ecg Flashcards
v3 goes where ?
between v2 and v4, sits on 5th bone
v1 and v2 go where?
4th intercostal space
v4
mid clavicle , 5th intercostal space
v5
end of clavicle , 5th space in line with v4
v6
mix axillary ( mid arm pit)
List 5 qualities of a clinically acceptable ecg
- eitoven law
- r-wave progression
- no artifacts
- smooth baseline
- avr negative
paper speed
25mm/sec
gain (weight)?
10mm/mv
ecg procedure for dextocardia ?
always run 2 ecgs, first one normal sensor placement, second one with all sensors reversed on right side; telememed comment: reversed v1-v6, dextocardia
2 types of artefact ?
wondering baseline, somatic tremors
Causes of wandering baseline
Bigger body mvts , poor/loose electrode connection
causes of somatic tremors?
shivers, any muscle mvt , fear , discomfort, parkinsons, cold
Some solutions for wonderbaseline artefacts ?
check comfort patients, make sure electrode connections are in place
Some solutions for somatic tremors?
Blanket , explain procedure , encourage them to relax , move sensors up on limbs, re-record tracing
list 5 critcal comments to look for in order to escalate the reading of the patients ecg
st elevation, ventricular tachycardia, supra ventricular tachycardia, compete av block, advanced av block
Describe how recordinh a rhythm strip is different from recording an ecg ?
patient set up: is the same as ecg , scan ecg acession , click rhytm button: record for 60s
Telemed comment: Rhythm
Default cardiologist for pediatrics
PED-CLS
