EKG Placement
Poor Quality EKG's
Terms
Cardiovascular Disorders
Circulatory System
100
This is located between V2 and V4 

V3 

100

What does this mean when you see: Straight-line with no waveform on the EKG? 

Lead Off 

100

Intercostal 

Space between the two ribs

100

How to care for a patient with CHF/Congestive Heart Failure? 

1. Low Sodium Diet 

2. Fluid Resrtiction

3. Strict I/O's  

4. Daily Weights (monitor and document) 

5. TEDs/SED's 

6. Have patient sit in Semi Fowlers/Fowler's Position

7. Medication-Nursing Intervention

100

Right Atrium 

Receives deoxygenated blood from the body 

200

5th Intercostal space mid clavicular line  

V4

200

What does this mean when you see this: EKG moving up and down on the page? 

Wandering Baseline

200

Axilla 

The area of the shoulder's underside between the upper and arm and the side of the chest. 

200

What is Coronary Artery Disease?  

Blockages in the arteries 

200

Left Atrium 

Receives oxygenated blood returning from the lungs.

300

4th Intercostal space right of the sternal border &

4th Intercostal space left of the sternal border 

V1 & V2 

300

What doe sit mean when you see this: Fuzzy or abnormally wide baseline, very erratic waveforms, or waveforms are not clear or distinct? 

Artifact: General artifact or Electrical interference 

300

Sternum 

The area in the middle of the chest where the right and left ribs are joined (breastbone).

300

Name risk factors that are controllable, total of 7 

1. Obesity 

2. Smoking 

3. Hypertension 

4. Diabetes 

5. Stress

6. Sendentary Lifestyle 

7. High Cholesterol 

300

Right Ventricle 

Receives blood from the right atrium and pumps blood to the lungs to get oxygen. 

400

Mid axillary line same horizontal plane as V5

V6

400

If your patient's electrodes are not attached to the skin or the wires are not plugged in- What are your interventions? 

Place the electrodes back on the skin or Shave hair/cleanse with alcohol before applying the electrodes. 

400

Clavicle 

Also known as the collar bone-located across the front top of the shoulder. Attached to the sternum on one end and the shoulder joint on the other. 
400

Name the risk factors that are uncontrollable, total of 4 

1. Gender 

2. Race 

3. Family History 

4. Age 

400

Left Ventricle 

It receives blood from the aorta to the rest of the body to feed all of the tissues. 

500

Anterior axillary line same horizontal plane as V4 

V5

500

What would you do if your patient is moving or has muscle tremors? Also, if you have multiple electrical machines running in the room? 

Have the patient place hands in the buttocks. You may unplug electrical equipment- NOT LIFE SUPPORT!

500

12 Lead EKG 

Graphically records the electrical current (activity) generated by the heart. 

500

What is Congestive Heart Failure and what causes this (looking for 3) ? 

1. Inability of the heart to pump blood

2. MI, HTN, Damaged Heart valves 


500

Arteries do what?

Veins do what? 

Arteries - deliver blood away from the heart & have the ability to contact and dilate

Veins- return blood back to the heart & have valves