ACTIVE LEARNING TEMPLATE: Diagnostic Procedure
jessica willard
STUDENT NAME _____________________________________
Electrocardiography and Dysrhythmia monitoring
PROCEDURE NAME ____________________________________________________________________ 28
REVIEW MODULE CHAPTER ___________
Description of Procedure
Cardiac electrical activity can be monitored by using an electrocardiogram (ECG). the heart’s electrical
activity can be monitored by a standard 12‑lead ECG (resting ECG), ambulatory ECG (holter monitoring),
continuous cardiac monitoring, or by telemetry.
Indications CONSIDERATIONS
Dysrhythmias, Nursing Interventions (pre, intra, post)
CV disease, MI, Hypoxia, Acid base
Position the client in a supine position with chest exposed, Attach one
imbalance, Electrolyte disturbance, Kidney electrode to each of the client’s extremities by applying electrodes to
failure, Pericarditis, Hypovolemia, Shock flat surfaces above the wrists and ankles and the other six electrodes
to the chest, avoiding chest hair. Instruct the client to remain still and
breathe normally while the 12‑lead ECG is performed. Monitor the
client for manifestations of dysrhythmia. Remove leads from the
client, print the ECG report, and notify the provider.
Apply a Holter monitor if the client is on a telemetry unit and/or needs
continuous cardiac monitoring.
Continue to monitor the client for dysrhythmia
Interpretation of Findings
Client Education
different dysrhythemias can be monitored
Instruct the client to remain still and breathe
and interpreted through ECG.
normally while the 12‑lead ECG is
performed.
Provide education regarding ECG findings
provided by the HCP or cardiologist.
Potential Complications Nursing Interventions
there are no complications with the ECG monitor patients heart rhythms, and
procedure since it is not an invasive communicate with PCP about any
procedure. irregularities. Provide privacy for patient and
keep patient comfortable.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A3
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