HEALTHCARE PROFESSIONALS, 5TH EDITION KATHRYN
BOOTH, THOMAS O’BRIEN| ALL CHAPTER WITH
COMPLETE SOLUTIONS (ANSWERS KEY) IN EVERY
CHAPTER
Patient information that must be on the ECG requisition - ANSWERReason for getting
ECG, patient name, ID/medical record number, DOB. Location, date, time of
recording. Patient age, sex, race, cardiac medication if taking any. Weight and height.
Any special condition or position of the patient during the recording.
Before beginning the ECG procedure, make sure you have done the following: -
ANSWERIdentified and communicated with patient. Prepped patient and room.
Provided for patient privacy. Located and checked the equipment for functioning.
Loaded ECG machine with paper if necessary. Attached the electrodes and leads.
The dip at the base of the neck just above where the clavicle attaches to the
sternum. - ANSWERSuprasternal notch
The space between the fifth and sixth rips. - ANSWERFifth intercostal space
The top of the sternum. - ANSWERManubrium
Extends from the sternum to the scapula. - ANSWERRight clavicle
Chest Lead Placement- V1 - ANSWERFourth intercostal space, right sternal border
Chest Lead Placement- V2 - ANSWERFourth intercostal space, left sternal border
Chest Lead Placement- V3 - ANSWERHalfway between V2 and V4
Chest Lead Placement- V4 - ANSWERFifth intercostal space at the midclavicular line
Chest Lead Placement- V5 - ANSWERFifth intercostal space, at the anterior axillary
line
Chest Lead Placement- V6 - ANSWERFifth intercostal space, at the midaxillary line
left to Right Line that goes through passes through the nipple line -
ANSWERMidclavicular line : An imaginary line on the chest that runs vertically
through the center of the clavicle.
left to Right Line that goes through the middle of the axilla - ANSWERMidaxillary
line : An imaginary vertical line that starts at the middle of the axilla (armpit) and
extends down the side of the chest.
, left to right Line that goes through the front of the axilla - ANSWERAnterior axillary
line : An imaginary vertical line starting at the front axilla or armpit that extends
down the left side of the chest.
The space between two ribs - ANSWERIntercostal space
Immediately - ANSWERstat
Unwanted marks on the ECG caused by electrical activity from sources other than
the heart - ANSWERArtifact
An interruption of the electrical activity of the brain that causes involuntary muscle
movement and sometimes unconsciousness - ANSWERSeizure
Voluntary or involuntary muscle movement; also known as body tremor. -
ANSWERSomatic tremor
A body prominence located approximately 1 inch below the suprasternal notch,
where the manubrium and the sternum are joined. - ANSWERAngle of Louis
Unwanted markings on the EGC tracing caused by other electrical sources and
artifact? - ANSWERAC interference
When the tracing of an ECG drifts away from the center of the paper; also called
baseline shift - ANSWERWandering baseline. It has many causes, all of which can be
corrected
Outer edge of the sternum. - ANSWERSternal border
When the heart is on the reverse side of the chest. - ANSWERDextocardia
An imaginary vertical line on the back that starts in the middle of the scapula. -
ANSWERMidscapular line
Pediatric ECG - ANSWERSmaller electrodes are available. May need to adjust speed
to 50 mm/sec especially for infants/children with a higher heart rate.
ECG electrode placement for a pediatric ECG - ANSWERCorrect placement is very
important, a small difference in placement can make a difference in the ECG tracing.
May be necessary to place V3 on the right side of the chest in the same location that
it would be on the left side.
Name four important aspects of preparing for the ECG procedure. - ANSWERThe
experience should be pleasant, it should not produce anxiety, it must be done
correctly, and the tracing must be accurate.