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Bùi Mạnh Hùng đang tìm kiếm từ khóa Which of the following EKG machine functions should an EKG technician use to control and regulate the height? được Cập Nhật vào lúc : 2022-10-01 23:18:18 . Với phương châm chia sẻ Mẹo về trong nội dung bài viết một cách Chi Tiết Mới Nhất. Nếu sau khi tham khảo Post vẫn ko hiểu thì hoàn toàn có thể lại Comments ở cuối bài để Ad lý giải và hướng dẫn lại nha.During an exercise stress test, and EKG technician notices that the patient appears tobe hyperventilating. What action should the technician take first?An EKG technician is providing instructions to a patient who is to wear a cardiac sự kiện
Nội dung chính- ECG Lead Placement on Women: Nuances to UnderstandStay on top of cardiology trends and best practices by browsing our Diagnostic ECG Clinical Insights
Center.Ensuring Equitable Care Through Practice and TrainingWhat regulates the height of ECG complexes on the monitor?Which of the following waves should an EKG tech use to determine the regularity of the ventricular rate?What is the function of the ECG machine quizlet?Which of the following waves should an EKG technician measure to evaluate for atrial depolarization?
As with any diagnostic tool, accurate utilization of ECG is critical—and that includes correct ECG lead placement on women and men. As a paper in Circulation notes, misplacements can lead to incorrect readings of waveforms, potentially causing false-positive or false-negative diagnoses of conditions such as arrhythmias or myocardial infarction.1 Positioning errors can also disrupt stratification and management efforts for patients with known cardiac disease.
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- ECG Lead Placement on Women: Nuances to UnderstandStay on top of cardiology trends and best practices by browsing our Diagnostic ECG Clinical Insights Center.Ensuring Equitable Care Through Practice and Training
Positioning problems are both well-documented and common, affecting waveform morphology, the potential for misreading, and the risk of misdiagnosis. While misplacement occurs across both sexes, anatomical differences can complicate correct ECG placement lead placement on women versus men. For instance, according to a review in Cardiology and Cardiovascular Medicine, challenges with lead placement can arise in cases where patients have large breast tissue or are overweight, as ECG professionals may not be able to locate bone landmarks in the chest.2
That same review also notes that paramedics could make errors in lead placement due to fears or embarrassment about exposing female patients' breast tissue, emphasizing the underlying dynamics of sex-based differences in cardiac care and their lasting impacts on women's health.
While electrode misplacement can and does affect most patients—occurring in more than 50 percent of cases, and often in V1 and V2, according to the papers in Circulation and Cardiology and Cardiovascular Medicine—certain errors linked to sex can drive inequities in cardiovascular medicine and worsen existing disparities. For this reason, ECG professionals should consider how physiological differences can affect lead placement as they look to position ECG leads for diagnostic accuracy.
ECG Lead Placement on Women: Nuances to Understand
Regardless of a patient's sex, the positioning of the electrodes remains the same: V1 and V2 flank the sternal borders the fourth intercostal space; V4, V5, and V6 align starting the fifth intercostal space; and V3 goes on the midway point between V2 and V4. However, errors can occur when placing chest electrodes on a female patient versus a male patient, owing to the location and amount of breast tissue.
Historical context has suggested a nuanced take. As cited in the Annals of Noninvasive Electrocardiology, it had previously been suggested (in 1998) that ECG waveforms were insignificantly affected by breast placement, indicating the need for breast placement with precordial leads for better positioning.3 Current guidelines suggest otherwise, however.
Recommendations from the Society for Cardiological Science and Technology (SCST) dictate that when breast tissue covers placement areas, ECG professionals should place electrodes V4, V5, and V6 under the breast, but those recommendations tend to clash with patient preference.4 According to research published in Emergency Medicine Journal, more than half of female patients who get an ECG find it preferable and less intrusive for the leads to be positioned on their breast tissue rather than under it, but if ECG professionals follow this patient preference, they may risk placing the leads too high or too low.5 This concern presents a good opportunity for additional study, training, and both patient and provider education. One option may be to explain the importance to patients and ask them to move up their breast for lead placement, or use the back of the operator's hand to do so.
These risks apply to all leads, though positioning inaccuracies in V4, V5, and V6 are more common than those in V1, V2, and V3, particularly in women who are older and larger in size. Misplacement of these commonly variable leads can lead to many recording problems, including simulation of anterior infarction and a modified voltage that could affect ventricular hypertrophy diagnosis.
While lead misplacement can impact ECG performance, ECG professionals should also keep in mind that some sex-based factors can affect accuracy even when the electrodes are in the right place. For example, as a paper from the European Society of Cardiology explains, breast implants have been known to block voltage pathways and result in a T-wave inversion and ST depression that could be wrongly interpreted as coronary artery disease and myocardial infarction.6
Stay on top of cardiology trends and best practices by browsing our Diagnostic ECG Clinical Insights Center.
Ensuring Equitable Care Through Practice and Training
Variances in electrode placement between male and female patients can delay critical care and ultimately impact patient outcomes. ECG professionals should remain wary of potential lead misplacement and work to implement the correct positioning by using bone landmarks. Doing so can help reduce the chances of inaccuracies showing up on the ECG and informing misdiagnoses.
Because breast size or shape can complicate anatomical reference points, it's recommended that ECG professionals continue to place electrodes beneath the breast when necessary, though research to determine what impact alternative placement may have on ECG recordings is ongoing. SCST guidelines note that ECG professionals can minimize physical contact with the breast by raising it with the back of the hand. This protocol may help mitigate negative impacts on care that could arise from a desire to preserve modesty.
Concerns around sex-based differences in cardiology outcomes emphasize the need not only for increased diligence in caring for patients but also for changes in medical education. Notably, one example in Gender in the Genome details a textbook that advises removing patients' neckties in cases of acute MI but does not mention bras.7 As sex-based disparities become more apparent in cardiovascular medicine, it will take widespread and consistent efforts in practice and in training to highlight opportunities for improvement, including opportunities that relate to ECG placement.
With a commitment to equal and equitable care delivery throughout the care continuum, cardiologists can play an active role in improving diagnostic accuracy and deploying prompt interventions for all patients, regardless of their sex, race, or any other differentiating factor.
References:
Davis LL, Funk M, Fennie KP, et al. Abstract 16195: Does accuracy of V lead electrode placement differ based on gender of patient: results of the practical use of the latest standards of electrocardiography (PULSE) trial. Circulation. 2022;134(1).
Hadjiantoni A, Oak K, Mengi S, et al. Is the correct anatomical placement of the electrocardiogram (ECG) electrodes essential to diagnosis in the clinical setting: A systematic review. Fortune Journals. https://www.fortunejournals.com/articles/is-the-correct-anatomical-placement-of-the-electrocardiogram-ecg-electrodes-essential-to-diagnosis-in-the-clinical-setting-a-syste.html. Accessed November 11, 2022.
García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403.Campbell B, Richley D, Ross C, et al. Clinical guidelines by consensus: recording a standard 12-lead electrocardiogram. Society for Cardiological Science and Technology. ://www.scst.org.uk/resources/SCST_ECG_Recording_Guidelines_2017. Accessed November 11, 2022.Wallen R, Tunnage B, Wells S. The 12-lead ECG in the emergency medical service setting: how electrode placement and paramedic gender are experienced by women. Emergency Medicine Journal. 2014;31:851-852.
European Society of Cardiology. Breast implants may impede ECG and lead to false heart attack diagnosis. https://www.escardio.org/The-ESC/Press-Office/Press-releases/breast-implants-may-impede-ecg-and-lead-to-false-heart-attack-diagnosis?hit=wireek. Accessed November 11, 2022.
Hiltner S, Oertelt-Prigione S. Sex and gender representations of myocardial infarction in German medical books. Gender and the Genome. June 2022:68-75.
Which of the following arteries is the best location for an EKG technician to use to measure the heart rate for an adult patient following exercise stress test?
An EKG technician working a central monitoring station notes that a patient has a rhythm of ventricular tackycardia. Which of the following actions should the technician take 1st?
Notify a license practitioner to evaluate the patient
Which of the following statements should an EKG technician make some preparing ane 8 year old patient for a standard 12 lead EKG
I am going to apply some stickers your belly arms and legs for the test
In EKG technician is performing an exercise stress test for a patient. Which of the following findings should the technician expect the provider to stop the test?
An EKG technician obtains a pulse oximetry reading of 80% from a patient. Which of the following terms should the technician uses to describe the patient's condition?
An EKG technician is performing a standard 12 lead EKG for a patient who's experiencing accelerated Junctional rhythm. Which of the following speed settings should the technician use?
While performing a 5 lead EKG and EKG technician notices that lead to and lead 3 are not yielding a reading. Which of the following limbs should the technician check to correct the error?
an EKG tech is preparing to perform a standard 12-lead EKG for a healthy adult patient. in which of the following positions should the tech place the patient for testing?
an EKG tech should recognize that a PR interval that spans four small boxes on the EKG paper has which of the following duration?
after completing a standard 12 lead EKG on a patient, which of the following actions should an EKG tech take next?
check that the tracing is không lấy phí from artifacts and then disconnect the patient from the machine
which of the following statements should an EKG tech include when preparing a patient for an upcoming excerise stress test?
Refrain from caffeine, smoking, or alcohol for least 3 hours prior to the test
for which of the following reasons should an EKG tech instruct a patient to wear loose-fitting clothing while wearing a Holyer monitor?
to reduce artifact on the tracing
an EKG tech is preforming a 2nd standard 12-lead EKG on a patient immediately following the 1st test. for which of the following reasons should the tech recognize that resting tab electrodes shouldn't be used for more than 2 consecutive EKG tracings?
the electrodes will not conduct accurately after 2 EKG tracings
A EKG technician is reviewing a tracing for a patient who has a ventricular pacemaker. Which of the following rhythm patterns should the technician expect after a pacing spike
An EKG technician has performed in RKG on patient. Which of the following actions by the technician would protect the patient's health care information in accordance with Hippa regulations?
Hand delivering the EKG to the patients provider
An EKG technician is preparing to perform in the EKG for a patient who does not speak the same language as a technician. Which of the following actions should the technician take it to avoid miss communication with the patient?
Have a bilingual staff thành viên translate
An EKG technician notes a standard 12 lead EKG tracing shows an interrupted baseline. The technician knows that this artifact is most likely caused by which of the following?
A serial EKG tracing shows a rhythm that does not match the last tracing that the EKG technician performed. Which of the following actions should the technician take 1st?
Report the finding to the provider
Which of the following a lead groups form Einthovens triangle
Which of the following actions should an EKG technician performed for a patient immediately before an exercise stress test?
Measure blood pressure and obtain and EKG while the patient is supine sitting and standing up
a thin spike before the P wave indicates that a pacemaker has been implanted to pace which of the following?
An EKG technician should recognize that which of the following signs are often present when a patient is experiencing a ventricular tachycardia?
Which of the following positions is appropriate for a patient during a nuclear stress test a while a camera is scanning?
Supine with the arms above the head
An EKG technician is preparing a patient for a standard 12 lead EKG. Which of 3 lead should the technician have on the same horizontal level?
Which other fine patient findings indicate myocardial infarction
in which of the following locations should an EKG tech place the electrode for lead V5?
on the left anterior axillary line, horizontal to lead V4
During an exercise test, a patient reports heaviness on his chest and becomes diaphoretic. the EKG technician should recognize these findings as manifestations of which of the following conditions?
An EKG technician is preparing A patient for a scheduled standard 12 lead EKG. Which of the following actions should the technician take?
Use an alcohol pad to cleanse the electro placement sites
An EKG technician is obtaining a pulse rate for a two-year-old patient. Which of the following pulse rates should the technician recognized as within the expected reference range for this patient?
In which of the following situations is acceptable for an EKG technician to share a patient protected health information?
An inquiry for training purposes for the quality assurance office
A thin spike before the P wave indicates that a peacemaker has been implanted to pace which of the following?
Which of the following lead groups are bipolar leads?
When performing a posterior EKG which of the following is the correct location for placement lead V8?
An EKG technician is performing a stress has for a patient. Which of the following EKG changes indicates that the patient is beginning to show signs of myocardial ischmia?
Which of the following EKG machine functions should and EKG technician used to control and regulate the height of EKG wave forms on the tracing?
An EKG technician is preparing to enter an in patient Room to perform a standard 12 lead EKG. Which of the following actions should the technician take for a patient who is prescribed contact precaution?
Remove gloves before leaving the patients road
An EKG technician is recording a patient's radial pulse rate and finds the pulse to be irregular. The provider then takes the patients apical pulse. The technician should recognize that which of the following locations is used for this assessment?
between the 5th and 6th ribs, the midclavicular line
An EKG technician is preparing to perform is standard 12 lead EKG tracing on a patient who has a heart rate of 150 per minute. Which of the following speed controls should the technicians select?
An EKG technician is an outpatient facility is obtaining a patient's vital signs and as having trouble visualizing the patient's chest movement. Which of the following actions should the technician take to obtain an accurate respiratory rate for the patie
Place a hand on the middle of the patient's back to count the respirations
Which of the following intervals should be used to determine the regularity of ventricular depolarization?
An EKG tech is preparing to apply electrodes for a standard 12-lead EKG to a patient who needs hair removal. Once the hair removed is complete, which of the following methods should be used to remove the loose hairs prior to electrode placement?
use tape to remove loose hairs
When placing electrodes on the patient for telemetry, in which of the following location should in EKG technician placed the ground electrode?
An EKG technician is Instructing patient about the use of a transtelephonic monitor with the loop memory. Which of the following instructions should the technician include?
Press the record button on the device when you begin to feel dizzy or have chest pain
Which of the following statements made by EKG technician correctly prepares the patient for telemetry monitoring?
I will clean your skin with an alcoholic
An EKG technician as monitoring a patient who is undergoing an exercise stress test. Which of the following findings should indicate to the technician is experiencing it in adverse reaction?
Presence of sinus tachycardia with the regular RR interval
In EKG technician notices an accelerated idioventricular rhythm on a tracing. Which of the following actions should the technician take next?
Call for help and stay with the patient
An EKG technician that should recognize that which of the following blood pressure readings is within the expected reference range for an adolescent patient?
An EKG technician is performing and excise stress test for a patient. Which of the following findings should the technician report to the provider?
An EKG technician observes ST segment depression and T wave inversion in multiple leads on a patient's EKG tracing. Which of the following should the technician suspect?
An EKG technician is working with a patient who has a below the knee amputation of the left leg. In which of the following locations should the tech. c place the right leg electrode?
an EKG tech is preparing to perform a 12-lead EKG for a patient who has dextrocardia. in which of the following locations should the tech place the electrode for lead V1?
left eternal border, 4th intercoastal space
an EKG tech is preparing to perform a 12-lead EKG tracing during a recording. the tech should recognize that electrical activity of septal wall is recorded by which of the following leads?
An EKG tech is caring for a patient who is experiencing heart palpitations. Which of the following interventions should technician expect the provider to prescribe?
Which of the following sites is the most accurate for an EKG Tech to use when measuring a patient's body toàn thân temperature?
An EKG technician should follow which of the following recommendations regarding infection control practices in health care settings?
Remove soiled gloves prior to touching uncontaminated surfaces
An EKG technician as performing a posterior 12 lead EKG for a patient. Which of the following leads should the technician place along the paraspinous border?
Which of the following methods should an EKG technician used to store electrodes when not in use?
After completing a standard 12 lead EKG on a patient, which of the following actions should an EKG technician take next?
Check That the tracing is không lấy phí from artifacts and then disconnect The patient from the machine
A patient tells the EKG technician that she does not understand why she'd needs in ambulatory monitor after having a standard 12 lead EKG 2 days ago. Which of the following responses should the technician make?
You're provider wants to study your heart over a longer period of time
An EKG technician is preparing a patient for the application of a holter monitor. The patient tells the technician that she runs about 5 miles each day. Which of the following responses should the Technician make?
You should continue exercising as usual while wearing the monitor
An EKG technician should recognize that which of the following signs are often present when a patient is experiencing ventricular tachycardia?
Multiple premature ventricular contractions and a row
An EKG technician is preparing a patient for an exercise stress test. Which of the following leads should the technician place on the right lower side of the anterior torso?
Which of the following leads is create a between the left arm and left leg?
An EKG technician notes that the QRS complex is too tall to fit on the EKG paper. Which of the following actions should the technician take?
change the gain control to 5 mm/mV
An EKG technician should recognize that a rhythm strip should be least how many seconds long to accurately identify rate and rhythm?
When an EKG technician is obtaining a pulse from a patient, which of the following terms should the technician used to document the rhythm of the pulse?
An EKG technician should recognize that which of the following situations is an allowable disclosure of patient information according to Hippa regulations?
Patients write their names on a basic sign in sheet the registration desk
An EKG technician here is another staff thành viên making derogatory comments about a patient's appearance. This is an example of which of the following torts?
An EKG technician should recognize that patients are restricted to performing which of the following activities while wearing a holter monitor?
An EKG technician should recognize that which of the following is the most commonly used paper speed for an EKG?
which of the following electrodes is used to create leads I, II & aVR?
Which of the following responses should and EKG Tech make to a patient and an outpatient clinic who is upset that detection cannot share the results of the tracing?
I understand your frustration. My role as a technician is to conduct the test correctly. The provider is qualified to interpret it
an EKG tech is preparing to perform a 12-lead EKG for a patient. The technician should identify that which of the following information is recorded by lead one?
Electrical activity between the right arm and left arm
An EKG technician notes that a patient as experience a variation and respirations that correlates with an EKG tracing. Which of the following irregularities does this indicate?
An EKG technician is performing in exercise stress has to evaluate a patient for coronary vascular disease. Which of the following actions should technician take regarding this procedure?
Report unexpected dysthymia during the test
A during an exercise stress test, an EKG technician notices that the patient appears to be hyperventilating. Which of the following actions should the technician take 1st?
Check the patient's respiratory rate
Which of the following methods can be used to calculate both regular and irregular rhythms?
an EKG tech is preparing to perform a 12-lead EKG. which of the following is the correct placement for lead V4?
The 5th intercostal space the mid clavicular line
in a healthy adult patient which of the following is expected shape and direction of the P wave in lead II?
Which of the following methods shouldn't EKG technician used to calculate a patient's heart rate from the EKG tracing?
Divided 300 by the number of large boxes between 2 R waves
For which of the following patients should an EKG technician expect to see somatic interference on an EKG tracing?
A 20 year old patient who is experiencing a seizure
An EKG technician is providing instructions to a patient who is wearing it a cardiac sự kiện monitor home. Which of the following statements by the patient indicates an understanding of the instructions?
If the batteries fail I will replace them myself
An EKG technicians performing a standard 12 lead EKG on a patient who is 9 years old. In which of the following locations should the technician place the V6 electrode?
An EKG technician should identify that which of the following is an expected reference range for the body toàn thân temperature of an adult patient?
An EKG technician is Instructing a patient about a transtelephonic sự kiện monitor using a heart card monitoring device. To which of the following sites should the patient applied that card to active the it during an sự kiện?
Over the middle to lower part of the sternum
Which of the following actions should the EKG technician take to resolve a wandering bass line on a patient's EKG tracing?
Relieve tension from the lead wires
Which of the following EKG machine function shouldn't EKG technician used to control and regulate the height of EKG wave forms on the tracing?
an EKG tech is preparing to perform a 12-lead EKG For a patient who is 35 weeks of gestation. In which of the following positions should the technician placed the patient?
Slightly on the left side with a pillow supporting the right
While performing a standard 12 lead EKG, in technician notice is that none of the leads are giving a reading. Which of the following limbs should to technician check 1st when correcting this problem?
The presence of which of the following on an EKG tracing can indicate a previous Myocardial infarction?
Which of the following sites is the most appropriate for an EKG technician to use when taking the pulse of an infant?
An EKG technician is speaking with a patient on the phone. The patient is wearing a holter monitor and reports severe chest pain and shortness of breath. Which of the following actions should the technician take?
Have someone call emergency services while remaining on the call with the patient
An EKG tech is entering a patient's history into the electronic health record. Which of the following statements by the patient should the tuck enter into social history?
I have smoked cigarettes for a long time
An EKG technician is reviewing the EKG tracing for a patient who has ventricular hypertrophy. Which of the following findings should the tech expect?
Increased amplitude of the QRS complex
What regulates the height of ECG complexes on the monitor?
Speed, gain an artifact filter are the three most important controls. 25 mm per second is the most commonly used, use 50 mm per second if there is a rapid heartbeat. Regulates the output or height of the ECG wave form. 10 Mm /m is the normal setting.Which of the following waves should an EKG tech use to determine the regularity of the ventricular rate?
Study material.What is the function of the ECG machine quizlet?
What is the function of the EKG machine? To print out a representation of the electrical signals generated by the heart.Which of the following waves should an EKG technician measure to evaluate for atrial depolarization?
P wave. The P wave is a small deflection wave that represents atrial depolarization. Tải thêm tài liệu liên quan đến nội dung bài viết Which of the following EKG machine functions should an EKG technician use to control and regulate the height?