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Samenvatting ECG beoordelen en overzicht ritme- en geleidingsstoornissen $4.85   Add to cart
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Samenvatting ECG beoordelen en overzicht ritme- en geleidingsstoornissen

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  • Course
  • Critical care
  • Institution
  • Hanzehogeschool Groningen (Hanze)
  • Book
  • Interpretatie van ECG\\\'s

Een schema met stappen om een ECG te beoordelen. Daarnaast een overzicht van ritme- en geleidingsstoornissen met een uitleg hoe deze te zien is op het ECG.

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Document information

  • Unknown
  • November 13, 2017
  • 4
  • 2017/2018
  • Summary

Subjects

  • ecg
  • ritmestoornissen
  • geleidingsstoornissen
  • interpetatie

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Written for

  • Hanzehogeschool Groningen (Hanze)
  • Verpleegkunde / HBO-V
  • Critical care
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1  review

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By: annekevisser • 5 year ago

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Content preview

Interpretatie van ECG’s
& ritme- en geleidingsstoornissen




1 mm = 0,04 seconde (1klein hokje)
5 mm = 0,2 sec (1 groot hokje of 5 kleine hokjes)

1. Ritme bepalen
p top voor QRS complex? Worden alle p topppen gevolgd door QRS? Is het regelmatig?
Sinusritme indien: positief in l, ll, lll en aVF
negatief in aVR

2. Hartfrequentie
300,150,100,75,60,50,43,37
Of aantal QRS tellen uit ritmestrook x 6 (ritmestrook = 60 sec)

3. Geleidingstijden
pq tijd (beste te meten in ll,v1 )
De normale PQ-tijd ligt tussen de 0,12 (> 3 kleine hokjes) en 0,20 seconde (<1 groot hokje)
(als deze langer is, heb je een av block, als deze korter is WPW syndroom)

QRS tijd tussen de 0,04 /0,12 is normaal.
QT-tijd in ll: RR-interval meten, valt T voor de helft, wss niet verlengd
Man: < 450 ms Vrouw: < 460 ms
groter kan een bundeltakblok, aberrante geleiding of ventriculaire ritme zijn

4. Hartas: positief in I, AVF is normaal (intermediar)
- Rechter: - in l en + in aVF
- Linker: + in l en – in ll
- Extreem: - in l en – in aVF

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