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11 Cards in this Set
- Front
- Back
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purpose
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A. evaluate pt's for the possiblity of AMI
B. improve the evaluation of arrhythmias |
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indications
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A. stable patient with suspected MI with or without Cx Pn
B. determination of SVT vs Rapid Atrial Fib C. confirmation of arrhythmias that can indicate electrolyte abnormalities D. confirmation of ventricular tachy with a pulse from other wide complex tach |
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procedure
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12 lead
1. central knob = "monitor" 2. place LA/LL RA/RL 3. press and hold "recorder" 4. connect V lead cable to 4 lead cable 5. place V lead (pre-cordial) electrodes on pt 6. press "ID#" enter pt's last name and first initial 7. press return and then 12 lead key 8. push pt info slect pt age and gender 9. select acquire |
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Cath Alert candidate
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pt meets following criteria
-good history of Cx or heart equivalent discomfort less then 6 hrs AND -no LBBB AND -1mm ST elevated in 2 anatomically adjacent leads OR -EKG printout consistent Acute STEMI |
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Activate Cath Alert
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Call River Bend Medical Center or McKenzie Willamette medical Center, request cath alert
1) pt. name 2) date of birth 3) pt. weight 4) expected time of arrival (ETA) Deliver 12 Lead to ED staff Transport code 3 to hospital emergency department and complete history form |
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AMI recognition
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1. ST elevation (presumtive evidence of AMI)
2. ST elevation with Q waves 3. ST Depression (ischemia) 4. T wave inversion (subendocardial infarct or ischemia) 5. Peaked T wave (hyperacute infarction) 6. The presence of Q waves with ST elevation usually indicates an old infarction |
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leads II,III aVF
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Inferior Leads - lower potion of the heart
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V1 & V2
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Septal Leads - muscle between Right and Left ventricles
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V2, V3, V4
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Anterior leads - front of the heart
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V4, V5, V6
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Lateral precordial leads - lateral aspects of the heart
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I & aVL
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High Lateral Leads - lateral aspect from above
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