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Placement of electrodes and leads

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Answer
Limb leads   Placed on arms and legs with tab of electrode pointing toward the center of the body  
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V1   Fourth intercostal space (ICS) on the right sternal border  
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V2   Fourth intercostal space (ICS) on the left sternal border  
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V3   Midway between V2 and V4  
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V4   Mid-clavicular line at 5th intercostal space (ICS)  
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V5   Anterior axillary line at 5th ICS (horizontal to V4)  
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V6   Mid-axillary line at 5th ICS (horizontal to V4)  
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Lead I   Right arm (-) to left arm (+)  
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Lead II   Right arm (-) to left leg (+)  
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Lead III   Left arm (-) to left leg (+)  
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aVR   Right arm (+) and midpoint of left arm and left leg (-)  
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aVL   Left arm (+) and midpoint of right arm and left leg (-)  
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aVF   Left leg (+) and midpoint of right arm and left arm (-)  
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Rhythm strip   Lead II  
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Right leg in ECG tracings is....   Ground lead  
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Usual speed of the ECG paper   25 mm/second but can be adujusted if needed due to bradycardia (decreased) or tachycardia (increased)  
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Standardization   Usually 10 mm but can be increased or decreased (each ECG machine will have specific settings) to increase or decrease the size of the deflections on the tracing (see slides)  
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Holtor Monitor   ECG system that monitors heart activity for 24-48 hours (see slide - remember actual hookup varies according to specific equipment)  
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Created by: cskinner
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