ECG
For Nurse
Learn ECG Practice For Nurse
SLIDESMANIA.COM
SLIDESMANIA.COM
Definition
• An electrocardiogram (ECG) is a common and painless
medical test used to quickly detect heart problems and
monitor your heart’s health .
• ECG is an abbreviation for electrocardiogram
• also called ECGs or EKGs
SLIDESMANIA.COM
Type Of ECG
There are 3 main types of ECG :
• Resting ECG
• Stress or Exercise ECG
• Ambulatory ECG ( Holter Monitor)
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
Indications
Evaluate the following symptoms : To Diagnosis and Detect Heart Problems
1. Chest pain (Angina) 1. Myocardial infarction ( MI (
2. Feeling heart beat ( palpitation ( 2. Ischaemic heart diseases (CAD)
3. Shortness of breath (Dyspnea) 3. Cardiac Arrhythmias ( SVT , AF, VT (
4. Epigastric Pain 4. Cardiac Enlargement ( LVH , RVH)
5. Nausea And Vomiting 5. Inflammatory Diseases ( Pericarditis)
6. Cold sweating (diaphoresis) 6. Heart block ( Third degree AV Block(
7. Loss of consciousness (syncope) 7. Electrolyte imbalance ( hyperkalemia (
8. Increase heart beat ( Tachycardia ) 8. Drug effect (Digoxin toxicity)
9. bluish color in the skin, lips (Cyanosis) 9. Pulmonary embolism ( PE )
SLIDESMANIA.COM
10. Fatigue , Dizziness , Hypothermia , Edema 10. Pre-surgical procedure
Basic of ECG Lead
• An electrode niks eht ot dehcatta si taht dap evitcudnoc a si
.stnerruc lacirtcele fo gnidrocer selbane dna
• An ECG lead is a graphical description of the electrical activity
of the heart and it is created by analysing several electrodes
• A 12 Lead ECG uses10 Electrodes
• Four of these Electrodes are placed on the limbs.
• Six eht no decalp era sedortcele Chest .
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
Chest Lead
• The chest Lead Consist of 6 Lead ( V) 6V- 1
• V4 :1 th Intercostal Spaces Right Sternal Border
• V4 :2 th Intercostal Space , Left Sternal Border
• V2 V ( neewteB yawdiM :3 and V ) 4
• V5 :4 th Intercostal Space , Midclavicular Line
• V5 :5 th Intercostal Space , Anterior Axiliary Line
SLIDESMANIA.COM
• V5 :6 th Intercostal Space ,Mid Axiliary Line
SLIDESMANIA.COM
SLIDESMANIA.COM
Limb Lead
• Placement of limb leads:
• Red : Right arm "RA"
• Yellow : Left arm " LA"
• Green : Left leg "F "
• Black : Right leg " htraE - dnuorG " N
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
Right sided ECG
electrode placement
• Right Ventricular MI
• Dextrocardia
SLIDESMANIA.COM
SLIDESMANIA.COM
Posterior leads
Posterior MI
SLIDESMANIA.COM
ECG Equipment
SLIDESMANIA.COM
Procedure
• Wash your hands and introduce yourself to the patient
• The standard tneitap eht htiw demrofrep yllareneg si GCE dael- 12
.noitisop enipus eht ni ylteiuq gniyl
• apply the ECG lead from the patient in correct placement And Use
lubricant for good touching Electrodes from the skin
• Remove any Iron equipment and mobile phone and turn off or Avoid
any source of current during ECG recording
• Ask the patient to lie still And not to talk , move and stay relax
when recording ECG
SLIDESMANIA.COM
Procedure
• Observe the tracing quality " Speed , Calibration , All Lead Work Good "
• Press The PRINT button .
• When the machine finishes recording the ehT evomer ,GCE dael- 12
’tneilc eht naelc dna sedortcele s skin
• Write The Patient History on the ECG paper such as
) Name , Age , Gender , Time , Symptom during ECG Recording (
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
ECG Waves
The waves on an ECG include the :
• P wave : Represent of Atrial depolarization
• QRS Complex : Represent of Ventricular depolarization
• T wave : Represent of Ventricular Repolarization
• PR Interval ralucirtnev dna noitaziraloped lairta neewteb emit eht :
yaleD edoN VA noitaziraloped
SLIDESMANIA.COM
• ST Segment : the time between ventricular depolarization and
repolarization
SLIDESMANIA.COM
Normal Sinus Rhythm
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SVT Management
❤️ If Stable : ❤️ If Unstable :
• Valsalva maneuver • IV Access " Cannula "
• Gag Reflex • Diazepam ¼ pmA IV
• Carotid Massage slowly Over 1 Min
• Ice pack • Sync DC50 tratS " j "
• Adenosine1 amp 6mg , • 1j / Kg
then Rapid IV5 hsufl cc N/s • 2j /Kg
• Verapamil , diltiazem , metoprolol
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
Atrial Fibrillation (AF(
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
Management
• IV Access Cannula + rotinoM caidraC + O2 If On Need
• Analgesia Morphine 8-4 mg IV + Plasil10 mg IV
• Antiplatelets Asprin Tab 300 mg
• Nitroglycerin0.4 mg SL
• Atrovastatin40 mg 1*1
• Metoprolo 50-25 mg Po 2 *1
• Heparin1 cc * 4 Iv or 6000 IU SC
• Diagnosis Befor 2 Hours "ICP "
• Diagnosis After 2 Hours Throbolytic Agent " Actilyse IV
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
