Electrocardiography for Healthcare Professionals

Cover
Title Page
Copyright Page
Dedication Page
About the Authors
Brief Contents
Contents
Preface
Connect Page
Acknowledgments
CHAPTER 1 Electrocardiography
	1.1 The ECG and Its History
	1.2 Uses of an ECG
	1.3 Preparing for an ECG
	1.4 Infection Control
	1.5 Vital Signs
	Competency Checklists
		1-1 Measuring Pulse and Respirations
		1-2 Measuring Adult Blood Pressure
CHAPTER 2 The Cardiovascular System
	2.1 Circulation and the ECG
	2.2 Anatomy of the Heart
	2.3 Principles of Circulation
	2.4 The Cardiac Cycle
	2.5 Conduction System of the Heart
CHAPTER 3 The Electrocardiograph
	3.1 Producing the ECG Waveform
	3.2 ECG Machines
	3.3 ECG Controls
	3.4 Electrodes
	3.5 ECG Graph Paper
	3.6 Calculating Heart Rate
CHAPTER 4 Performing an ECG
	4.1 Preparation for the ECG Procedure
	4.2 Communicating with the Patient
	4.3 Safety
	4.4 Applying the Electrodes and Leads
	4.5 Operating the ECG Machine
	4.6 Checking the ECG Tracing
	4.7 Reporting ECG Results
	4.8 Equipment Maintenance
	4.9 Pediatric ECG
	4.10 Cardiac Monitoring
	4.11 Special Patient Considerations
	4.12 Handling Emergencies
	Competency Checklists
		4-1 Recording an Electrocardiogram
		4-1 Continuous Cardiac Monitoring
CHAPTER 5 Rhythm Strip Interpretation
	5.1 Electrical Stimulation and the ECG Waveform
	5.2 Rhythm Interpretation
	5.3 Identifying the Components of the Rhythm
CHAPTER 6 Sinus Rhythms
	6.1 Rhythms Originating from the Sinus Node
	6.2 Sinus Bradycardia
	6.3 Sinus Tachycardia
	6.4 Sinus Dysrhythmia
	6.5 Sinus Arrest
	6.6 Sinus Exit Block
CHAPTER 7 Atrial Dysrhythmias
	7.1 Introduction to Atrial Dysrhythmias
	7.2 Premature Atrial Complexes
	7.3 Wandering Atrial Pacemaker
	7.4 Multifocal Atrial Tachycardia
	7.5 Atrial Flutter
	7.6 Atrial Fibrillation
CHAPTER 8 Junctional Dysrhythmias
	8.1 Introduction to Junctional Dysrhythmias
	8.2 Premature Junctional Complex (PJC)
	8.3 Junctional Escape Rhythm
	8.4 Accelerated Junctional Rhythm
	8.5 Junctional Tachycardia
	8.6 Supraventricular Tachycardia (SVT)
CHAPTER 9 Heart Block Dysrhythmias
	9.1 Introduction to Heart Block Dysrhythmias
	9.2 First-Degree Atrioventricular (AV) Block
	9.3 Second-Degree Atrioventricular (AV) Block, Type I (Mobitz I or Wenckebach)
	9.4 Second-Degree Atrioventricular (AV) Block, Type II (Mobitz II)
	9.5 Third-Degree Atrioventricular (AV) Block (Complete)
CHAPTER 10 Ventricular Dysrhythmias
	10.1 Introduction to Ventricular Dysrhythmias
	10.2 Premature Ventricular Complexes (PVCs)
	10.3 Agonal Rhythm
	10.4 Idioventricular Rhythm
	10.5 Accelerated Idioventricular Rhythm
	10.6 Ventricular Tachycardia
	10.7 Ventricular Fibrillation
	10.8 Asystole
CHAPTER 11 Pacemaker Rhythms
	11.1 Introduction to Pacemakers
	11.2 Evaluating Pacemaker Function
	11.3 Pacemaker Complications Relative to the ECG Tracing
	Competency Checklists
		11-1 Pacemaker Evaluation
CHAPTER 12 Cardiac Stress Testing
	12.1 Cardiac Stress Testing
	12.2 Why Is Exercise Electrocardiography Used?
	12.3 Other Types of Cardiac Stress Testing
	12.4 Preparing the Patient for Exercise Electrocardiography
	12.5 Providing Safety
	12.6 Performing Exercise Electrocardiography
	12.7 Common Protocols
	12.8 After Exercise Electrocardiography
	Competency Checklists
		12-1 Assisting with Exercise Electrocardiography (Stress Testing)
CHAPTER 13 Ambulatory Monitoring
	13.1 Ambulatory Monitoring
	13.2 How Is Ambulatory Monitoring Used?
	13.3 Types of Ambulatory Monitoring
		Other Cardiac Event Recording
		Another type of cardiac event monitor is a symptom event monitor. A symptom event monitor can beeither a handheld device or worn on the wrist. This type of device is used when a patient is experiencingsymptoms. It activates when the electrode feet (small metal discs) are pressed onto thepatient’s chest. The monitor records a lead II tracing (Figure 13-4A and B). The wristwatchtype is worn at all times and records a two-directional or bipolar lead I tracing. Postsymptom eventmonitoring records the heart activity for short periods immediately after the patient experiencessymptoms. It is used primarily to document dysrhythmias that last more than a few seconds, such as atrialfibrillation, atrial flutter, and supraventricular tachycardias. Unlike the looping memory monitor; these donot store the ECG before the device is activated.
	13.4 Educating the Patient
	13.5 Preparing the Patient
	13.6 Applying an Ambulatory Monitor
	13.7 Removing an Ambulatory Monitor and Reporting Results
	Competency Checklists
		13-1 Applying and Removing an Ambulatory (Holter) Monitor
CHAPTER 14 Clinical Presentation and Management of the Cardiac Patient
	14.1 Coronary Arteries
	14.2 Cardiac Symptoms
	14.3 Atypical Patient Presentation
	14.4 Acute Coronary Syndrome
	14.5 Heart Failure
	14.6 Cardiac Patient Assessment and Immediate Treatment
	14.7 Treatment Modalities for the Cardiac Patient
	Competency Checklists
		14-1 Immediate Care for a Cardiac Patient
CHAPTER 15 Basic 12-Lead ECG Interpretation
	15.1 The Views of a Standard 12-Lead ECG and Major Vessels
	15.2 Ischemia, Injury, and Infarction
	15.3 Introduction to Bundle Branch Block
	15.4 LBBB vs. RBBB
	15.5 Electrical Axis
	15.6 Left Ventricular Hypertrophy
Appendix A Cardiovascular Medications
Appendix B Standard and Isolation Precautions
Appendix C Medical Abbreviations, Acronyms, and Symbols
Appendix D Anatomical Terms
Appendix E Identifying Components of ECG Strips
Appendix F Competency Checklists Available through the Instructor Resources on Connect and www.mcgrawhillcreate.coms
Glossary
Index