if current flow TOWARD postive electrode, is it pos or neg
pos
if current flow AWAY postive electrode, is it pos or neg
neg
Pos electrode on right side of sternum, R wave is what?
negative
Pos electrode on right side of sternum, L wave is what?
positive
intrinsic rate of SA node
60-100 bpm
insipid rate of Av node
40-60
intrinsic rate of ventricles
15-40
ECG
heart electrical events during cardiac cycle
Normal PR interval
.12-20 sec
Norma QRS complex
.04-.11
how much is each 1 mm box
.04 s
how much is each 5mm box
,20 s
1500 method
calculate R-R interval (1 mm squares)
1500/ # of squares
sinus bradycardia
hear rate <60
endurance trained/sleep
sinus tachycardia
sinus rhythm excesss of 100pbpm
exercise, anxiety etc..
3 or 5 lead ECGs
patient in warm print w nurse (most. beneficial)
12 lead ECG
for initial / re assessment
more accurate
6 steps to interpret ECG
calculate Rate Calc rhythm Examine P wave and QRS complex exame PR interval Check terrible train (schema, injury, infarction) hemodynamic convinces? Action?
how to calculate rhythm
Atrial:p-p
Ventricluar: r-r
paper pen method
how to know rhythm irregular
slighting: = .04 or less markedly = +.04
how to examine P wave
is it before QRS
2-4 mm high
.06-.12 s
how to examine QRS
after P
5-30mm high
0.4-11 s
p wave
atrial , SA node
peaked / enlarged P wave
atrial hypertrophy, COPD, heart failure