EKG Monitoring

Question 1

Medical history form

Answer 1

• First name, middle, last name
• Patient’s gender
• Patient’s age
• Date and time of EKG
• List of all medications and or supplements

Question 2

Inform patient:

Answer 2

• No pain associated with test
• Empty bladder at least 10 minutes prior to the EKG
• Wear loose clothing
• Rest 30 minute before test
• Takes 5 minutes for actual test
• Position:Supine of semi-fowlers
• Disrobe to waist and provide access to upper arms and lower legs

Question 3

Attach the RA lead (white)

Answer 3

Right arm with the tab facing upper arm

Question 4

LA lead (black)

Answer 4

Left arm with the tab facing upper arm

Question 5

RL lead (green)

Answer 5

Right leg with tab facing upper leg

Question 6

LL lead (red)

Answer 6

Left leg with tab facing upper leg

Question 7

V1 lead (red)

Answer 7

To the fourth intercostal space at the right sternal border, tab facing cable yoke

Question 8

V2 lead (yellow)

Answer 8

To the fourth intercostal space at the left sternal border tab facing cable yoke

Question 9

V3 lead (green)

Answer 9

Halfway between leads V2 and V4 tab, facing the cable yoke

Question 10

V4 lead (blue)

Answer 10

To the fifth intercostal space at the left midclavicular line, tab facing the cable yoke

Question 11

V5 lead (orange)

Answer 11

Horizontal line with V4 at the anterior axillary line, tab facing the cable yoke

Question 12

V6 lead (purple)

Answer 12

On horizontal line with V3 at the mid axillary line, tab facing the cable yoke

Question 13

Patients with special considerations

Answer 13

• when right side EKG is performed leads are placed in mirror image to leads placement on left side
• If below elbow amputation, arm leads may be attached to upper arm
• If lower leg amputation leads may be attached to the thigh
• When posterior leads are to be attached: V7 goes to posterior axillary line, V8 goes to midscapular region, and V9 at paraspinal location