Waveforms, Intervals, and Segments
Abnormal Sinus Rhythms
Artifacts, Signals Distortions, and Electrical Interference
Chest Lead Placement
Patient Preparation
100

Repersents atrial deporlaization

P wave

100

Heart rate less than 60/min

Sinus Bradycardia 

100

Disconnected or broken lead wire

Interrupted Baseline 

100

Right of the Sternum, 4th Intercostal space.

V1

100

How can you confirm a Patients Identity?

Full Name and Date of Birth.

200

Represents ventricular repolarization 

T wave 

200

Heart rate greather that 100/min

Sinus Tachycardia

200

Poor grounding or external electricty interfering with the tracing 

AC Interference 

200

Midclavicular Line, 5th Intercostal Space.

V4

200

Why is removing Jewlery important when preparing for an EKG?

It can Interfere with lead Placement or touch lead wires during Procedure.

300

Repersents ventricular depolarization 

QRS wave

300

Heart rhythm problem where the heart's natural pacemaker temporarily stops sending electrical signals

Sinus arrest 

300

Movement assoicated with breathing or poor electrode connection 

Wandering Baseline

300

Located on the Midaxillary line

V6

300

Why should the patient turn off and remove electronics before starting an EKG?

It could lead to artifacts on the EKG tracing.

400

Not always visable but represents a replarization of the bundel of His and Purkinje fibers

U wave

400

The atrial tissue is firing at a rate faster that the rate the ventricles are responding to

Atrial flutter

400

Irregular spikes thorughout the tracing and is related to muscle movement

Somatic Tremor

400

Left Anterior Axillary Line.

V5

400

Always ask patients if they want an additional cover for ?

Added Privacy or Comfort

500

Represents the time from the beginning of ventricular depolarization to the end of ventricular repolarization 

QT interval

500

Early heartbeat that starts in the upper chambers of the heart

Premature Atrial Contraction 

500

External Interfernces can occure when?

Electrical or magnetic signals from outside the body disrupt the tracing

500

Left of the Sternum, 4th Intercoastal Space

V2

500

What position is it called when the patient is lying flat on their back?

Supine Position

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