Podcast
Questions and Answers
After completing an EKG on a patient, which of the following should the tech perform next?
After completing an EKG on a patient, which of the following should the tech perform next?
- Notify the provider
- Check that the tracing is free from artifacts (correct)
- Disconnect the patient from the machine
- Change the paper speed
Communication with members of the health care team can be accomplished through which of the following methods?
Communication with members of the health care team can be accomplished through which of the following methods?
- Texting on personal phones
- Physical meetings only
- Faxing documents
- Electronic health record and verbal exchange (correct)
During a stress test, an EKG technician notices the patient to be hyperventilating. What is the appropriate course of action?
During a stress test, an EKG technician notices the patient to be hyperventilating. What is the appropriate course of action?
Check the patient's respiratory rate
An EKG has a 2 mm ST elevation in leads I, AVL, V5, and V6. What type of infarction does this represent?
An EKG has a 2 mm ST elevation in leads I, AVL, V5, and V6. What type of infarction does this represent?
If an EKG tech detects a U wave and the patient reports chest pain and discomfort, what actions should be taken?
If an EKG tech detects a U wave and the patient reports chest pain and discomfort, what actions should be taken?
What statement made by the patient indicates understanding of preparation for a stress test?
What statement made by the patient indicates understanding of preparation for a stress test?
In an outpatient facility, what should an EKG tech do to obtain an accurate respiratory rate if having trouble visualizing the patient's chest movement?
In an outpatient facility, what should an EKG tech do to obtain an accurate respiratory rate if having trouble visualizing the patient's chest movement?
Which lead is most sensitive and specific to right ventricular ischemia during a right-sided EKG?
Which lead is most sensitive and specific to right ventricular ischemia during a right-sided EKG?
During an exercise stress test, which finding should prompt the tech to stop the test?
During an exercise stress test, which finding should prompt the tech to stop the test?
Which lead should be placed along the paraspinous border during a posterior 12-lead EKG?
Which lead should be placed along the paraspinous border during a posterior 12-lead EKG?
How should an EKG tech modify lead placement for a patient with a below the knee amputation on the left leg?
How should an EKG tech modify lead placement for a patient with a below the knee amputation on the left leg?
What lead should be placed on the right lower side of the anterior torso for an exercise stress test?
What lead should be placed on the right lower side of the anterior torso for an exercise stress test?
What should an EKG tech do to reduce the chance of artifacts on the tracing during Holter monitor placement?
What should an EKG tech do to reduce the chance of artifacts on the tracing during Holter monitor placement?
What should an EKG tech say to a patient who runs 5 miles each day while applying a Holter monitor?
What should an EKG tech say to a patient who runs 5 miles each day while applying a Holter monitor?
Which finding in a patient's medical history would prevent participation in an exercise stress test?
Which finding in a patient's medical history would prevent participation in an exercise stress test?
What is the final step an EKG tech should take when applying a Holter monitor?
What is the final step an EKG tech should take when applying a Holter monitor?
Which leads record electrical activity of the septal wall during a standard 12-lead EKG?
Which leads record electrical activity of the septal wall during a standard 12-lead EKG?
If an EKG tech notices that the waveforms on an EKG are very close together and the patient has an unusually rapid heart rate, to spread out the tracing, to what should the tech change the paper speed?
If an EKG tech notices that the waveforms on an EKG are very close together and the patient has an unusually rapid heart rate, to spread out the tracing, to what should the tech change the paper speed?
Flashcards
Post-EKG artifact check
Post-EKG artifact check
Check for artifacts to ensure a clear and accurate EKG tracing.
Healthcare team communication
Healthcare team communication
Use EHR and verbal communication for effective team communication.
Hyperventilation during stress test
Hyperventilation during stress test
Check and document the patient's respiratory rate.
Lateral Infarction
Lateral Infarction
Signup and view all the flashcards
U wave + chest pain
U wave + chest pain
Signup and view all the flashcards
Stress test prep misunderstanding
Stress test prep misunderstanding
Signup and view all the flashcards
Obstructed chest movement
Obstructed chest movement
Signup and view all the flashcards
Right ventricular ischemia
Right ventricular ischemia
Signup and view all the flashcards
Stress test stop signal
Stress test stop signal
Signup and view all the flashcards
Posterior EKG Lead Placement
Posterior EKG Lead Placement
Signup and view all the flashcards
L Amputation EKG Modification
L Amputation EKG Modification
Signup and view all the flashcards
Exercise stress test lead RL
Exercise stress test lead RL
Signup and view all the flashcards
Holter monitor artifact reduction
Holter monitor artifact reduction
Signup and view all the flashcards
Holter monitor activity
Holter monitor activity
Signup and view all the flashcards
Contraindication for stress test
Contraindication for stress test
Signup and view all the flashcards
Holter monitor final step
Holter monitor final step
Signup and view all the flashcards
Septal wall EKG leads
Septal wall EKG leads
Signup and view all the flashcards
EKG Paper speed
EKG Paper speed
Signup and view all the flashcards
Study Notes
EKG Procedures and Actions
- Verify that EKG tracings are artifact-free before disconnecting the patient from the machine.
- Communication within healthcare teams can occur through electronic health records and verbal exchanges.
- Check a patient's respiratory rate during a stress test if hyperventilation is observed.
EKG Findings and Interpretations
- A 2 mm ST elevation in leads I, AVL, V5, and V6 indicates a lateral infarction.
- Detection of a U wave in a patient with chest pain necessitates immediate notification of the healthcare provider.
Patient Education and Compliance
- Acknowledgment of smoking before an exam reflects the patient's understanding of the preparation for a stress test.
- Proper modification of lead placements is necessary for patients with amputations, e.g., placing lower extremity lead on the left groin.
EKG Lead Placements and Techniques
- Place V4R lead for right ventricular ischemia, especially in cases of suspected inferior wall myocardial infarction.
- During a posterior 12-lead EKG, lead V9 should be positioned along the paraspinous border.
- For holter monitor application, using stress loops on electrodes minimizes lead tension and reduces artifacts.
Patient Monitoring and Emergency Protocols
- Monitoring for dizziness during exercise stress tests can indicate the need to stop the test.
- Documenting the procedure post-holter monitor placement in the patient's health record is essential for accurate medical tracking.
Electrical Activity and EKG Readings
- Electrical activity of the septal wall is captured by leads V1 and V2.
- Adjust the EKG paper speed to 50 mm to spread out closely packed waveforms when indicated by rapid heart rates.
Contraindications and Precautions
- Congestive heart failure is a critical condition that prevents a patient from participating in an exercise stress test.
- Patients are advised to continue regular exercise while wearing a holter monitor for accurate monitoring.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
