Ambulatory Monitoring Flashcards
AMBULATORY MMONITOR:
Recording of ECG while patient going about daily activity
- Kept on patient for 24-48 hrs
List the types of ambulatory monitor:
- Continuous Monitoring
- Interment Monitoring
- Transtelephonic Monitoring
CONTINUOUS MONITORING:
Complete tracing from the moment unit is applied until its removed
- Marker can be used by patient to record or make note whenever they feel symptoms
INTERMITTENT MONITORING:
Placed on patient for extended period, but is dependant on patient reporting
- May not be most reliable or capture all abnormalities
- Quickest form
TRANSTELEPHONIC MONITORING:
Evaluates function pacemaker and can be left on patient longer than 24-48 hrs
- Can be connected to cellular device to transmit ECG to clinic/lab
POST-SYSTEM EVENT MONITORING:
Used when patient experiences symptoms, documents dysrhythmias that last more than a few seconds
- Wristwatch type worn at all times
LOOP MEMORY MONITORING:
Monitor remains on chest for 30 days or more to record 5 mins worth of rhythms
- Provides info before, during, and after cardiac occurs
What should you educate patients on while ambulatory monitoring?
- Patients should have a diary/log for activities
- Wear loose-fitting clothes for reduction of artifacts
- Sponge baths, no swimming, shower, baths
- No tension on leads while sleeping
- Avoid magnets and metal detectors
Elderly procedure:
Apply less pressure when abrading the skin and the patient’s skin may be sensitive
List steps for reporting results:
- Follow institutions instructions
- Final interpretation will be done by a physician
- Ensure patient’s log and data storage are labeled with NAME/ ID #/ DATE/ PHYSICIAN NAME
Factors affecting accuracy:
- Improper lead attachment
- Patients fail to maintain routine
- Incomplete/ falsified log
