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NUR313 Cardiac Dysrhythmias Notes
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  • ECG Interpretation

NUR313 Cardiac Dysrhythmias Notes Introduction to Telemetry Electrocardiogram Monitoring: Graphic tracing of electrical impulses produced by heart (waveforms represent activity of charged ions across membranes of myocardial cells) *On a normal 12-lead ECG If everything is upside down it is...

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  • December 8, 2023
  • 11
  • 2023/2024
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  • nur313 cardiac dysrhythmias notes

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NUR313 Cardiac Dysrhythmias
Notes

, NUR313 Cardiac Dysrhythmias Notes

Introduction to Telemetry
Electrocardiogram Monitoring: Graphic tracing of electrical impulses produced by heart
(waveforms represent activity of charged ions across membranes of myocardial cells)

*On a normal 12-lead ECG If everything is upside down it is still normal (if one is inverted than there may be a
problem)

Telemetry Monitoring: Continuous observation of HR & rhythm in real time (centralized
monitoring system) - collects and stores data of rhythms within pack




*Patient usually wears Holter monitor for
24-48 hours


Electrode Placement
● Each shoulder (arm leads)
● Middle (sternum)
● Each lower chest (leg leads)




Telemetry Monitoring Patient Preparation
● Clip excessive hair on chest wall
● Rub skin with dry gauze (use alcohol for oily skin)
● Apply electrodes
○ If you do not have good connection you get a lot of artifact
○ Artifact: distortion of baseline making interpretation difficult

ECG Paper
● Make sure it is a 6 second strip
● One box is 0.2 seconds

Steps in ECG Interpretation
1. Is it fast, slow, or normal?

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