Multiskilling: Electrocardiography for the Health Care by Karen Brisendine

By Karen Brisendine

This module in short covers the background of the ECG. the elemental anatomy of the center and its conduction procedure is gifted first after which by way of particular techniques for developing and operating gear. different themes contain lead platforms, choosing rhythms, caliber insurance, and continuous caliber development. vitamins Instructor's handbook 0-7668-0487-9

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Mastectomy surgeryon either side should also be recorded, becausethe vector of the ECG may be altered as a result of this surgery. I If a patient has a seizure while the ECG is in progress, stay with the patient. Do not attempt to restrain the patient, only to protect him or her from injury. Call for help. ” Figure 5-10 Electrode placement for dextrocardia. (Copyright Marquette Electronics, Marquette, Wisconsin) 52 CHAPTER 5 w ECGs on limb amputees will not be affected, as all limb electrodes are positioned on the chest and abdomen.

Wash hands frequently. B M ! Rationale: Preventsexposure to pathogens and spread of nosocomial in 4. Wake patient if sleepingso as not to startle. 5. Have patient state full name and verify on wristband if pertinent. JJ Note: A patientmay respond to someone else's name if he orsheis groggy from sleep or medication. A first name is essentialbecause patients may have similar last names. Be especial/y wary in trauma situations and unconscious patients. 53 6. Patient must be supine. %R! Rationale: Vectors of the heart may change if patient is elevated or lying on side.

A less resistant and better conducting layer, the dermis, lies beneath the epidermis. The dermis is composed of living cells and is the layer of skin needed to detect electrical signals forthe ECG. For adequate electrode contact, dead skin, hair, oil, and any other deterrent or resistance to conductivity must be removed. Providing an electrode-to-skin interface is crucial for detection of electrical signals fromthe heart. The following skin preparation techniques should be used on all individuals: I Shave any chest hair, where appropriate, from each electrode site.

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