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CET-EKG prep

2nd set of cards

immobile fetal position where do you place the leads on the back
what is the max length of artificial nails no artificial nails and max length of natural nails is 0.64 cm or .25 in
what are the signs of ventricular hypertrophy increased amplitude of the qrs
where should you take an infants pulse brachial artery
where should you place V1 on a patient with dextrocardia the left sternal boarder and the 4th inter costal space
what lead is next to the paraspinous boarder V9
how should you lay a 35 week pregnant woman during her EKG on back slightly on her left side with a pillow to support and comfort
where should a patient place the card to activate their transtelephonic event monitor using heart card monitoring the middle of lower part of the sternum
what position should the patient be in during a nuclear stress test while the camera moves supine arms above the head
indicator of myocardial infarction cyanosis
what interval should be used to determine the regularity of ventricular depolarization r-r wave interval
what should the EKG Tec do after completing regular 12 lead check the tracing for artifacts then disconnect
if you notice a accelerated idioventricular rhythm on a tracking what should you do? call for help and stay with the patient
when doing a exercise stress test what is not normal a tingling sensation in the lower extremities
what's the difference between accelerated idioventricular rhythm and junctional rhythm a wide QRS for the accelerated idioventricular rhythm
with telemetry where do you place the grounding electrode the lower right leg
what leads show the electrical activity of the septal wall V1 and V2
if the QRS is super tall what should you do half the gain
how should you store the electrodes when not in use in the ordinal foil lined bag they came in
for what reason should you stop a stress test dizziness
if the patient has a fast heart rate you should do what to get a clear reading double the speed
if during a stress test the patient reports a heaviness and becomes diaphoretic this patient is experiencing what? myocardial infarction
why should you not use resting electrodes more than twice in a row the resting tab gel will not provide accurate readings
where is the best place to take a Childs temputure the temple
where does V6 go on a 9 yr child left midaxillary line
during an exercise stress test where would you place the RL and LL the lower anterior parts of the abdomen on each side
First thing to do if you see V tachycardia on a rhythm strip is to do what? notify the doctor takes priority over documentation.
stop a stress test if what happens dizziness = low cardiac output and potential injury Don't stop if electrode de-attaches
Accelerated junctional rhythm what paper speed do you use 25 mm/sec
Leads 2 and 3 are not recording what electrode should you check? Left leg
SPO2 of 88% is hypoxemia not orthopnea
For contact precautions you should remove gloves post leaving, not keep the patient door shut
how to take apical pulse landmarks 5th and 6th ribs at midclavicular line
What interval do you use to determine regularity of the ventricles? RR interval
How do you prepare the patient's skin for electrodes cut hair don't use iodine
where is the grounding electrode for an EKG Right leg
How to work a trans telephonic loop memory monitor hit the record button if you have symptoms.
What the patient should expect for telemetry skin cleaned with alcohol, electrode checked daily, no warm skin feelings, and no rashes
How to manage accelerated idioventricular rhythm This is an emergent situation and the technician should call for help.
Adolescent age is 13 to 26 years old
myocardial ischemia looks like ST segment depression and T wave inversion.
What to do if the other leg is amputated put both electrodes at the same level on the abdomen
How to do an EKG for dextrocardia reverse your R and L's
V1 and V2 septal
V3 and V4 Anterior L ventricle
1, AVL, V5, and V6 lateral L ventricle
2,3,AVF inferior wall of L ventricle
A Holter monitor is typically prescribed for patients who experience palpitations, syncope, dizziness, chest pain, lightheadedness, or are taking antidysrhythmics.
How to get body temp in a young child use the temporal artery
The technician should perform hand hygiene and change gloves between procedures, even if caring for the same patient.
Before you disconnect your patient you should? Check that the tracing is free from artifacts and then disconnect the patient from the machine.
Why would you do ambulatory monitoring post EKG because it monitors the heart longer than a 12 lead EKG
3 or more PVC in a row is V. Tachycardia
if the QRS is too tall to fit on the page decrease the gain
What is the gain how many little boxes is equal to 1 mv, usually it is 10 little boxes to 1 millivolt
to id the rate and rhythm the rhythm has to be at least how many seconds long? 6 second
What words are used to describe the rhythm of a pulse? irregular or regular, Weak, strong, bound describe the volume of the pulse
What is the most commonly used paper speed 25 mm/sec
What electrode is used to create 1,2, AVR right arm
What electrode is used to create 2,3 AVF Left leg
What electrode is used to create 1,3 AVL Left arm
what should p waves look like? Peaked or rounded rounded
9 Year old where do you put V6 age is not going to change the placement of V6 but it does change the placement of V3.
V6 placement midaxillary line NOT midclavicular
What is a normal body temperature for an adult 97.7 to 99.0 F
Transtelephonic event monitor where do you place the card if you are having an event? The technician should instruct the patient to apply the card over the middle to the lower part of the sternum to activate the monitor.
To resolve a wandering baseline, the technician should relieve tension from the lead wires to ensure there is an effective connection to the EKG machine.
Height of EKG waveforms is the? Voltage
During a nuclear stress test, the patient should be in a supine position with the arms above the head so the camera can rotate around the patient to produce a multidimensional image.
EKG in pregnant patient have then lay how? On their L side.
Pathological Q wave indicate what? A prior heart attack
Best artery to take pulse in an infant brachial
Patient is having MI and calls office what should you do? Have the office call 911 while staying on the phone with the patient.
When to zap V fib If the patient is unconscious and has not pulse and you are doing CPR
V fib the first thing you should do is check for responsiveness
Crossed wires can cause what type of interference on an EKG electrical interference AKA AC interference.
ST elevation is a sign of an acute myocardial infarction
myocardial infarction heart attack
3rd degree heart block observe for signs of low cardiac output
low cardiac output could lead to what? cardiac arrest
3 to 6 years of age is a pulse rate of 75 to 120/min.
1 to 2 years of age is a pulse rate of 80 to 140/min.
newborn is a pulse rate of 120 to 160/min.
If patient is immobile in the fetal position put electrodes on their back
Why you shouldn't do two consecutive EKG with the same electrodes they will note conduct accurately after 2 EKGs
ventricular pacemaker will create what type of rhythm on a EKG a wide QRS
What is MCL stand for? Modified chest leads (uses a bipolar lead instead of a unipolar lead. MCL1-6 act as though they are V1--> V6
Most heart rhythms are regular or irregular Regular
After hooking up to telemetry what should you do? Check the wires to make sure that they are properly color coded.
Why an annual EKG during a physical to check for EKG changes not to determine the stroke volume
Be able to ID wandering baseline the line between T wave of beat 1 and the P wave of beat 2 is constantly moving up and down.
Most accurate way to measure temperature in a child is temporal not the tympanic membrane,
Moving around during an EKG ==> Somatic tremor
Holter monitor they should record spontaneous symptoms unrelated to physical activity; patient should not avoid activities that may cause symptoms
stop stress test when heart rate reaches what percentage of normal 85 to 100%
The EKG looks different than before the 1st thing you should do is check lead placement, if it is still messed up call the doctor.
which wave determines the regularity of ventricular rate the R wave not the T wave
The technician should place the patient in either the left or right lateral position for an EKG if the patient has a suspect posterior infarction.
Your pacer should not fire if your heart rate is faster than the pacer is set
Where do you take an apical pulse? 5th ICS mid midclavicular line
V7 placement Posterior axillary line
V8 Placement Midscapular line
V9 Placement is paraspinal boarder
V3R placement is just like V3 but on the R instead of the L
V3R looks at what the R ventricle
How many leads are placed on the patient during a holter monitor 5
 

 



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