ECG Notes: Interpretation and Management Guide

ECG Notes: Interpretation and Management Guide

Language: English

Pages: 218

ISBN: 0803639309

Format: PDF / Kindle (mobi) / ePub


A DAVIS’S NOTES TITLE!

A quick look-up reference for ECG interpretation and management! This indispensable pocket guide presents the basics (anatomy and physiology of the cardiovascular system, electrical conduction system of the heart, basic ECG concepts and components,) ACLS and CPR algorithms, emergency medications, and comprehensive information on monitoring leads and interpretation of over 100 ECG strips, including 12-lead and pacemaker rhythms.

 

What students and clinicians are saying:

Best tool I could have had to help when learning EKG strips!

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Handy little study guide packed with information.

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BASIC, SIMPLE, EASY TO UNDERSTAND. WORTH HAVING. MORE OF SUCH BOOKS NEEDED AS CARDIOLOGY IS SUCH A CHALLENGING SUBJECT. I URGE EVERYONE TO GET A COPY.

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Very good flip book. Had everything I needed to know for class in simple terms. Excellent resource for any student.

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Precautions: Administer slowly and titrate to effect. Reverse with naloxone (0.4–2.0 mg IVP). Use caution in cerebral edema and pulmonary edema with compromised respiration. MEDS/ SKILLS MEDS/ SKILLS Copyright © 2005 F. A. Davis. NITROGLYCERIN (Nitrostat, Nitrolingual Pumpspray) (Antianginal, Nitrate) Indications: Angina, CHF associated with acute MI, hypertensive crisis. Dose: Sublingual route, 0.3–0.4 mg (1 tablet), repeat every 5 min, max. 3 doses/15 min. Aerosol, spray for 0.5–1.0 sec at

sweep to ensure rescue personnel are not touching patient or equipment. Press shock button. Reanalyze after shock and continue as prompted by the AED. 8. If no shock is advised, check for a pulse. If no pulse, start CPR. ♥ Clinical Tip: Fully automatic AED analyzes the rhythm and delivers shock if indicated. ♥ Clinical Tip: Semiautomatic AED analyzes the rhythm and tells operator that shock is indicated. If it is indicated, operator initiates shock. MEDS/ SKILLS MEDS/ SKILLS Copyright © 2005

blows and five chest thrusts until object is dislodged or infant loses consciousness. If infant loses consciousness, treat as unconscious infant with an obstructed airway (p 114). Heimlich maneuver for infant. CPR CPR Copyright © 2005 F. A. Davis. Obstructed Airway: Unconscious Adult (older than 8 yr) Signs and Symptoms ■ Failure to breathe ■ Inability to move air into lungs with rescue breaths ■ Cyanosis 1. Establish unresponsiveness. Gently shake or tap person. Shout, “Are you OK?” 2. If

infusion of 150 mg IVP every 10 min as needed; or administer lidocaine 0.5–0.75 mg/kg IVP (may use up to 1.0–1.5 mg/kg), repeat 0.5–0.75 mg/kg IVP every 5–10 min, max. 3 mg/kg. 6. If rhythm converts to sinus rhythm, begin infusion of rhythmconverting agent: amiodarone, slow infusion of 360 mg IV over the next 6 hr (1 mg/min) with maintenance infusion of 540 mg over the next 18 hr (0.5 mg/min); or start lidocaine infusion of 1–4 mg/min (30–50 ␮g/kg/min). 7. If rhythm does not convert, prepare for

12-LEAD 12-LEAD Copyright © 2005 F. A. Davis. Progression of an Acute Myocardial Infarction An acute MI is a continuum that extends from the normal state to a full infarction: ■ Ischemia—Lack of oxygen to the cardiac tissue, represented by ST segment depression, T wave inversion, or both ■ Injury—An arterial occlusion with ischemia, represented by ST segment elevation ■ Infarction—Death of tissue, represented by a pathological Q wave Normal Ischemia Injury Infarction ♥ Clinical Tip: Once

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