Download - Lead placement
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Lead Placement
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Electrodes/LeadsPick-up electrical activity
• Disposable?- Throw away with
each pt. - Gel- improves
conduction of impulses
* Must use one or other can’t combine
• reusable?- Must be cleaned- Clean with mild soap,
no abrasive cleaner- Pt. contamination
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Consult
• Pt. name• ID• Dr. • Consulting department• Procedure• Diagnosis• List of heart meds• Pt. history
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Position
• Pt- comfortable, on back, pillows, relaxed
Relaxed= better EKG
• PCT- Left side
• Machine- left side, cord away from bed
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Problems
• Oily skin
• Diaphoretic
• Hairy chest/legs/arms
• Tremors/shaking
• Large breasted women
• Amputated limbs
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Lead placement
Standard leads- 1-3- records voltage
Augmented leads: avr, avl, avf- records in voltage in different views of heart
Chest (percordial) leads – V1-V6
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Standard Leads
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Augmented Leads
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Precordial Leads
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Lead placement
V1- 4th ICS R sternum
V2- 4th ICS L sternum
V3- b/t V2 and V4
V4- 5th ICS L mid-clavicular
V5- level with V4 at anterior axillary
V6- level with V4 mid axillary
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Cable placement
• Point toward center of body
• Keep flat and do not loop over bed or pt.