Electromyography (EMG)

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Included In This Lesson

Study Tools For Electromyography (EMG)

Muscle Anatomy (Cheatsheet)
Routine Neuro Assessments (Cheatsheet)
Muscle Types (Picmonic)
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Outline

Overview

  1. Electromyography (EMG)
    1. Needles inserted into muscle
    2. Assess nerve and muscle transmission

Nursing Points

General

  1. Procedure
    1. Small electrode needles are inserted into muscle
    2. Patient contracts muscle
    3. Electrical impulses measured through electromyograph
  2. Purpose
    1. Diagnose nerve/muscle disease
    2. View transmission of impulses
  3. Indications
    1. Numbness
    2. Tingling
    3. Muscle weakness

Assessment

  1. Before
    1. Explain procedure
    2. Clean skin to remove oil
    3. Tell patient the insertion will sting

Therapeutic Management

  1. During
    1. Doctor will place needles
    2. Doctor will give patient direction
  2. After
    1. Doctor removes needles
    2. Assess site for bruising and redness

Nursing Concepts

  1. Mobility -> altered mobility may indicate EMG
  2. Functional Ability -> altered functional ability may indicate EMG

Patient Education

  1. Tell patient they may feel tenderness days after
  2. Doctor will provide results

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Transcript

Hey guys! Welcome to the lesson on the electromyography or EMG!

The purpose of the EMG is to assess nerve and muscle transmission to diagnose disease. Let’s discuss the procedure. 

During the procedure, electrode needles are inserted into the muscle. The doctor tells the patient when to contract the muscle, and the impulses are read through the electromyograph. Let’s explore the indications for the EMG.

The doctor might order an EMG if the patient is experiencing numbness, tingling, or muscle weakness. An example is that my husband had an EMG done years ago on his wrist and they diagnosed him with carpal tunnel. Let’s talk about the nurse’s role. 

If the doctor orders the EMG, explain the procedure to the patient. Clean the skin and let the patient know that the needle insertion will sting. 

During the procedure, the doctor will place the needles and give the patient direction on muscle contraction.

After the procedure, the doctor will remove the needles. Assess the site for bruising and redness. 

The priority nursing concepts for the patient with an EMG are mobility and functional ability. 

Alright guys, let’s review the key points. The EMG is a test where small electrode needles are inserted into a muscle to measure nerve and muscle functioning to diagnose disease. The doctor might order this test if the patient has any numbness, tingling, or weakness. Before the procedure, explain it to the patient and clean the skin. During, the doctor will place the electrodes and provide direction to the patient on muscle contraction. Assess the site after for bruising and redness. 

Okay guys, that’s it on the EMG! Now go out and be your best self today, and as always, happy nursing!


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A&P Study Plan

Concepts Covered:

  • Tissues and Glands
  • Preoperative Nursing
  • Integumentary Disorders
  • Skeletal System
  • Muscular System
  • Nervous System
  • Studying
  • Medication Administration
  • Sensory System
  • Endocrine System
  • Circulatory System
  • Hematologic System
  • Urinary System
  • Emergency Care of the Cardiac Patient
  • Respiratory System
  • Noninfectious Respiratory Disorder
  • Endocrine and Metabolic Disorders
  • Basics of Human Biology
  • Digestive System
  • Urinary Disorders
  • Reproductive System

Study Plan Lessons

Anatomy & Physiology Course Introduction
Health Assessment Course Introduction
Introduction to Health Assessment
Intro to Health Assessment
Connective Tissues
Epithelial (Skin) Tissues
Types of Epithelial (Skin) Tissue
Membranes
Skin Structure & Function
Hygiene
Skeletal Anatomy
Bone Structure
Development of Bones
Joints
Muscle Anatomy (anatomy and physiology)
Muscle Cytology
Muscle Contraction
Muscle Physiology
Skeletal Muscle
Nervous System Anatomy
Spinal Cord
Cranial Nerves
Nerve Transmission
Membrane Potentials
Autonomic Nervous System (ANS)
Autonomic Nervous System (ANS)
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Parasympathomimetics (Cholinergics) Nursing Considerations
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Atropine (Atropen) Nursing Considerations
Sensory Basics
Neuro Assessment Module Intro
Electroencephalography (EEG)
Electromyography (EMG)
Glands
Pituitary Gland
Thyroid Gland
Adrenal Gland
Pancreas
Cardiac A&P Module Intro
The Heart
Intro to Circulatory System
Blood Vessels
Blood Plasma
Blood Grouping
Cardiac (Heart) Physiology
Electrical A&P of the Heart
Electrical Activity in the Heart
Cardiac Cycle
Blood Pressure (BP) Control
Renin Angiotensin Aldosterone System (RAAS)
Renin Angiotensin Aldosterone System
Calculating Heart Rate
Electrolytes Involved in Cardiac (Heart) Conduction
Increase MAP Nursing Mnemonic (VAK)
Arterial Pressure Monitoring
EKG (ECG) Course Introduction
The EKG (ECG) Graph
EKG (ECG) Waveforms
EKG Basics – Live Tutoring Archive
Normal Sinus Rhythm
Respiratory A&P Module Intro
Respiratory Structure & Function
Breathing Control
Breathing Movements
Respiratory Functions of Blood
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Oxygen Delivery Module Intro
Trach Care
Trach Suctioning
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
ABG Course (Arterial Blood Gas) Introduction
Arterial Blood Gases Nursing Mnemonic (ROME)
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Renal (Kidney) Acid-Base Balance
Fluid & Electrolytes Course Introduction
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Fluid Volume Deficit
Nursing Care Plan (NCP) for Fluid Volume Deficit
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
Tonicity of Solutions – Live Tutoring Archive
Gastrointestinal (GI) Course Introduction
Digestive System Anatomy
Mouth & Oropharynx
Esophagus
Stomach Video
Liver & Gallbladder
Small Intestine
Large Intestine
Digestion & Absorption
Bowel Elimination
Urinary System Anatomy (Anatomy and Physiology)
Renal (Kidney) Structure & Function
Renal (Kidney) Fluid & Electrolyte Balance
Urinary Elimination
Inserting a Foley (Urinary Catheter) – Male
Male Reproductive Anatomy (Anatomy and Physiology)
Female Reproductive Anatomy (Anatomy and Physiology)
Drawing Blood
Drawing Blood from the IV
Selecting THE vein
Order of Lab Draws
Tattoos IV Insertion