Types of EKG Tests

Question 1

A type of EKG test

Continuously monitors heart rhythm

Lead placement:
White lead: right shoulder and clavicle junction
Black lead: left shoulder and clavicle junction
Red lead: left lower abdominal area (waist band/belt level)
Green lead: right lower abdominal area (waist band/belt level)

Answer 1

3 Lead EKG

Question 2

2 names 4 a type of EKG test

Lead set up can vary but the most common setup is:
White: right side of sternum up at clavicle
Black: left side of sternum up at clavicle
Red: left lower(mid) thoracic area (under left side of peck/breast)
Green: right lower thoracic area(lowest lead)
Brown: 2 right of the bottom of the sternum (line up w/white lead under peck/breast and slightly lower than red)

Answer 2

5 Lead monitor EKG

Holter Monitor

Question 3

A type of EKG test

Requires 10 electrodes: 4 limb and 6 precordial leads

Lead setup: 6 precordial leads
V1: 4th intercostal space (ICS) right side of sternum
V2: 4th ICS left side of sternum
V3: between V2 and V4
V4: 5th ICS midclavicular line (under peck/breast)
V5: 5 ICS between V4 and V6
V6: 5th ICS midaxillary line

Answer 3

12 Lead EKG

Question 4

Used 4 patients w/certain conditions:

• inferior wall segment elevation myocardial infarction (STEMI)
• patient’s less then age 8

Lead placement is a mirror image 2 standard 12 Lead EKG:
V1: 4th intercostal space (ICS) left side of sternum
V2: 4th ICS right side of sternum
V3: between V2 and V4
V4: 5th ICS right midclavicular line (under peck/breast)
V5: 5 ICS between V4 and V6
V6: 5th ICS right midaxillary line

Answer 4

Right sided 12 Lead EKG

Question 5

After recording, verify readout is free of artifacts

Troubleshooting:

1) verify leads didn’t fall off patient
2) check electrodes 4 skin contact connection
3) check wires r plugged in
4) try changing cables on machine
5) contact manufacturer 4 instructions

Answer 5

Verifying recorded leads and troubleshooting irregularities

Question 6

Lean institution’s policy b4 entering in2 patient file

Check that patient identifiers r on print out

Some facilities use bar code stickers on print out

Answer 6

Uploading EKG 2 EHR or paper file mounting

Question 7

5 step method:

1) calculate both atrial and ventricular bpm
2) measure PR Interval
3) measure QRS duration
4) determine regularity of rhythm
5) use finding 2 interpret underlying rhythm

Answer 7

Interpreting underlying rhythm