Lead placement

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Lead placement

  1. 1. Lead Placement
  2. 2. Electrodes/Leads Pick-up electrical activity• Disposable? • reusable?- Throw away with - Must be cleaned each pt. - Clean with mild soap,- Gel- improves no abrasive cleaner conduction of - Pt. contamination impulses* Must use one or other can’t combine
  3. 3. Consult• Pt. name• ID• Dr.• Consulting department• Procedure• Diagnosis• List of heart meds• Pt. history
  4. 4. Position• Pt- comfortable, on back, pillows, relaxedRelaxed= better EKG• PCT- Left side• Machine- left side, cord away from bed
  5. 5. Problems• Oily skin• Diaphoretic• Hairy chest/legs/arms• Tremors/shaking• Large breasted women• Amputated limbs
  6. 6. Lead placementStandard leads- 1-3- records voltageAugmented leads: avr, avl, avf- records in voltage in different views of heartChest (percordial) leads – V1-V6
  7. 7. Standard Leads
  8. 8. Augmented Leads
  9. 9. Precordial Leads
  10. 10. Lead placementV1- 4th ICS R sternumV2- 4th ICS L sternumV3- b/t V2 and V4V4- 5th ICS L mid-clavicularV5- level with V4 at anterior axillaryV6- level with V4 mid axillary
  11. 11. Cable placement• Point toward center of body• Keep flat and do not loop over bed or pt.

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