Why Is It Important To Use ECG Adequate Detections?

EKG is an electrocardiogram, a machine used to check on problems with your electrical activity with your heart. An electrocardiogram machine translates the heart’s electrical pattern into lines that specific professionals can read it. The first EKG was made by Willem Einthoven, a Dutch Java island (now called Indonesia) born citizen. Willem was born the 21st day of May 1860. His father, Jacob Einthoven, was born and educated in Groningen (Netherlands). His father was also

Electrodes must be placed in the correct landmarks to prevent misinterpretation of the ECG. If the electrodes are placed incorrectly, the ECG may read as ST changes, electrical axis, location of bundle branch blocks and location of infarcts (Riddle, 2008, para. 5). During the ECG, a total of 10 electrodes are applied to the patient. Six electrodes (V1-V6) are placed on the anterior chest in the proper anatomical landmarks, and these leads must be placed precisely for an accurate ECG interpretation. Electrodes V1 and V2 are placed on the fourth intercostal space with V1 on the right and V2 on the left (Riddle, 2008). Electrodes V3-V6 are placed on the left chest wall on the fifth intercostal space in the following order: V3 to the right of V4, V4 at the midclavicular line, V5 to the right of V6, V6 to the midaxillary line (Riddle, 2008). The remaining four electrodes are placed on both upper and lower extremities without touching the chest.

African American male that is seen today for followup post hospital discharge. He is a 48-year-old gentleman with complicated cardiac history as well as neurological history including congestive heart failure. History of strokes 01/2017, possible sick sinus syndrome. He has an implanted pacemaker that was placed in 06/2017, as well as hypertension. He was taken to the Central Hospital on 09/01 with presentation of chest pain, noted to be around his pacemaker site. He identified being in seizure and suddenly felt chest pain with shortness of breath, and was offered nitro, he developed headaches and dyspnea post nitro treatment, of note is that the EKG that was obtained during that process, did not identify any pacemaker spike despite having a

A number of tests would be performed to analyze the extent of damage of the heart. An electrocardiogram would be one of the first tests performed to check the electrical

The EKG is read by a doctor or specialist, such as an internist, family medicine doctor, electrophysiologist, cardiologist, anesthesiologist, or surgeon. The doctor will look at the pattern of spikes and dips on your EKG to check the electrical activity in different parts of your heart. The spikes and dips are grouped into different sections that show how your heart is working

Recent updated NICE guidance recommends 12-lead electrocardiography as soon as possible in patient with acute chest pain but warns not to exclude ACS if the ECG is normal (Cooper, Timmis, Skinner, 2010).

As the technician is setting up the surgery suite they notice another technician obtaining the ECG incorrectly. The technician has the patient in left lateral recumbency with the extremities stretched out. The technician obtaining the ECG was educated on proper ECG positioning. The patient needs to be in right lateral recumbency with extremities perpendicular to body and parallel to one another (Olson, 2014).

Electrical wires may be put in to make sure the heart is working normally. These are temporary.

Collaborate with your preceptor to interpret your patient’s EKG rhythm and list your patient’s rhythm.  Discuss the implications this patient’s heart rhythm has for circulation.   How does your patient’s specific rhythm impact the physical assessment findings?  What if the rhythm changes:  what would happen if the rhythm became slow, fast, or irregular?  How could these changes manifest in the patient assessment and how would you, as the nurse, proceed?

Great post. I like the points you outlined about assessment of Mr. J. You started with maintaining ABC’s to checking lower extremities pulses to ensure that it is not cut off by the tight constrictive band of the eschar. ECG should be monitored at least the first 24 hours because Mr. J is prone to cardiac arrest due to high electrical voltage injury. Fluid resuscitation with 14 or 16 gauge preferably through unburned tissue, and infusion of lactated Ringer’s solution will help to prevent shock. Assessment of vital signs and pain is very important, the nurse should also assess for history of tetanus immunization because burn wounds are prone to tetanus. Mr.’s brief medical history is important in case he has any allergies, current medical

Some hospitals almost never ordered an ECG, and others almost 100 percent of the time ordered an ECG,” in average it was

• Make sure the Holter monitor is safely clipped to your clothing or close to your body as recommended by your health care provider.

To deliver these impulses during the procedure the patient has electrodes placed either bilaterally or unilaterally. The shock is used to create changes within the different hormones (2013). When it comes to ECT there are multiple people that play major roles within this procedure. The team has a psychiatrist, anesthesia provider, a recovery nurse, and the ECT nurse. The psychiatrist is the one that is administering the treatment to the patient as well as assessing the patient before and after the procedure. The anesthesia provider is responsible for the airway of the patient and their heart. The recovery nurse has the responsibility of monitoring all the vital signs, pulse oximetry and EKG rhythm and alerts the other team member if anything changes. Finally the ECT nurse is the person who is monitoring everything that is occurring within the therapy. They are making sure all of the equipment is working properly, checking the patient’s circulation throughout their body, but also they assist the patient to and from the procedure room (Murphy, 2013). It is imperative to the well-being of the patient if everyone is the room is on the same page and knows what their role is in the procedure. Before a patient is allowed to be concerned a candidate for the ECT they have to receive multiple assessments to see if their body will allow them to get the therapy. During these assessments they pay close attention to cardiovascular, pulmonary, neurologic, musculoskeletal, and their cognitive behavior (Murphy, 2013). If the patient has a problem within any of these systems they are at an increased risk of having adverse effects from the

The implementation of electromagnetic tracking (EM) to verify nasogastric tube placement is a new concept that can provide better and safer patient care. Many people die of improper placement of nasogastric tube each year. The misplacement of these tubes, if not verified correctly, can cause severe injury to the patient or even death. Fundamentals of Nursing, believe that X-ray is the best way to verify placement (Potter, Perry, Stockert, & Hall, 2013). In the Journal of Human Nutrition and Dietetics and the British Journal of Nursing they both find that Electromagnetic tracking is the safest way. It is important to check for verification because this type of harm is preventable. New evidence-based practice states that the use of electromagnetic tracking is safer versus the use of pH, X-ray, and CT scanning (Taylor S. et al., 2014). Another benefit to using this method is that

Finally, ensure that the patient is supine on a bed, comfortable and relaxed. Cowley (2002) describes how accurate chest lead placement is essential for ensuring quality ECG output, as any misplaced leads may result in a change in ECG waveform, in turn this may cause the ECG trace to be misinterpreted. The full pictorial description