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    Nursing Journal Ecg

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    Charlene Jacobe Cornista
    1. Electrocardiography (ECG) is a test that records the electrical activity of the heart using electrodes placed on the skin. It uses 12 leads to measure electrical signals from different angles. 2. An ECG is used to help identify cardiac abnormalities, arrhythmias, conduction issues, and signs of heart attack or damage. It can also monitor recovery and treatment effectiveness. 3. The ECG procedure involves placing adhesive electrode tabs on the patient's chest, wrists, and ankles while they lie still. The electrical activity is recorded and analyzed for normal and abnormal waveforms and measurements.

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    Nursing Journal Ecg

    Uploaded by

    Charlene Jacobe Cornista
    48 views2 pages
    1. Electrocardiography (ECG) is a test that records the electrical activity of the heart using electrodes placed on the skin. It uses 12 leads to measure electrical signals from different angles. 2. An ECG is used to help identify cardiac abnormalities, arrhythmias, conduction issues, and signs of heart attack or damage. It can also monitor recovery and treatment effectiveness. 3. The ECG procedure involves placing adhesive electrode tabs on the patient's chest, wrists, and ankles while they lie still. The electrical activity is recorded and analyzed for normal and abnormal waveforms and measurements.

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    NURSING JOURNAL ECG

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    1. Electrocardiography (ECG) is a test that records the electrical activity of the heart using electrodes placed on the skin. It uses 12 leads to measure electrical signals from different angles. 2. An ECG is used to help identify cardiac abnormalities, arrhythmias, conduction issues, and signs of heart attack or damage. It can also monitor recovery and treatment effectiveness. 3. The ECG procedure involves placing adhesive electrode tabs on the patient's chest, wrists, and ankles while they lie still. The electrical activity is recorded and analyzed for normal and abnormal waveforms and measurements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    48 views2 pages

    Nursing Journal Ecg

    Uploaded by

    Charlene Jacobe Cornista
    1. Electrocardiography (ECG) is a test that records the electrical activity of the heart using electrodes placed on the skin. It uses 12 leads to measure electrical signals from different angles. 2. An ECG is used to help identify cardiac abnormalities, arrhythmias, conduction issues, and signs of heart attack or damage. It can also monitor recovery and treatment effectiveness. 3. The ECG procedure involves placing adhesive electrode tabs on the patient's chest, wrists, and ankles while they lie still. The electrical activity is recorded and analyzed for normal and abnormal waveforms and measurements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NURSING JOURNAL

    Nursing responsibilities for the patient will undergo12 Lead Echocardiography

    Electrocardiography is the most commonly used test for evaluating cardiac status, graphically records
    the electrical current (electrical potential) generated by the heart. This current radiates from the heart in
    all directions and, on reaching the skin, is measured by electrodes connected to an amplier and strip chart
    recorder. The standard resting ECG uses five electrodes to measure the electrical potential from 12
    different leads; the standard limb leads (I,II,III), the augmented limb leads (aVf, aVL, and aVr), and the
    precordial, or chest, leads (V1 through V6).
    ECG tracings normally consist of three identifiable waveforms: the P wave, the QRS complex, and the T
    wave. The P wave depicts atrial depolarization; the QRS complex, ventricular depolarization; and the T
    wave, ventricular repolarization.
    Computerized ECG machines use small electrode tabs that peel off a sheet and adhere to the patient’s
    skin. The entire ECG tracing is displayed on a screen so abnormalities can be corrected before printing;
    then it’s printed on one sheet of paper. Electrode tabs can remain on the patient’s chest, arms, and legs to
    provide continuous lead placement for serial ECG studies.

    Purpose of Electrocardiography (ECG)


     To help identify primary conduction abnormalities, cardiac arrhythmias, cardiac
    hypertrophy, pericarditis, electrolyte imbalances, myocardial ischemia, and the site and
    extent of myocardial infarction.
     To monitor recovery from an MI.
     To evaluate the effectiveness of cardiac medication.
     To assess pacemaker performance
     To determine effectiveness of thrombolytic therapy and the resolution of ST-segment
    depression or elevation and T-wave changes.
    Electrocardiography (ECG) Procedure
    Patient Preparation for Electrocardiography (ECG)
    1. Explain to the patient the need to lie still, relax, and breathe normally during the procedure.
    2. Note current cardiac drug therapy on the test request form as well as any other pertinent
    clinical information, such as chest pain or pacemaker.
    3. Explain that the test is painless and takes 5 to 10 minutes.
    Implementation
    1. Place the patient in a supine or semi-Fowler’s position.
    2. Expose the chest, ankles, and wrists.
    3. Place electrodes on the inner aspect of the wrists, on the medical aspect of the lower legs,
    and on the chest.
    4. After all electrodes are in place, connect the lead wires.
    5. Press the START button and input any required information.
    6. Make sure that all leads are represented in the tracing. If not, determine which electrode has
    come loose, reattach it, and restart the tracing.
    7. All recording and other nearby electrical equipment should be properly grounded.
    8. Make sure that the electrodes are firmly attached.
    Nursing Interventions
    1. Disconnect the equipment, remove the electrodes, and remove the gel with a moist cloth
    towel.
    2. If the patient is having recurrent chest pain or if serial ECG’s are ordered, leave the
    electrode patches in place.
    Interpretations
    Normal Results
    1. P wave that doesn’t exceed 2.5 mm (0.25 mV) in height or last longer than 0.12 second.
    2. PR interval (includes the P wave plus the PR segment) persisting for 0.12 to 0.2 second for
    heart rates above 60 beats/min.
    3. QT interval that varies with the heart rate and lasts 0.4 to 0.52 second for heart rates above
    60 beats/min.
    4. Voltage of the R wave leads V1 through V6 that doesn’t exceed 27 mm.
    5. Total QRS complex lasting 0.06 to 0.1 second.
    Abnormal Results
    1. Myocardial infarction (MI), right or left ventricular hypertrophy, arrhythmias, right or left
    bundle-branch block, ischemia, conduction defects or pericarditis, and electrolyte
    abnormalities.
    2. Abnormal wave forms during angina episodes or during exercise.
    Precautions
     The recording equipment and other nearby electrical equipment should be properly
    grounded to prevent electrical interference.
     Double-check color codes and lead markings to be sure connectors march.
     Make sure that the electrodes are firmly attached, and reattached them if loose skin contact
    is suspended. Don’t use cables that are broken, frayed, or bare.
    Interfering Factors
     Improper lead placement.
    Complications
     Skin sensitivity to the electrodes.

    Reference: https://nursingcrib.com/medical-laboratory-diagnostic-test/electrocardiography-ecg/

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