ECG Chapter 7

Exercise electrocardiography

• Myocardial infarction

• Oscilloscope

• Palpitation

• Stress ECG

Follow the steps for applying the ambulatory monitor 1.  Identify the patient 2.  Explain the procedure 3.  Rmove the patient's clothes from the waist up and use a drape for female patients 4.  Prepare the chest for lead placement 5.  Remove the adhesive backing and apply the electrodes at the correct sites 6.  Attach the lead wires 7.  Secure the lead wires to the electrodes with tape 8.  Attach the cable to the monitor 9.  Start the monitor and make sure that it is functioning correctly 10.Record the start time in the patient's diary 11.Place the monitor in its holder and strap it comfortably to the patient 12.Give the patient the diary and review the instructions 13.Record the procedure in the patient's chart

• True

• False

Heart attack

• Myocardial infarction

• Oscilloscope

• Palpitation

• Stress ECG

Fainting

• Syncope

• Stress ECG

• Palpitation

• Myocardial infarction

During ambulatory monitoring, you will need to record your activities and any symptoms in your diary

• True

• False

Wear a loose fitting shirt, preferably one that buttons down the front, and you will be more comfortable during the procedure

• True

• False

Fast, irregular hearbeat sensation felt by the patient

• Myocardial infarction

• Oscilloscope

• Palpitation

• Stress ECG

Medication given to prevent arrhythmias

• Anti-arrhythmic

• Ambulate

• Dysrhythmia

• Holter

Ambulatory monitor

• Anti-arrhythmic

• Ambulate

• Dysrhythmia

• Holter

Mr. Casler is having an ambulatory (Holter) Monitor attached and asks you how long it will remain in place. You answer would be

• 2 to 4 hours

• 24 to 48 hours

• Up to 30 days

• Only during his hospital stay

Who was the inventor of ambulatory monitor is also known as a Holter monitor

Monitor or TV-type device used to view the ECG

• Myocardial infarction

• Oscilloscope

• Palpitation

• Stress ECG

Walk

• Anti-arrhythmic

• Ambulate

• Dysrhythmia

• Holter

Mr. Booth, you may take a tub bath as long as you do not let the monitor drop into the water

• True

• False

Your patient Mrs. Jackson asks, "Why am I having this ambulatory monitor attached when I just had an ECG the other day? What would be your best answer?

• Ambulatory monitors record your heart activity in a different way than an ECG does

• Your doctor wants to find out what is happening to your heart during a longer period of time than an ECG

• It is necessary to monitor your heart while you are walking. That is why it is called ambulatory monitoring

• I can't answer that question. You should speak to your doctor

Mr. Booth you should not take your heart medications during the ambulatory monitoring procedure unless instructed to do so by the physician

• True

• False

Ms. Buckwalter is attached to a telemetry monitor. How long will she have the monitor in place?

• 2 to 4 hours

• 24 to 48 hours

• Up to 30 days

• Only during his hospital stay

Mr. Jones will be attached to a transtelephonic monitor. How long will he have the monitor in place?

• 2 to 4 hours

• 24 to 48 hours

• Up to 30 days

• Only during his hospital stay

Which of the following is not a common use of the ambulatory monitor?

• To monitor the heart during exercise

• To monitor the heart during a typical day

• To evaluate pacemaker function

• To correlate symptoms and heart activity

You should avoid alcohol and caffeine during ambulatory monitoring

• True

• False