EKG
Regular: Yes
Rate: 60-100bpm
P-wave: Present, upright, before QRS
PRI: 0.12-0.2 sec
QRS: less than 0.12 sec
Normal Sinus Rhythm
What is an artifact that is likely if you don't clean the skin of sweat before putting on the lead?
Wandering baseline
What color tube always comes first in venipuncture?
Light blue unless there's a blood culture.
What does a heart rate of over 100bpm indicate?
Sinus Tachycardia
What do you do if the patient doesn't speak English?
You get an interpreter.
What is the P-wave?
Small upward curve resulting from atrial depolarization.
What can an ECG technician do to correct a wandering baseline artifact.
Keep the patient warm or clean the skin.
What are the special things you do for light blue?
90% or more full
3-4 inversions
Normal adult respiratory rate
12-20 breathes per minute
What kind of cleaning method do you use when you're putting in a catheter?
Sterile method.
What are the colors for the leads.
Right arm- white
Left arm- Black
Left leg- Red
Right leg- Green
Why do we draw light blue first?
Blood can easily start clotting before you test light blue if you don't do it first.
What is the minimum protection to take the blood of someone with HIV?
Gloves.
What is the pacemaker of the heart?
Sinoatrial node
When you're giving a bed bath, what body part should you start with?
The face.
What is the placement of the V5 precordial lead?
5th intercostal space, left sternal border.
The ekg reads a heart rate of 200 bpm but the patient looks healthy and is clearly looking at you. What should you do?
Recalibrate the ekg.
What must you clean the skin with if you have to take a blood culture and alcohol test?
Iodine.
How do you rate pain for adults and children?
On a scale of 1-10, how much pain are you in? for adults
Face scale for children.
What do you do if your patient gets MRSA from venipuncture?
Document it and learn to be more careful with cleaning your hands next time.
What are the first two lines of the poem we learned to remember ekg blocks?
If the r is far from the p then you have a first degree
Longer longer drop then you have a wenkebach.
Where do you do you put urine samples after getting it for urinalysis?
The refrigerator
What is the order of draw for microtubules for coagulation, chemistry, and hematology.
Lavender, green, light blue.
You have a patient with the following vital signs:
temp: 98.4 degrees
pulse: 75 bpm
Respiratory rate: 16 breathes per minute
Blood pressure: 135/96
What does this indicate?
Hypertension
How do you make sure you put the feeding tube in the esophagus?
Use a syringe to suck out some gastric contents and measure the pH. It should be 0-5 pH.