EKG Chapter 4 Technical Aspects of The EKG

Somatic tremor artifact is commonly caused by

patient movement

60 cycle interference is commonly caused by

electrical interference

The most common cause for the P wave, QRS complex, and T wave to be intervened in lead 1 is

incorrect lead placement

The "gain" setting on the EKG machine is concerned with

the amplitude of the wave and complexes

A patient is short of breath and his nurse tells you he must have the head of bed (HOB) at 90 degrees for his 12-lead EKG. You

do the EKG at 90 degrees and document the position on the EKG

Normal paper speed for printing out the EKG is

25 mm/sec

Electrical shock is LEAST likely to be caused by which of the following?

properly maintained EKG machine

If artifact is present in leads I, II, and AVR, the most likely source of the artifacts is on the

right arm

The most important benefit of a three-channel recorder when doing a 12-lead EKG is

all leads can be recorded simultaneously

A digital converter on the EKG machine

converts the analog signal to a digital one

Some modern EKG machines are Bluetooth-cable, allowing EMS workers to

transmit the EKG to the nearest hospital so workers can prepare for the patient's arrival

On your patient's 12-lead EKG, lead I's waves and complexes are completely negative. AVR's wave and complexes are completely positive. The most likely cause of this is

right and left arm leads inadvertently reversed

Your patient for a 12-lead EKG has no legs as a result of bilateral amputations. Where should you put the leg electrodes?

on the lower abdomen above where the legs would be

Your patient is having chills. What kind of artifact can this produce?

somatic tremors

If there is artifact in leads II, III, and AVF, on which limb(s) would you expect to find the cause of the artifact?

left leg

Your patient is smiling and visiting with family, but the cardiac monitor shows that the patient's heart has completely stopped. The rhythm on the monitor is thus

artifact

The artifact caused by the jiggling of wires during toothbrushing is called

toothbrush asystole

If your patient's cardiac rhythm is life-threatening, your FIRST action should be to

check the patient-assess vitals and see how they feel

Muscle artifact can be minimized by monitoring the patient in lead

V1 or MCL

Muscle artifact is seen most often in

the frontal leads

Microshock is different from macroshock in that microshock is

a lower voltage electrical shock

Electrically speaking, the heart is a

transmitter

To minimize artifact, what must be done?

all but B

Small adhesive patches with conductive gel on the skin side are

electrodes

If the artifact in leads I, III, and AVL, the problem is on which limb?

left arm

_____ is unwanted jitter or interference in the EKG tracing

artifact

Electrically speaking, the EKG machine is a ____ and the heart is a transmitter

reciever

The ekg machine control feature that controls the size of the waves and complexes is the ____

gain

Troubleshooting involves determining and alleviating the cause of ____

artifact

A thick-looking pattern on the EKG paper that looks like someone used a thick Magic Maker to write the baseline is typical of what kind of artifact?

60-cycle interference

Baseline sway is caused by lotion or sweat interfering with the ____ reaching the EKG machine

signal

The word "somatic" means _____

body

If artifact is seen in leads I, III, and AVL, you should direvt your corrective efforts to which limb or limbs?____

left arm

Broken recording is caused by _____

frayed wires

CPR artifact is caused by chest compressions obscuring the real _____

rhythms