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ERP Week 5

Electrocardiography

QuestionAnswer
A 12 lead electrocardiogram (ECG) is a; A record of the electrical impulses of the heart
The electrocardiograph sensors are AKA; Leads
The lead wires of an electrocardiograph are connected to; Electrodes
The electrodes of an EKG are attached to; The patients skin
EKG electrodes are coated with; Conductor gel
Four EKG electrodes are attached to the ?__? and are called; Limbs; Limb leads
12 lead EKG procedure steps 1-4 1.Wash hands 2.Assemble equipment 3.Introduce yourself 4.Explain the procedure
12 lead EKG procedure - Ask the patient to remove clothing (waist up) and put on; A gown w/opening @ front
12 lead EKG procedure - Ask the patient to remove; All jewelry
12 lead EKG procedure - Ask the patient to turn off; Their electrical devices
12 lead EKG procedure - The patient should be placed in what position? Supine
12 lead EKG procedure - Do not allow the arms or legs to; Dangle
12 lead EKG procedure - Cover the patient with a; Sheet or blanket
12 lead EKG procedure - Clean and ?__? the EKG electrode site with? Abrade; with alcohol pads
Four EKG electrodes are attached to the ?__? and are called; Legs; limb leads
Abrade means to; Roughen by rubbing
12 lead EKG procedure - If the patient has a hairey chest or legs it may be necessary to; Trim the EKG electrode site
12 lead EKG procedure - Apply the '4 limb' electrodes on the; Fleshy portion of the arms and legs
12 lead EKG procedure - Apply the '6 chest' electrodes AKA; V leads
12 lead EKG procedure - Connect the labeled EKG lead wires from the electrocardiograph to the; Electrodes
Do not allow EKG lead wires to Dangle or tangle
12 lead EKG procedure - Plug the Electrocardiograph into a; Grounded outlet
12 lead EKG procedure - Unplug all other electrical appliances on the outlet to; Reduce electrical inteference
12 lead EKG procedure - Turn the EKG machine; On
12 lead EKG procedure - Enter the clients ID information using the; Electrocardiograph keyboard
12 lead EKG procedure - Ask the patient to; Rest quietly and breath normally
12 lead EKG procedure - Press the ?__? to; Start button; begin
Electrocardiogram interference is called; Artifact
List 4 types of 'Artifact' 1.Loose Electrode 2.Muscle Tremors 3.Patient Movement 4.60-Cycle Interference
List 5 methods to reduce Artifact; 1.Check placement 2.Replace the electrode 3.Check conductor gel 4.Warm the client (shivering) 5.Check for dangling or tangled wires
List the 6 steps performed after the ECG is obtained; 1.Cover patient 2.Deliver the ECG to the physician 3.Remove the electrodes 4.Clean the conductor gel from the patient 5.Clean equipment 6.Return equipment to storage
Placement of V leads (chest leads) - V1 4th intercostal space, to the R of the sternum
Placement of V leads (chest leads) - V2 4th intercostal space, to the L of the sternum
Placement of V leads (chest leads) - V4 5th intercostal space, on the L 'midclavicular' line
Placement of V leads (chest leads) - V3 5th intercostal space, 'midway' between V2 and V4
Placement of V leads (chest leads) - V6 5th intercostal space on the L 'midaxillary' line
Placement of V leads (chest leads) - V5 5th intercostal space, 'midway' between V4 and V6
Created by: adrouillard