ECG Monitoring Systems Flashcards

1
Q

what do ECGs do?

A

record the electrical activity of the heart’s cardiac cycle by graphing time vs voltage

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2
Q

vector

A

electrical quantity that has direction and magnitude

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3
Q

what is the flow of electrical current?

A

from a negative to positive electrode

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4
Q

what happens when electrical current flows towards a positive electrode?

A

it creates a positive deflection on an ECG, which is patterns that are upright

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5
Q

the _____ of electrical activity affects the _____ of vectors

A

amount, size

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6
Q

magnitude

A

size of a vector

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7
Q

5-lead ECG

A
  • commonly used for bedside monitoring
  • 5 electrodes; provides info on 5 views of the heart
  • provides info on HR, rhythm and dysrhythmias
  • also show changes consistent with myocardial ischemia or infarction, but only in displayed leads
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8
Q

what are the most commonly used leads for monitoring?

A

leads II and V1

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9
Q

what does a ground electrode do?

A

reduces electrical interference or noise

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10
Q

what are the phrases for remembering lead placement?

A

white over right
clouds over grass
smoke over fire
I heart chocolate

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11
Q

where does the white electrode go?

A

RA - 2nd ICS below R clavicle

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12
Q

where does the green electrode go?

A

RL - 7th-8th ICS midclavicular line

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13
Q

where does the black electrode go?

A

LA - 2nd ICS below L clavicle

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14
Q

where does the red electrode go?

A

LL - 7th-8th ICS midclavicular line

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15
Q

where does the brown electrode go?

A

V1- centre of chest, 4th ICS

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16
Q

12 lead ECG

A
  • 10 electrodes, 10 views of the heart
  • provides info on HR, rhythm, dysrhythmias
  • diagnostic gold standard used to confirm dysrhythmias, diagnose ECG change consistent with ischemia or infarction, and locate ischemic events to a specific are of the myocardium
17
Q

the ECG records at a speed of ?

A

25mm/sec

18
Q

horizontal (x) axis represents _____. what does each box represent?

A
  • time (seconds)
  • large box = 0.20 seconds
  • small box = 0.04 seconds
19
Q

vertical (y) axis represents ______. what does each box represents?

A
  • voltage (mV or mm)
  • large box = 5mm
  • small box = 1mm