Portable ECG Interpretation by Springhouse

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By Springhouse

The brand-new Portable reference sequence, an extension of our well known Portable RN and Portable LPN titles, bargains compact powerhouses of scientific details on center nursing issues. Our nurse-experts have taken care of in the course of the mass of suitable scientific details on each one subject and concentrated in at the details that nurses want such a lot of their day-by-day perform. every one publication provides useful, need-to-know info in an easy-to-use, concise format--an helpful function for cutting-edge time-starved nurses. Bullets, lists, charts, diagrams, and illustrations permit for speedy retrieval and knowing. Synthesizing similar, crucial scientific info on need-to-know nursing themes, the books within the transportable sequence are like having knowledgeable advisor correct on your pocket. With its new angle to ECG interpretation, Portable ECG Interpretation is going past the standard details present in ECG texts (including a step by step, fail-proof approach for ECG interpretation; cardiac review; and outlines, universal explanations, and nursing concerns for all significant arrhythmias) via together with info on evaluation of arrhythmia-related signs, making the booklet much more appropriate to daily perform.

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Checking radial pulse If you suspect cardiac disease, palpate for 1 full minute to detect arrhythmias. Normally, an adult’s pulse ranges from 60 to 100 beats/minute. Its rhythm should feel regular, except for a subtle slowing on expiration, caused by changes in intrathoracic pressure and vagal response. Note whether the pulse feels weak, normal, or bounding. Abnormal findings A weak pulse may indicate increased peripheral vascular resistance or decreased stroke volume. A bounding pulse can indicate increased stroke volume, as with aortic insufficiency, or stiffness of arterial walls.

Emotional stress caused by physical examination may elevate blood pressure. If the patient’s blood pressure is high, allow him to relax for several minutes and then measure again to rule out stress. When assessing a patient’s blood pressure for the first time, take measurements in both arms. If blood pressure is elevated in both arms, measure the pressure in the thigh. qxd 8/17/08 4:03 PM Page 31 P E R F O R M I N G A C A R D I O VA S C U L A R A S S E S S M E N T above the knee. Place the stethoscope over the popliteal artery, located on the posterior surface slightly above the knee joint.

It’s lowpitched and dull. S1 occurs at the beginning of ventricular systole. It may be split if the mitral valve closes just before the tricuspid. Abnormal findings Auscultation may detect S1 and S2 that are accentuated, diminished, or inaudible. These abnormalities may result from pressure changes, valvular dysfunctions, and conduction defects. A prolonged, persistent, or reversed split sound may result from a mechanical or electrical problem. Auscultation may also reveal an S3, an S4, or both.

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