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'22 Leads
Question | Answer |
---|---|
standard limb lead | "bipolar lead" AKA bipolar bc they are composed of 2 electrodes; a neg. and pos. one; ECG records the difference in electrical potential btwn them |
bipolar leads | same distance from the heart: R. Arm <--> L. Arm R. Arm <--> L. Leg L. Arm <--> L. Leg |
what does bipolar leads measure? | the electrical activity in 2 directions (<--->) |
unipolar leads | from the heart to the ____: aVR - R. Arm aVL - L. Arm aVF - L. Foot |
augmented limb leads | "unipolar lead" |
chest leads | "precordial leads" |
precordial leads | unipolar V1-V6 (where you pick up the signal of the heart) |
standard & augmented leads and waveforms NOTE: | - standard leads l, ll, lll produce POSITIVE deflections on the graph - augmented lead aVR produces a negative deflection - augmented lead aVL & aVF produces a POSITIVE deflection |
what are leads? | attaches to the electrodes on the body |
if electrodes produce NO waveforms, what could be wrong? | the electrodes may be misplaced |
chest leads and waveforms NOTE: | - chest leads/precordial leads V1-V6 provide a view of the heart from different angles |
PR interval: | represents the complete atrial contraction last (0.12-.20 secs or 3-5 small sq) anything +/- means "abnormal" |
QRS complex: | represents the complete ventricular depolarization last (0.08-0.12 secs or 2-3 small sq) anything +/- means "abnormal" |
12-lead EKG consist of: | 4 limb leads (3 limb electrodes & 1 grounding electrode) 6 chest leads (V1-V6) = 10 leads that create 12 waveforms |
how many leads in a 12 waveform paper? | 10 leads |
aVR is placed where and what type of deflection does it have? | R. Arm ; negative deflection |
aVL is placed where and what type of deflection does it have? | L. Arm ; positive deflection |
aVF is placed where and what type of deflection does it have? | L. Foot (L. leg to the foot) ; positive deflection |
Einthoven's triangle | triangle formed from the R. A --> L. A --> L.L |
difference between unipolar and V1-V6? | the placement of the lead |
which are the bipolar leads? | lead l, ll, lll |
lead l includes? | (+) R. Arm <---> L. Arm (-) |
lead ll includes? | (+) R. Arm <--> L. Leg (-) |
lead lll includes? | (-) L. Arm <--> L. Leg (+) |
which leads form the Einthoven's Triangle? | the standard limb leads "bipolar leads" |
electrodes are? | are placed on the pts skins in specific locations that control electrical activity to the ECG - for single use - check for expiration date |
if an aVR has a positive deflection, what should be done? | make sure that the leads are properly placed |
T/F: A multichannel electrocardiograph, such as 3-channel or 6-channel, records multiple leads at once in about 10 seconds | T ; Unlike a single-channel ECG, the 3- and 6-channel ECG record multiple leads at once producing a 12-lead ECG in about 10 secs |
what are ECG leads? | each separate view of the heart |
what are the first 3 leads, that uses 2 limb electrodes to record the heart's electrical activity? | standard "bipolar" leads (lead l, ll, lll) |
what are the 3 leads, that uses 1 limb electrode to record the heart's electrical activity? | unipolar leads "augmented lead" (aVR, aVL, aVF) |
which leads produces a negative deflection? | aVR |
which leads produces a positive deflection? | lead l, ll, lll & aVL, aVF |
where is the 4th or "grounding lead" placed? | on the R. leg |
what is the grounding lead used for? | used to stabilize the ECG but takes NO part in lead formation |
In a 12-lead, Color ____ is placed on ____ | [Lead] WHITE; Right arm |
In a 12-lead, Color ____ is placed on ____ | [Lead] BLACK ; Left arm |
In a 12-lead, Color ____ is placed on ____ | [Lead] GREEN ; Right leg |
In a 12-lead, Color ____ is placed on ____ | [Lead] RED ; Left leg |
In a 12-lead, Color ____ is placed on ____ | [V1] RED ; Right sternal border, 4th intercostal space |
In a 12-lead, Color ____ is placed on ____ | [V2] YELLOW ; Left sternal border, 4th intercostal space |
In a 12-lead, Color ____ is placed on ____ | [V]3 GREEN; midway between V2-V4 |
In a 12-lead, Color ____ is placed on ____ | [V4] BLUE; Midclavicular line, 5th intercostal space |
In a 12-lead, Color ____ is placed on ____ | [V5] ORANGE; Aligned with V4 at anterior axillary line |
In a 12-lead, Color ____ is placed on ____ | [V6] PURPLE; In line with V4 and V5 at mid-axillary line |
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