Portable ECG Interpretation

416 Pages·2007·15.83 MB·English

by  Springhouse

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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
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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
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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
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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
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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
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