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Description A formatted text and workbook now in its Fourth Edition for learning ECG interpretation. Over 500 actual (not computer generated) ECG strips are contained in this workbook to practice and enhance the skills needed for accurate and confident ECG interpretation. Included in this new edition are updated ACLS guidelines and an answer key in the back of the book. A must-have companion for practicing nurses, nursing students, allied health students and EMTs. Note: new edition due in late 2005 |
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Additional Description
Contents
1 Anatomy and Physiology of the Heart 1
Description and Location of the Heart 2
Function of the Heart 2
Heart Surfaces 2
Structure of the Heart Wall 2
Heart Chambers 4
Heart Valves 4
Blood Flow Through the Heart and Lungs 5
Coronary Circulation 6
Cardiac Innervation 7
2 Electrophysiology
Cardiac Cells 10
Depolarization and Repolarization 10
Electrical Conduction System of the Heart 11
The Cardiac Cycle 13
Waveforms and Current Flow 13
Refractory and Supernormal Periods of the Cardiac Cycle
14
ECG Graph Paper 14
3 Waveforms, Intervals, Segments, and Complexes
15
P Wave 16
PR Interval 16
QRS Complex 16
ST Segment 20
T Wave 20
QT Interval 20
U Wave 23
4 Cardiac Monitors 29
Purpose of ECG Monitoring 30
Types of Bedside Monitoring 30
Applying the Electrode Pads 32
Troubleshooting Monitor Problems 32
5 Analyzing a Rhythm Strip 39
Step 1: Determine the Regularity (Rhythm) of the R Waves
40
Step 2: Calculate the Heart Rate 40
Step 3: Identify and Examine P Waves 42
Step 4: Measure the PR Interval 42
Step 5: Measure the QRS Complex 44
Waveform Practice-Analyzing Rhythm Strips 45
6 Sinus Arrhythmias - 49
Normal Sinus Rhythm 51
Sinus Tachycardia 51
Sinus Bradycardia 52
Sinus Arrhythmia 53
Sinus Arrest and Sinus Exit Block 54
7 Atrial Arrhythmias - 91
Wandering Atrial Pacemaker (WAP) 92
Premature Atrial Contraction (PAC) 93
Nonconducted PAC 98
Paroxysmal Atrial Tachycardia (PAT) 100
Atrial Flutter 101
Atrial Fibrillation 103
8 AV Junctional Arrhythmias and AV Blocks 139
Premature Junctional Contractions (PJC) 141
Junctional Rhythm 143
Accelerated Junctional Rhythm 145
Paroxysmal Junctional Tachycardia (PJT) 147
AV Heart Blocks 148
First-Degree AV Block 148
Second-Degree AV Block, Type I (Mobitz I or
Wenckebach) 149
Second-Degree AV Block, Type II (Mobitz II) 151
Third-Degree AV Block (Complete Heart Block) 153
9 Ventricular Arrhythmias and Bundle Branch Block
189
Bundle Branch Block 191
Premature Ventricular Contractions (PVCs) 192
Ventricular Tachycardia (VT) 196
Ventricular Fibrillation 200
Idioventricular Rhythm (Ventricular Escape Rhythm) 202
Accelerated Idioventricular Rhythm 202
Ventricular Standstill (Ventricular Asystole) 204
10 Pacemakers 241
Temporary Pacemakers 242
Permanent Pacemakers 243
Pacemaker Terms 244
Pacemaker Malfunctions 245
Analyzing Pacemaker Rhythm Strips (Ventricular Demand
Type) 249
11 Post-Test 265
Appendix: Answer Keys to Chapter 3 and Chapters 5
Through 11 303
Reviewers
Marsha Coberly, RN, C, MSN
Lecturer, Medical-Surgical Section
College of Nursing
University of New Mexico
Albuquerque, New Mexico
Judith Ann Driscoll, RN, MSN
Assistant Professor
Deaconess College of Nursing
St. Louis, Missouri
Mary Ann O'Brien, RN
Instructor, Practical Nursing
James Lorenzo Walker Vocational-Technical Center
Naples, Florida
Cindy Roach, RN, DSN
Associate Professor
Chair, Department of Adult Health Nursing
Beth-el College of Nursing and Health Science
Colorado Springs, Colorado
Mary C. Shoemaker, PhD, RN
Level Coordinator, Associate Professor
Saint Francis Medical Center College of Nursing
Peoria, Illinois
Linda J. Ulak, RN, EdD, MS, CCRN
Assistant Professor, College of Nursing
Seton Hall University
South Orange, New Jersey
