right! Jill nailed it with the MOST correct answer of “normal sinus beat” because it doesn’t show how much space there is between complexes.
2. Indeed, it is ST elevation. Harder to frost on a cookie than it looks.
3. Atrially paced. With 100% capture, as Drew helpfully identified.
4. Atrially paced with a failure to capture.
5. Atrial flutter. I attempted to represent a 3:1 conduction, but ya know, with frosting… it’s hard. Atrial fibrillation is also acceptable.
6. Accelerated junctional is what I was TRYING to do here, but forgot my t waves. So I guess this one and #8 are up to interpretation. It’s too narrow of a QRS to originate in the ventricle but there’s no p-waves to make it SVT… so I think I just made up a rhythm.If this were an actual heart rhythm, check on the patient, get an EKG and call the doctor.
7. Sinus rhythm converting into ventricular tachycardia.
8. See #6. (putting this one in twice was not intentional. I had planned on using this one:
This is what happens when I write a post at 6 am before work.
9. Ventricular fibrillation. Just like NSR, everyone identified vfib! Excellent work!
So, I brought these cookies to work on Valentine’s Day and by the afternoon, there were a bunch of vfibs, asystole, and vtach cookies left… none of the nurses wanted to eat those ones and get jinxed! Goes to shoe how superstitious we nurses are.
Drew, Jill, and Stormy, you three win for the most correct answers!
I’m shooting you all emails and I’ll send you a prize in the mail.
Need some sort of frosted, baked and edible calipers for these.
I love the creativity that went into this process, great post and excellent teaching points using the cookies. Awesome!!! Thank you, Elizabeth
Angel said he thought his coworkers wouldn’t eat the cookies he brought into work decorated with C. Diff and other such delightful things…but they did anyways. Apparently his coworkers are just hungry.
SO CUTE!