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Intro into 12-Lead
Introduction into 12-lead EKGs
| Question | Answer |
|---|---|
| Leads are... | views of the heart |
| Electrodes are... | the stickers placed on the chest. |
| A 12-lead EKG gives us ______ views of the heart with only ______ electrodes. | 12; 10 |
| Positive electrodes are the... | cameras. |
| Negative electrodes are the... | subject. |
| ______ electrodes always face the ______ electrodes. | positive to negative |
| Which of leads are considered hexaxial? | Lead I, lead II, lead III, aVR, aVL, aVF |
| Are leads I - III are unipolar or bipolar? | bipolar |
| Describe Lead 1 and its view. | + leg arm, - right arm; left lateral |
| Describe Lead II and its view. | + left leg, - right arm; inferior |
| Describe Lead III and its view. | + left leg, - left arm; inferior |
| Are aVR, aVL, and aVF are unipolar or bipolar? | unipolar |
| What is the name of the "negative electrode" in unipolar leads? | central terminal |
| What is the central terminal in unipolar leads? | heart |
| Describe aVR and its view. | + right arm, - heart; right atrium |
| Describe aVL and its view. | + left arm, - heart; left lateral |
| Describe aVF and its view. | + left leg, -heart; inferior |
| Which of leads are considered precordial? | V1, V2, V3, V4, V5, V6 |
| Precordial leads look at the _______ around to the ___________________. | front, left side |
| How important is it to place the precordial leads in the correct spot? | VERY! Must be in the exact spot unless skin tissue is in the way. Place beneath the tissue. |
| What two landmarks are you "supposed to" look for to find the intercostal spaces? | jugular notch and angle of Louis |
| What is the angle of Louis? | angle between the manubrium (top of the sternum) to the body of the sternum |
| Where is V1 placed? | right side of sternum; 4th intercostal space |
| Where is V2 placed? | left side of sternum; 4th intercostal space |
| Where is V3 placed? | between V2 and V4 |
| Where is V4 placed? | left midclavicular line (left sagittal line) in the 5th intercostal space |
| Where is V5 placed? | left anterior axillary line in the 5th intercostal space |
| Where is V6 placed? | left midaxillary line in the 5th intercostal space |
| What does V1 view? | septal |
| What does V2 view? | septal |
| What does V3 view? | anterior |
| What does V4 view? | anterior |
| What does V5 view? | left lateral |
| What does V6 view? | left lateral |
| Which leads are commonly used for rhythm strips? | Lead II or V1 |