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