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CH 5 EKG
Question | Answer |
---|---|
Depolarization | Change in electrical charge from neg to a pos |
Repolarization | Change in electrical charge from pos to neg |
Cardiac conduction | Movement of the electrical signs in the heart |
Electrodes | Pads that conduct electricity |
Leads | Test that records the electrical activity of the heart |
Mechanical activity | Muscle contractions of the heart |
Electrocardiogram (EKG) | Views of the heart electrical activity recorded on an ekg |
Echocardiogram | Test that shows the mechanical activity of the heart |
How many lead wires does a long cable have? | 10 |
What are flat electrodes called? | Resting electrodes |
Circular pad electrodes are called? | Monitoring electrodes |
What ekg testing monitor is for pt that doesn't show any abnormalities but the dr would like to have info about the cardiac activity over a long period? | Event monitor |
Hospitalized overnight for observation after a heart attack? | Holter monitor |
Having shortness of breathe and experienced palpations but during exercise only | Stress test |
EKG needed during routine physical with PCP | Telemetry |
Another name for limb leads are? | Bipolar |
What leads are called the augmented leads? | aVR, aVL, aVF |
What leads are precordial leads or chest leads | V1, V2, V3, V4, V5, V6 |
Which limb leads are unipolar leads? | Augmented and precordial leads |
What are limb leads called? | Lead I, II, & III |
What do limb leads electrodes form? which is known as? | Einthoven's Tringale |
What is a common known mistake during EKGs? | Reversal of limb leads |
Where are the electrodes placed in a 3 lead and 5 lead ? | Chest and lower torso |
Where are the electrodes placed in a 12 lead EKG? | Limb or torso |
How many electrodes does a 12 lead uses? | 10 |
Where is the placement for RA electrode | right or upper torso, just under right clavicle at the right midclavicular line |
Where is the placement for RL electrode | Right leg or right lower torso |
Where is the placement for LA electrode | Left arm or left upper torso, just under left clavicle at the left midclavicular line |
Where is the placement for LL electrode | Left leg or left torso |
Where is the placement for V1 electrode | In the 4th intercostal space (between ribs 4 & 5) just to the RIGHT of the sternum (breastbone) |
Where is the placement for V2 electrode | In the 4th intercostal space (between ribs 4 & 5) just to the LEFT of the sternum (breastbone) |
Where is the placement for V3 electrode | Between the electrodes for V2 & V4 |
Where is the placement for V4 electrode | In the 5th intercostal space (between ribs 5&6) in the left of the midclavicular line |
Where is the placement for V5 electrode | Horizontally even with V4 in the left of the anterior axillary line |
Where is the placement for V6 electrode | Horizontally even with V4 & V5 in the left midaxillary line |
Where should an EKG machine be placed during testing? | On the left side of the patient |
What is the default paper speed on an ekg machine? | 25mm |
Why might a provider request that an EKG be run a bit faster paperspeed? | Routine testing |
What does gain mean? | Measurement of how high or low the stylus is |
At default speed and default gain, what should be the measurements of an EKG Calibration mark be? | 5mm wide by 10 mm tall |
Voltage | Difference in electrical charge |
Monitoring electrodes | Circular pads are used when resting and for continuous monitoring (If diaphoresis can not be attached) |
Telemetry | An application of EKG technology that allows continual monitoring of a patients heart rate & rhythm |
Ambulatory monitoring | A type of EKG technology that can record or monitor patient heart rate & rhythm over an extended period while the pt continues with normal life |
Holter monitor | a type of ambulatory monitor that allows dr to evaluate heart rate & rhythm over an extended period of time (usually 24-48hrs while the pt continues with normal life) |
Event monitor | A type of ambulatory monitor that records heart rate & rhythm when pt indicates that there expecting symptoms |
Mobile cardiac telemetry | Ambulatory monitoring that automatically alerts a healthcare professional if the irregularities in the heart or rhythm are detected |
Heart Cards | Home monitor and they do not involve placement of electrodes and lead wires. |
Stress test | How the heart response to physical activity on treadmill or bicycle |
Tracings | Recorded in sequence, switching from one lead to the next lead every 2.5 sec |
Rhythm strip | This test records the electrical activity of the heart. |
Known Limp leads are | Lead I, II, III |
Lead I measures? | Measures the left arm electrode (pos pole) & right (neg pole) |
Lead II measures? | Measures the left leg (pos) & right arm (neg) |
Lead III | Measures the left leg (pos) & left arm (neg) |
Neutral | Without pos or neg electrical charge |
What leads give info about the inferior or lower wall of the heart (left ventricle) | Leads I, II, III and aVF |
What leads give info about the anteroseptal wall of the heart? | Leads V1 V2 V3 & V4 |
What leads give info about the lateral wall of the heart? | Leads I aVL, V5 & V6 |
Anteroseptal wall | Front part of the wall that divides the right and left sides of the heart |
Placement of 5 lead testing are? | On the right arm and left arm and left leg electrodes are placed in a 3 lead testing |
What is another word for electrode? | Ground electrode |
How many precordial leads are there? & where? | 4 limb locations and 6 chest locations |
Gain control | Used to change sensitivity of machine |
Stylus | The part of the machine that marks on the paper |