ecg

Question 0

v3 goes where ?

Answer 0

between v2 and v4, sits on 5th bone

Question 1

v1 and v2 go where?

Answer 1

4th intercostal space

Question 2

v4

Answer 2

mid clavicle , 5th intercostal space

Question 3

v5

Answer 3

end of clavicle , 5th space in line with v4

Question 4

v6

Answer 4

mix axillary ( mid arm pit)

Question 5

List 5 qualities of a clinically acceptable ecg

Answer 5

• eitoven law
• r-wave progression
• no artifacts
• smooth baseline
• avr negative

Question 6

paper speed

Answer 6

25mm/sec

Question 7

gain (weight)?

Answer 7

10mm/mv

Question 8

ecg procedure for dextocardia ?

Answer 8

always run 2 ecgs, first one normal sensor placement, second one with all sensors reversed on right side; telememed comment: reversed v1-v6, dextocardia

Question 9

2 types of artefact ?

Answer 9

wondering baseline, somatic tremors

Question 10

Causes of wandering baseline

Answer 10

Bigger body mvts , poor/loose electrode connection

Question 11

causes of somatic tremors?

Answer 11

shivers, any muscle mvt , fear , discomfort, parkinsons, cold

Question 12

Some solutions for wonderbaseline artefacts ?

Answer 12

check comfort patients, make sure electrode connections are in place

Question 13

Some solutions for somatic tremors?

Answer 13

Blanket , explain procedure , encourage them to relax , move sensors up on limbs, re-record tracing

Question 14

list 5 critcal comments to look for in order to escalate the reading of the patients ecg

Answer 14

st elevation, ventricular tachycardia, supra ventricular tachycardia, compete av block, advanced av block

Question 15

Describe how recordinh a rhythm strip is different from recording an ecg ?

Answer 15

patient set up: is the same as ecg , scan ecg acession , click rhytm button: record for 60s

Telemed comment: Rhythm

Question 16

Default cardiologist for pediatrics

Answer 16

PED-CLS