EKG

Angina- tightness in the heart/chest

N+V- Nausea/Vomiting

Emesis- Vomiting

Code Blue- when a patient is dead or dying

STAT- assistance is needed right away/immediately

AED- Automatic external defibrillator

ICS- Intercostal space. Space between the ribs

• 1. EKG machine
• 2. EKG paper
• 3. Plug
• 4. Lead wires
• 5. Electrudes
• 6. Alchohol
• 7. Gloves
• 8. Pens
• 9. Gown

Standard precautions- wash hands and wear gloves

Isolation precautions- patient may be contagious, must wear personal protective equipment

Health Insurance portability and accountability act (patients privacy)

Dr. Waller- was the first doctor to perform an ECG on a human

Dr. Elthavon- the creator of the ECG

Heart beat 60-100 beats per minute

Blood pressure 120/80

Temperature 98.7

Pulse 16 bpm (normal between 12-20)

Myocardial Infarction

Electrocardiogram- a picture of the electrical activity of the heart

Arythmia- Abnormal heartbeat

Ischemia- lack of oxygen

Endocardium- inner layer

Myocardium- middle layer

Epicardium- outer layer

Pericardium- outer sac

Pump blood to and from the body, because the blood carries oxygen and carbon dioxide

• 5 liters per minute.
• If the body does not produce this amount of blood the tissue will begin to die and in turn the patient will turn blue (cyanosis)

Top- Base

Bottom- Apex

Middle- middle of the heart is called the septum

Coronary artery disease

• 1. Superior and Inferior vena cava
• 2. Right atrium
• 3. Tricuspid valve
• 4. Right ventricle
• 5. Pulmonary semilunar valve
• 6. Pulmonary trunk (blood vessels)
• 7. Pulmonary arteries (blood vessels)
• 8. Lungs O2 in and CO2 out (gas exchange)
• 9. Pulmonary veins
• 10. Left atrium
• 11. Bicuspid/mitral valve
• 12. Left ventricle
• 13. Aortic semilunar valve
• 14. Aorta
• 15. Body

The largest veins in the body are the Superior and Inferior Vena Cava

The largest artery in the body is the Aorta

Right side- deoxygenated

Left side- oxygenated blood

In the lungs and the capillaries

Arteries carry O2 oxygenated

Capillaries carry O2 & CO2 oxygenated and deoxygenated

Veins carry- DE O2 deoxygenated

Exception to this rule is that the right and left pulmonary arteries are the only arteries that carry deoxygenated blood.

Pulmonary veins are the only veins that carry oxygenated blood.

blood flow from the heart and back

is one heart beat. Its made up of a systole and a diastole

Systole- contraction (its the higher number on top)

Diastole- relaxation (lower number on the bottom)

The two atria contract at the same time pumping blood into the 2 ventricles. (tricuspid and bicuspid valves open)

The 2 ventricles contract at the same time pumping blood into the body and lungs. (pulmonary and aortic valves open)

Automaticity- is the hearts ability to start an electric impulse on its own.

Conductivity- is the hearts ability to receive and transmit electricity

Contractility- is the hearts ability to shorten

Excitability- the hearts ability to respond

• 1. Identify yourself
• 2. Identify the patient with 2 forms of ID
• 3. Please stay still
• 4. This will not hurt

• Right arm- white
• Right leg- green
• Left arm- black
• Left leg- red
• Precordial chest- brown

• V1 Right side 4th ICS- Near the sternum
• V2 Left side 4th ICS- Near the sternum
• V3 Between V2 & V4
• V4 Left 5th ICS- Mid-clavicular line
• V5 Left 5th ICS- Anterior axillary
• V6 Left 5th ICS- Mid-clavicular

25mm per sec

• 
• Pic#1- Right arm (AVR) negative to left arm (AVL) positive

Pic#2 Right arm negative to left leg (AVF) positive

Pic#3 Left leg positive to left arm negative

• P Wave
• atrial depolarization- electrical
• atrial contraction- mechanical

• QRS complex
• atrial repolarization- electrical
• atrial relaxation- mechanical
• ventricular depolarization- electrical
• ventricular contraction- mechanical

• Twave
• ventricular repolarization- electrical
• ventricular relaxation- mechanical