Providing safety
Whats the most important responsibility during an exercise EKG?
Congestive heart failure
What reason should a patient not do an exercise EKG?
Chemical stress test
What type of test would be performed if the patient is unable to stand or exercise?
Without the patient knowledge count the respiration rate and compare to the previous rate.
During the exercise EKG, your patient appears to be out of breath. After informing the physician of your suspicions, what do you do?
Check the chart or order.
Patient is on several medications, and is scheduled for a exercise EKG tomorrow, what should you do first to determine if the patient should take the medications?
Medication for hypertension
A beta blocker is?
12-lead ECG and blood pressure.
What is measured during an exercise EKG?
An underwire bra.
What SHOULD Not be worn during an exercise EKG?
3 hours
Patients should avoid caffeine, tobacco and alcohol _____hrs prior to exercise EKG.
Shortness of breath, weakness, dizziness or fatigue.
Patients should report signs and symptoms of______, _____,______&_______ during an exercise EKG.
2 hours
Patients should not take a hot bath or shower ______ hours after an exercise EKG.
The physician
Who will discuss the results of the EKG with the patient?
Comfortable clothes such as tennis shoes, and loose fitting pants.
What should the patient wear for an exercise EKG?
Yes
Should emergency equipment be available in the room or near by?
FALSE
True or false: should the leads be attached the same as an ambulatory monitor?
Chemical stress test
An exercise Electrocardiography that is invasive because of the injection of a radiopaque substance to view the vessels of the heart.
Myocardium
Middle layer of the heart, composed of muscle tissue.
Hypertension
High blood pressure
Beta blocker
Medications used to treat hypertension
Nuclear stress test
Stress test in which radioactive tracers are injected to trace the path of blood through the heart.
Angina
Pain around the heart caused by lack of oxygen to the heart.
Dysrhythmia
Loss of normal rhythm of the heart.
Cardiologists
A physician who specializes in the study of the heart.
Congestive heart failure
Failure of the heart to pump an adequate amount of blood to the tissue.
Coronary vascular disease
Accumulation of plaque and fatty deposits in the coronary arteries.
Echocardiograms
Noninvasive diagnostic test that uses ultrasound to study the heart and blood vessels.
False positive
A diagnostic test result that indicates that a disease is present when it really is not.
THR
Calculated by subtracting your age from 220
Bruce protocol
Is commonly utilized for a stress test
After each stage of an exercise ECG.
12 lead ECG and blood pressure is obtained
Assess the patient. Are they conscious? If unresponsive get the crash cart.
During an exercise EKG your patient complains of weakness and short of breath. Suddenly he/she collapses on the treadmill what do you do?
Explain the procedure takes longer than a hour. 1-4 hours maybe
Patient wants to have the exercise ECG during his/her lunch hr what would your response be?
Ischemia
On an ECG tracing S.T. depression may indicate?
S.T. depression
Certain medications like digitalis maycause
Helps diagnose chest pain, determines functional capacity of the heart after surgery or MI, screens for heart disease, helps set exercise limits, identifies causes of abnormal heart rhythms that develop during exercise, evaluates effectiveness of heart me
Uses for exercise electrocardiography
Supine, sitting, sitting post 30 second hyperventilation, standing
Obtain patient blood pressure and ECG in the following positions.
CHF, a change in resting ECG, recent MI or unstable Angina, uncontrolled hypertension, acute infection, significant emotional stress, severe aortic stenosis, aneurysm, thrombophlebitis and systemic or pulmonary embolism.
Health conditions that Prevents patient from having an exercise electrocardiography
Mild fatigue, perspiration, increased heart rate and increased respiratory rate.
Explain to the patient they may experience.
Taken while the patient is supine
First ECG
Taken while the patient is sitting
Second ECG
Patient is asked to breathe quickly and deeply, state of hyperventilation, for 30 seconds
Third ECG done to determine changes caused by breathing
Taken while patient is standing
Fourth ECG
Heart rate measurement needed to truly exercise the heart.
THR
THR, without symptoms or complications of dysrythmias
During the test the goal is to achieve
Rate pressure product, RPP.
Systolic blood pressure multiplied by the heart rate
RPP
Used to estimate oxygen utilization or myocardial work
Rest for several hours, avoid extreme temperature changes, do not use stimulants C.A.T. For 3 hours, don't take hot bath or shower for 2 hours, when to expect the results, and that the physician will discuss the results.
After exercise electrocardiography the patient should be given instructions to:
Caffeine, alcohol, tobacco
C.A.T.