ECG Success

by Jones, Shirley A.

• ISBN13: 9780803615779
• ISBN10: 0803615779
• Edition: 1st
• Format: Paperback
• Copyright: 2007-07-25
• Publisher: F A Davis Co

Summary

Whether you are a beginner looking to master the ECG or a clinician interested in brushing up your skills, ECG Success: Exercises in ECG Interpretation will give you the tools you need to make your ECG interpretation perfect! This full color workbook includes: 455 full size ECG strips, Review sections on the basics of ECG (anatomy, physiology, electrophysiology, etc.), Chapter devoted to 12-lead ECG.

Table of Contents

Heart Structure and Electrical Activity
Anatomy and Physiology of the Heart	p. 2
Overview	p. 2
Anatomy of the Heart	p. 2
Layers of the Heart	p. 2
Heart Valves	p. 2
Heart Chambers and Great Vessels	p. 3
Coronary Vessel Circulation	p. 3
Anatomy of the Cardiovascular System	p. 4
Blood Vessel Structures	p. 4
Arterial Circulation	p. 4
Venous Circulation	p. 5
Physiology of the Heart	p. 5
Mechanical Physiology	p. 5
Electrophysiology	p. 6
The Electrocardiogram	p. 9
Overview	p. 9
Limb Leads	p. 10
Standard Chest Leads	p. 10
Cable Connections	p. 11
Electrode Placement Using a Three-wire Cable	p. 11
Electrode Placement Using a Five-wire Cable	p. 12
Modified Chest Leads	p. 12
The Right-sided 12-Lead ECG	p. 12
The 15-Lead ECG	p. 13
Recording of the ECG	p. 13
Components of an ECG Tracing	p. 14
Methods for Calculating Heart Rate	p. 14
Rhythm Strip Analysis	p. 16
Instructions for Analyzing ECG Practice and Test Strips	p. 16
Rhythms and Their Analysis
Sinoatrial Node Arrhythmias	p. 20
Normal Sinus Rhythm (NSR)	p. 20
Sinus Bradycardia	p. 21
Sinus Tachycardia	p. 21
Sinus Arrhythmia	p. 22
Sinus Pause (Sinus Arrest)	p. 22
Sinoatrial (SA) Block	p. 23
ECG Practice Strips	p. 23
ECG Practice Strips	p. 26
Atrial Arrhythmias	p. 28
Wandering Atrial Pacemaker (WAP)	p. 28
Multifocal Atrial Tachycardia (MAT)	p. 29
Premature Atrial Contraction (PAC)	p. 29
Atrial Tachycardia	p. 30
Supraventricular Tachycardia (SVT)	p. 30
Paroxysmal Supraventricular Tachycardia (PSVT)	p. 31
Atrial Flutter	p. 31
Atrial Fibrillation	p. 32
Wolff-Parkinson-White (WPW) Syndrome	p. 32
ECG Practice Strips	p. 33
ECG Practice Strips	p. 36
Junctional Arrhythmias	p. 37
Junctional Rhythm	p. 37
Accelerated Junctional Rhythm	p. 38
Junctional Tachycardia	p. 38
Junctional Escape Beat	p. 38
Premature Junctional Contraction (PJC)	p. 39
ECG Practice Strips	p. 39
ECG Practice Strips	p. 42
Ventricular Arrhythmias	p. 44
Idioventricular Rhythm	p. 44
Accelerated Idioventricular Rhythm	p. 45
Premature Ventricular Contraction (PVC)	p. 45
Premature Ventricular Contraction: Uniform	p. 46
Premature Ventricular Contraction: Multiform	p. 46
Premature Ventricular Contraction: Ventricular Bigeminy	p. 46
Premature Ventricular Contraction: Ventricular Trigeminy	p. 46
Premature Ventricular Contraction: Ventricular Quadrigeminy	p. 47
Premature Ventricular Contraction: Couplets	p. 47
Premature Ventricular Contraction: R on T Phenomenon	p. 47
Premature Contraction: Interpolated PVC	p. 48
Ventricular Tachycardia (VT): Monomorphic	p. 48
Ventricular Tachycardia (VT): Polymorphic	p. 49
Torsade de Pointes	p. 49
Ventricular Fibrillation (VF)	p. 50
Pulseless Electrical Activity (PEA)	p. 50
Asystole	p. 51
ECG Practice Strips	p. 51
ECG Practice Strips	p. 54
Atrioventricular and Bundle Branch Blocks	p. 56
First-degree AV Block	p. 56
Second-degree AV Block Type I (Mobitz I or Wenckebach)	p. 57
Second-degree AV Block: Type II (Mobitz II)	p. 57
Third-degree AV Block	p. 58
Bundle Branch Block (BBB)	p. 58
ECG Practice Strips	p. 59
ECG Practice Strips	p. 62
Artificial Cardiac Pacemakers	p. 63
Artificial Pacemaker	p. 63
Pacemaker Modes	p. 64
Understanding Pacemaker Codes	p. 64
Artificial Pacemaker Rhythm	p. 64
Single-chamber Pacemaker Rhythm-Atrial	p. 65
Single-chamber Pacemaker Rhythm-Ventricular	p. 65
Dual-chamber Pacemaker Rhythm-Atrial and Ventricular	p. 65
Pacemaker Malfunctions	p. 65
Failure to Capture	p. 66
Failure to Sense	p. 66
Oversensing	p. 66
ECG Practice Strips	p. 67
ECG Practice Strips	p. 70
Artifact	p. 71
Loose Electrical Connection	p. 71
Variation with Respiration	p. 71
60-cycle Interference	p. 72
Muscle Artifact	p. 72
ECG Practice Strips	p. 72
ECG Practice Strips	p. 75
The 12-Lead ECG and Acute Myocardial Infarction	p. 77
Troubleshooting ECG Problems	p. 77
R Wave Progression	p. 78
Electrical Axis Deviation	p. 78
Ischemia, Injury, and Infarction	p. 78
Progression of an Acute Myocardial Infarction	p. 79
ST Segment Elevation and Depression	p. 79
The Normal 12-lead ECG	p. 80
Anterior Myocardial Infarction	p. 80
Inferior Myocardial Infarction	p. 80
Lateral Myocardial Infarction	p. 81
Septal Myocardial Infarction	p. 81
Posterior Myocardial Infarction	p. 82
Left Bundle Branch Block	p. 82
Right Bundle Branch Block	p. 82
ECG Practice Tests
ECG Practice Test One	p. 86
Test Strip Section One	p. 86
Answers to Practice Test One	p. 115
ECG Practice Test Two	p. 122
Test Strip Section Two	p. 122
Answers to Practice Test Two	p. 147
ECG Practice Test Three	p. 154
Test Strip Section Three	p. 154
Answers to Practice Test Three	p. 179
ECG Practice Test Four	p. 186
Test Strip Section Four	p. 186
Answers to Practice Test Four	p. 211
Case Studies
ECG Case Studies One	p. 220
	p. 220
	p. 222
	p. 223
	p. 226
	p. 228
	p. 229
	p. 229
	p. 230
	p. 231
	p. 231
ECG Case Studies Two	p. 232
	p. 232
	p. 233
	p. 235
	p. 237
	p. 239
	p. 241
	p. 242
	p. 243
	p. 243
	p. 244
	p. 244
	p. 244
Appendices
Healthcare Provider Guidelines for Cardiopulmonary Resuscitation (CPR)	p. 247
CPR Healthcare Provider Skill Performance	p. 247
CPR: Adult	p. 247
CPR: Child	p. 248
CPR: Infant	p. 249
Obstructed Airway: Conscious Adult or Child	p. 249
Obstructed Airway: Conscious Infant	p. 250
Obstructed Airway: Unconscious Adult	p. 250
Obstructed Airway: Unconscious Child	p. 251
Obstructed Airway: Unconscious Infant	p. 251
CPR and Obstructed Airway Positions	p. 252
Advanced Cardiac Life Support Protocols	p. 253
Ventricular Fibrillation (VF) or Pulseless Ventricular Tachycardia (VT)	p. 253
Pulseless Electrical Activity (PEA)	p. 254
Asystole	p. 254
Acute Coronary Syndrome (ACS)	p. 255
Bradycardia	p. 255
Tachycardia-Unstable	p. 256
Narrow-complex Tachycardia-Stable Regular Rhythm	p. 257
Narrow-complex Tachycardia-Stable Irregular Rhythm	p. 257
Wide-complex Tachycardia-Stable Regular Rhythm	p. 258
Wide-complex Tachycardia-Stable Irregular Rhythm	p. 258
Emergency Medications	p. 259
Emergency Medical Skills	p. 265
Defibrillation	p. 265
Cardioversion (Synchronized)	p. 266
Transcutaneous Pacing	p. 267
Carotid Sinus Massage (Vagal Maneuver)	p. 267
Abbreviations Used in Text	p. 269
Selected References	p. 271
Index	p. 273
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