Portable ECG Interpretation PDF
Preview Portable ECG Interpretation
6776 FM.qxd 8/17/08 4:28 PM Page i PPOORRTTAABBLLEE EECCGG IInntteerrpprreettaattiioonn 6776 FM.qxd 8/17/08 4:28 PM Page ii 6776 FM.qxd 8/17/08 4:28 PM Page iii PPOORRTTAABBLLEE EECCGG IInntteerrpprreettaattiioonn 6776 FM.qxd 8/17/08 4:28 PM Page iv STAFF The clinical treatments described and recom- mended in this publication are based on re- Executive Publisher search and consultation with nursing, medical, Judith A. Schilling McCann, RN, MSN and legal authorities. To the best of our know- ledge, these procedures reflect currently accept- Editorial Director ed practice. Nevertheless, they can’t be consid- David Moreau ered absolute and universal recommendations. For individual applications, all recommenda- Clinical Director tions must be considered in light of the patient’s Joan M. Robinson, RN, MSN clinical condition and, before administration of new or infrequently used drugs, in light of the Art Director latest package-insert information. The authors Mary Ludwicki and publisher disclaim any responsibility for any adverse effects resulting from the suggested Senior Managing Editor procedures, from any undetected errors, or from Jaime Stockslager Buss, MSPH,ELS the reader’s misunderstanding of the text. © 2008 by Lippincott Williams & Wilkins. All Clinical Project Manager rights reserved. This book is protected by copy- Jennifer Meyering, RN, BSN, MS, CCRN right. No part of it may be reproduced, stored in a retrieval system, or transmitted, in any form Editors or by any means—electronic, mechanical, pho- Janeen Levine, Julie Munden, tocopy, recording, or otherwise—without prior Liz Schaeffer, Gale Thompson written permission of the publisher, except for brief quotations embodied in critical articles and Copy Editors reviews and testing and evaluation materials Kimberly Bilotta (supervisor), provided by publisher to instructors whose schools have adopted its accompanying text- JaneBradford, ScottiCohn, book. Printed in the United States of America. TomDeZego, Jeannine Fielding, For information, write Lippincott Williams & ShanaHarrington, Liz Mooney, Wilkins, 323 Norristown Road, Suite 200, Ambler, PA 19002-2756. DorothyP. Terry, PamelaWingrod PORTECG010607 Designer Arlene Putterman Library of Congress Cataloging-in Publication Data Digital Composition Services Portable ECG interpretation. Diane Paluba (manager), p. ; cm. JoyceRossiBiletz, Donna S. Morris Includes bibliographical references and index. 1. Electrocardiography. 2. Nursing. 3. Associate Manufacturing Manager Heart—Diseases—Nursing. BethJ.Welsh [DNLM: 1. Electrocardiography—methods. WG 140 P839 2008] Editorial Assistants RC683.5.E5P6779 2008 Megan L. Aldinger, Karen J. Kirk, 616.1'207547—dc22 JeriO’Shea, LindaK.Ruhf ISBN-13: 978-1-58255-677-2 (alk. paper) ISBN-10: 1-58255-677-6 (alk. paper) Design Assistant 2007008657 Georg W. Purvis IV Indexer Barbara Hodgson 6776 FM.qxd 8/17/08 4:28 PM Page v CCoonntteennttss Contributors and consultants vii PART I ECG overview 1 1 Cardiac anatomy and physiology 3 2 Cardiovascular assessment 24 3 ECG basics 61 4 Rhythm strip interpretation 79 PART II ECG arrhythmias and abnormalities 93 5 Sinus node arrhythmias 95 6 Atrial arrhythmias 113 7 Junctional arrhythmias 141 8 Ventricualr arrhythmias 153 9 Atrioventricular blocks 179 10 Electrolyte imbalances and drugs 193 11 Nonpharmacologic treatment 212 ◆ v 6776 FM.qxd 8/17/08 4:28 PM Page vi ◆ vi CONTENTS PART III 12-lead ECGs 243 12 Basic 12-lead electrocardiography 245 13 Electrocardiogram analysis 257 14 Disorders affecting 12-lead ECGs 265 PART IV Practice strips 291 Quick guide to arrhythmias 374 Guide to cardiovascular drugs 386 ACLS algorithms 396 Selected references 402 Index 403 6776 FM.qxd 8/17/08 4:28 PM Page vii CCoonnttrriibbuuttoorrss aanndd ccoonnssuullttaannttss Shelba Durston, RN, MSN, CCRN Nursing Instructor San Joaquin Delta College Stockton, Calif. Staff Nurse, San Joaquin General Hospital French Camp, Calif. Merita Konstantacos, RN, MSN Nursing Consultant Clinton, Ohio Pamela Moody, APRN-BC, MSN, PhD, NHA Nurse Practitioner Consultant, Alabama Department of Public Health Tuscaloosa Susan L. Patterson, RN, MS, CCM, ACLS Faculty, School of Nursing PRN Staff—Cardiology Carolinas College Health Sciences, CHS Charlotte, N.C. Bruce Austin Scott, APRN,BC, MSN Nursing Instructor San Joaquin Delta College Staff Nurse St. Josephs Medical Center Stockton, Calif. Allison J. Terry, RN, MSN, PhD Director of Center for Nursing Workforce Research Alabama Board of Nursing Montgomery ◆ vii 6776 FM.qxd 8/17/08 4:28 PM Page viii ◆ viii CONTRIBUTORS AND CONSULTANTS Patricia Van Tine, RN, MA Nursing Faculty Mt. San Jacinto College Menifee, Calif. Wynona Wiggins, RN, MSN, CCRN Assistant Professor of Nursing Arkansas State University State University Lisa Wolf, RN, MSN Clinical Educator Mount Carmel West Hospital Columbus, Ohio 677601.qxd 8/17/08 4:02 PM Page 1 PPAARRTT II EECCGG oovveerrvviieeww ◆ 1 677601.qxd 8/17/08 4:02 PM Page 2
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