Patient care

Question 1

how do you describe the procedure to a patient?

Answer 1

The EKG is a diagnostic test that allows the physician to assess the electrical activity of the heart. It is non-invasive, painless procedure that takes only a few minutes to complete. Instruct the patient to remain as still as possible during approximately 10 seconds.

Question 2

What are the steps in approaching the patient?

Answer 2

Describe the procedure and its purpose call. Answer all the patient questions. Organize interpreter for non-speaking English patients. Guinn informed consent. Make iContact, be non-judgmental, demonstrate listening skills.

Question 3

Prior to acquiring an EKG strip, gather, and document the patients:

Answer 3

Social history, medical history, surgical history, current medication

Question 4

Gather the patient’s history.

Answer 4

ask female patient if they are pregnant. Ask about allergies. Ask if the patient is experiencing any symptoms now Dash chest pain, difficulty, breathing, lightheadedness.

Question 5

White lead

Answer 5

Right clavicle, or shoulder

Question 6

Black lead

Answer 6

Left clavicle or shoulder

Question 7

Red lead

Answer 7

Lower left abdominal

Question 8

Green lead

Question 9

Green lead

Answer 9

Right lower abdominal

Question 10

Holter monitoring

Answer 10

Monitoring device that records, electrical activity of the heart continuously to rule out arrhythmias or ischemia. Duration 24 to 72 hours five lead a KG placement obtain data is analyzed after the procedure versus telemetry.

Question 11

Type of activity, a patient with Holter monitoring should avoid

Answer 11

Shower, magnets, MRI, metal detector, high-voltage areas, electrical blankets

Question 12

Normal heart rate for children

Answer 12

60 to 180 per minute

Question 13

Obtain a right sided 12 lead EKG

Answer 13

in children under two years limbs leads on torso. 2 to 8 years – left or right sided EKG. In adults with dextrocardia right sided heart. 

Question 14

placement of V3 on infants

Answer 14

Apply the right side of the chest, less crowding of the electrodes. Or right sided EKG.

Question 15

Normal EKG signs in children

Answer 15

normal heart rate 60 to 180 BPM. Sinus arrhythmia. PR upright and may be picked in infants. QRS is less than 0.09 seconds, dominant or wave in V1 – V3 RSR pattern in V one. Juvenile T wave pattern T-wave inversion‘s in the 1–3.