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Download Nursing Know-How: Interpreting ECGs by Springhouse PDF

By Springhouse

This quantity of the hot Nursing Know-How sequence deals how-to information at the most recent options for ECG interpretation and remedy of arrhythmias. Written in a seriously bulleted structure, the e-book comprises real-time rhythm strips for all arrhythmias, with features indexed and telltale abnormalities highlighted. ratings of perform strips with solutions are included.

Know-How Nugget icons provide specialist pointers on procedure, which ends up in use, the place to put leads, and the way to distinguish look-alike ECGs. Case Clip icons current real-life medical eventualities concerning probably deadly arrhythmias reminiscent of ventricular tachycardia—what the nurse famous and the way the fast reaction crew intervened. Alert icons spotlight warnings and medical precautions, corresponding to indicators to drug-induced arrhythmias.

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Sample text

To obtain the ventricular rate, use the same method with two consecutive R waves. qxd 8/21/08 1:43 PM Page 51 Normal sinus rhythm 51 Sequence method The third method of estimating heart rate is the sequence method, which requires memorizing a sequence of numbers. For atrial rate, find a P wave that peaks on a heavy black line and assign the following numbers to the next six heavy black lines: 300, 150, 100, 75, 60, and 50. Then find the next P wave peak and estimate the atrial rate, based on the number assigned to the nearest heavy black line.

Hair may interfere with electrical contact; therefore, it may be necessary to clip areas with dense hair. Ⅲ To prepare the patient’s skin, use a special rough patch on the back of the electrode, a dry washcloth, or a gauze pad to briskly rub each site until the skin reddens. qxd 8/21/08 34 1:42 PM Page 34 ECG basics Using a five-leadwire system This illustration shows the correct placement of the leadwires for a five-leadwire system. The chest electrode shown is located in the lead V1 position, but you can place it in any of the chest-lead positions.

White—right arm (RA) Ⅲ Green—right leg (RL) Ⅲ Brown—chest (C) Ⅲ Black—left arm (LA) Ⅲ Red—left leg (LL) RA LA C RL LL cells and improves electrical contact. Make sure you don’t damage or break the skin. Ⅲ If the patient has oily skin, clean each site with an alcohol pad and let it air-dry. This ensures proper adhesion and prevents alcohol from becoming trapped beneath the electrode, which can irritate the skin and cause skin breakdown. Application of electrode pads To apply the electrodes, remove the backing and make sure each pregelled electrode is still moist.

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