Blood Pressure

Question 1

Introduction

Answer 1

Introduce self
Ask for full name and DOB
How would they like to be addressed
Explain procedure- wires used to record heart beat- no discomfort and not invasive
It will involve your arms, chest and lower limbs to be exposed and wires attached

Question 2

The trace and position of contacts

Answer 2

ECG- 25 mm/sec
Calibration 1mV = 1cm
Patient details
Date
Signature
Inside of wrists (downwards) and ankles (upwards)
Chest (downwards)
Politely ask the patient to remain still and not talk during the recording – muscle activity interferes with the trace
Press the appropriate button on the machine to record a trace
Read- Right arm (RED)
Your- Left arm (YELLOW)
Books- Right leg (BLACK)
Good- Left leg (GREEN)

Question 3

Chest leads

Answer 3

V1- 4th intercostal space on the right
V2- 4th intercostal space on the left
V3- between V2 an V4
V4- 5th intercostal space left
V5- same horizontal level as V4
V6- same horizontal level as lead 4 midaxillary line

Question 4

Rate calculation

Answer 4

If regular-300/ (how many sqaures are between each complex)

Count how many complexes are in 30 squares and X by 10

Question 5

How to describe ECG

Answer 5

Activity
Rate
Irregular or regular
Broad or narrow
Atrial depolarisation
Relationship between QRS complex and P wave