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EKG
Chapter 5 review
| Question | Answer |
|---|---|
| Pt. is laid in the ________ position | Supine |
| If a pt. has a head injury, raise the _____ to _____ angle | head, 30 |
| If a pt. has having trouble breathing, raise the _____ to _____ angle | head 45 |
| This layer of skin is composed of living cells and is needed to detect electrical signals for the ECG. | Dermis |
| This is a clinical term for a pt. that is sweating profusely. | diaphoretic |
| What should we do prior to placing the electrodes on a diaphoretic pt. | wipe sweat with gauze and then clean with alcohol swabs |
| Interference on the ECG not coming from the pt. is called an _______ | artifact |
| Who must recognized an artifact and correct it? | MA |
| What causes a wandering baseline? | loose electrode |
| what does a wandering baseline look like? | uneven |
| how do you fix a wandering baseline? | check electrodes |
| What causes a somatic tremor? | voluntary and involuntary muscle movement |
| What does a somatic tremor look like? | large jagged peaks or unnatural baseline deflection |
| how do you fix a somatic tremor? | follow procedure, make pt. comfy, pt. lie on hands. wait for movement to stop |
| What causes a 60 cycle interference? | metal, jewelry, phone, lights, frayed wires, dirty electrodes |
| what does a 60 cycle look like? | small fuzzy lines |
| how do you fix a 60 cycle interference? | prepare room, follow procedure |
| What causes an interrupted baseline? | electrode fell off |
| what does an interrupted baseline look like | breaks between complexes |
| how do you fix an interrupted baseline? | check and or replace electrode |
| Where is the purple lead placed | 5th ICS/ Mid-axillary line |
| Where is the blue lead placed | 5th ICS/ Mid-clavicular line |
| Where is the V5 placed | 5th ICS/ anterior axillary line |
| Front | Anterior |
| back | posterior |
| pertaining to septum | septal |
| above | superior |
| below | Inferior |
| pertaining to apex | apical |
| side | lateral |
| This is determined by measuring the R-R intervals across the entire rhythm strip: | Rhythm |
| If the R-R intervals all measure the same, the _______ is termed ________. | rhythm ....regular |
| If the R-R intervals are NOT all the same, the ______ is termed _______ | rhythm....irregular |
| If there is a pattern to the irregularity, it is called | Regularly Irregular |
| If there is NO pattern to the irregularity, it is called | Totally irregular |
| If there is an underlying regular rhythm, with one or two interruptions, it is called | basically irregular |
| How many waves in One Cardiac Cycle? | 5 |
| name the 5 waves in One Cardiac Cycle | p,q,r,s,t |
| If electrical activity flows toward a ______ ____, an upward wave is produced on the paper | positive pole |
| The P wave represents | atrial depolarization |
| The QRS complex represents | ventricular depolarization |
| The T wave represents | ventricular repolarization |
| another name for 60 cycle interference | AC interference |
| is the skin a good conductor of electricity? | Nope |
| what helps the conduction of electricity on the skin with electrodes | electrolyte gel |
| if you had to reposition a pt. or the electrodes, what should you do for a record | document on ECG paper |
| how should you speak, dress and act at all times | professionally |
| you ask your pt. to disrobe from the ____ ____ and give them a _______ with opening in the ____ | waist up, gown, front |
Created by:
bpstears
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