This was prepared by student of Bsc Nursing.

2. HOLTER MONITORING

3. INTRODUCTION
In medicine, a Holter monitor is a
type of ambulatory device, a
portable device for cardiac
monitoring for at least to 24 to 48
hours.

5. DEFINITION
A type of portable heart monitor that
is a small Electrocardiogram device
worn in pouch around the neck or
waist. It keeps a record of the heart
rhythm, typically over a 24 hour
period.

7. INDICATION
Patient suspected of having ,
Valvular heart disease ,
CAD,tumors,thrombus ,pericardial effusion.
To define cardiac chamber size.
Evaluated LV function.
Visualized vegetation of endocarditis.
Organic heart murmur.
cont…………

8. Evaluation of therapy for arrthymias.
Angina.
Acute nan-cardiac illness.
Determine pacemaker malfunction.
Mechanism of rhythm disturbance.

9. CONTRAINDICATION
Left main coronary stenosis.
Electrolyte abnormalities.
Chronic infectious disease.
Advanced or complicated pregnancy.
Mental impairment leading to cooperate .
Fixed rate pacemaker.

10. WORKING MECHANISM OF HOLTER
MONITORING
 The Holter monitor is small.
 Its slightly larger than a deck of playing cards .
 Several wires are attached to the monitor.
 The wires or leads connected to electrodes that
are placed on the skin on your chest with a gel.
 The metal electrodes conduct your heart’s
activity through the wires and into the Holter
monitor, where it’s recorded.

11. PROCEDURE
BEFORE THE PROCEDURE
 Patient instruction
 Bath prior test
 Remove jewelries
 Shave chest.
 Loose fitting cloths .
DURING THE PROCEDURE
 Always wear the monitor
 Record activities in a dairy
 Avoid things that create inference .
 Follow instruction.

12. AFTER PROCEDURE
Once you finished procedure ,return the
device to the medical office along with the
dairy you kept while you wore the holter
monitor.

13. NURSING MANAGEMENT
• for in patient ,nurses must document patient’s
progress notes the time of attachment and the
prescribed time to be left.
• The record box should be check before the procedure.
• And child as a inpatient have to provide bed side
monitoring.
• Should encourage patient care givers to document the
activities of during procedure .
• Removal of holter monitor after procedure and give to
cardiac procedure room.
• To avoid electric blankets and magnets because
signals from such devices may affect recording.

14. COMPLICATION
• Risk associated with holter monitoring is
very rare
• Prolonged application electrode patches
may cause tissue break down.
• Itchy skin.

15. SUMMARY
Definition
Indication
Contraindication
Procedure
Nursing management
Complication

16. CONCLUSION
Holter monitoring is a reasonable
diagnostic yield in detecting significant
cardiac arrthymias or sympatomatic
events , however a period of 24 or 48
hours is a benefit period.

17. ASSIGNMENT
 List out the more nursing
management on Holter monitoring
and submitted on 05/04/2019.

18. THANK YOU……