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ECG Interpretation

ECG Interpretation

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Published by mahmoud
ECG Interpretation
ECG Interpretation

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Published by: mahmoud on Mar 03, 2009
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02/15/2014

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 ECG Interpretation:
 Learning the Basics
 Presented by:
RN.com12400 High Bluff DRSan Diego, CA 92130
This course has been approved for eight (8.0) contact hours.This course expires August 2, 2006.
 
Copyright © 2002 by RN.com.All Rights Reserved. Reproduction and distribution of thesematerials are prohibited without the express writtenauthorization of RN.com.First Published: August 8, 2002 Revised: August 2, 2004
 
 1
Acknowledgements________________________________________________________________________3
 
Purpose & Objectives_____________________________________________________________________4
 
Introduction_____________________________________________________________________________5
 
Section 1: Anatomy and Physiology__________________________________________________________6
 
Heart Chambers and Normal Blood Flow___________________________________________________6
 
Heart Valves___________________________________________________________________________6
 
Correlation to Heart Sounds______________________________________________________________7
 
Atrial Kick____________________________________________________________________________7
 
Section 2: Basic Electrophysiology___________________________________________________________8
 
Electrical and Mechanical Properties______________________________________________________8
 
Section 3: The Conduction System__________________________________________________________10
 
Sinoatrial (SA) Node___________________________________________________________________10
 
Atrioventricular (AV) Node and AV Junction______________________________________________10
 
Bundle of His_________________________________________________________________________11
 
Summary of Pacemaker Functions________________________________________________________11
 
Section 4: Electrode Placement and Lead Selection____________________________________________12
 
Overview_____________________________________________________________________________12
 
Electrodes____________________________________________________________________________12
 
Leads________________________________________________________________________________12
 
ECG Deflections: Isoelectric, Upright, Negative, and Biphasic_________________________________13
 
Section 5: The ECG Paper________________________________________________________________16
 
Section 6: ECG Waveforms________________________________________________________________17
 
P Wave______________________________________________________________________________17
 
QRS Complex_________________________________________________________________________18
 
Section 7: Rate Measurement______________________________________________________________21
 
The Six Second Method_________________________________________________________________21
 
Large Box Method_____________________________________________________________________21
 
Small Box Method_____________________________________________________________________21
 
Section 8: Format for ECG Interpretation___________________________________________________22
 
Step 1: Rate___________________________________________________________________________22
 
Step 2: Regularity (or the Pattern of the Rhythm)___________________________________________22
 
Step 3: P Wave Examination_____________________________________________________________23
 
Step 4: P to R Interval__________________________________________________________________24
 
Step 5: QRS Complex__________________________________________________________________24
 
ST – T Wave__________________________________________________________________________25
 
Step 6: Rhythm Interpretation___________________________________________________________25
 
 
 2
Nursing Priorities and Potential Treatments________________________________________________25
 
Section 9: The Sinus Rhythms_____________________________________________________________27
 
Normal Sinus Rhythm__________________________________________________________________27
 
Sinus Bradycardia_____________________________________________________________________28
 
Sinus Tachycardia_____________________________________________________________________29
 
Section 10: Atrial Dysrhythmias____________________________________________________________30
 
Premature Atrial Contractions (PACs)____________________________________________________30
 
Atrial Flutter__________________________________________________________________________31
 
Atrial Fibrillation______________________________________________________________________33
 
Section 11: Junctional Rhythms____________________________________________________________35
 
Junctional Escape Rhythm______________________________________________________________35
 
Accelerated Junctional Rhythm/Junctional Tachycardia_____________________________________36
 
Section 12: Atrioventricular Blocks_________________________________________________________37
 
First Degree AV Block__________________________________________________________________37
 
Second Degree AV Block- Type I or Mobitz I or Wenckebach_________________________________38
 
Second Degree AV Block- Type II or Mobitz II_____________________________________________39
 
Third Degree or Complete Heart Block___________________________________________________40
 
Section 13: Ventricular Rhythms___________________________________________________________42
 
Premature Ventricular Contractions______________________________________________________42
 
Ventricular Tachycardia________________________________________________________________44
 
Ventricular Fibrillation_________________________________________________________________45
 
Asystole______________________________________________________________________________47
 
Section 14: Types of ECG Recording Interference_____________________________________________48
 
Conclusion______________________________________________________________________________49
 
Practice Rhythm Strips___________________________________________________________________50
 
Practice Rhythm Strips Answer Key________________________________________________________53
 
References______________________________________________________________________________54
 
Appendix - Bundle Branch Blocks__________________________________________________________55
 
Post Test Viewing Instructions_____________________________________________________________56
 

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eadvancedhealthcare added this note
If you want an ebook version of ECG interpretation and rhythm recognition have a look at http://www.eadvancedhealthcare.com/he... This is not the same or affiliated with this post, but it is a good resource. You can get it for FREE too!
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Edwin Avinesh added this note
Very easy to understand
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nice
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