The EKG (ECG) Graph

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Included In This Lesson

Study Tools For The EKG (ECG) Graph

Parts of EKG waveform (Image)
EKG Chart (Cheatsheet)
EKG Electrical Activity Worksheet (Cheatsheet)
10 Common EKG Heart Rhythms (Cheatsheet)
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Outline

Overview of the EKG Graph

  1. The EKG graph represents the electrical conduction of the heart
  2. Assists with identifying heart rate and rhythm

Nursing Points for EKG Graphs

General EKG information

  1. EKG graph
    1. Y-axis – Vertical
      1. Voltage
      2. 1 large box
        1. 0.5mV
    2. X-axis -Horizontal
      1. Time in seconds
    3. Large box
      1. 0.20 Seconds
    4. Smaller boxes
      1. 0.04 seconds
    5. Markings
      1. Top of graph paper
      2. 3 seconds apart

Common Nursing Concepts for EKG Graphs

  1. EKG Rhythms

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Transcript

Hey guys in this lesson we are going to break down the EKG graph paper

Ok so here we have an EKG graph, we have our Y axis which is the vertical line and it measures the voltage. One large box is 0.5 millivolts. This is important when measuring the amplitude of the waveforms, especially when there is an elevation that should not be there, like in a STEMI. We also have our X axis which is the horizontal line and it measures time in seconds. As you can see, there are big boxes and in each big box there are 5 small boxes. The big box is 0.20 seconds and the smaller one is 0.04 seconds. So let’s break that down a little more!

So here is a big box, again from here to here is 0.20 seconds, if you look at these smaller boxes, they are each 0.04 seconds. There are 5 small boxes in 1 big box. If you multiply each box that is 0.04 seconds by 5 it equals 0.20 seconds. The seconds in these boxes are important when you have to identify how long it takes for one waveform to get to the other. At the top of this paper, you will also see these markings, these markings are usually every 3 seconds but in this particular graph they are every second, the markings are not always there. So if you have an EKG paper that does not have the markings at the top just know that 5 large boxes is 1 second, 15 boxes are 3 and 30 boxes are 6 seconds. So knowing that will help you identify if you are looking at a 6 second strip.

So the key points to remember are the Y- axis is the vertical line and it measures voltage, basically how high are the waveforms getting. The x-axis is the horizontal line which measures seconds. The large boxes have 5 smaller boxes in them, the large box is 0.20 seconds and the Small boxes are 0.04 seconds. Each EKG graph paper has markings at the top and they are 3 seconds apart. I hope this has helped yall identifying the lines on the graph paper!

Make sure you check out all of the resources attached to this lesson. Now, go out and be your best self today! And, as always, happy nursing!

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Study Plan Lessons

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Electrical A&P of the Heart
Cataracts
Electrolytes Involved in Cardiac (Heart) Conduction
Fluid Pressures
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Alveoli & Atelectasis
Fluid Shifts (Ascites) (Pleural Effusion)
Hiatal Hernia
Macular Degeneration
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Sickle Cell Anemia
Gas Exchange
Isotonic Solutions (IV solutions)
Nasal Disorders
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Hearing Loss
Hypotonic Solutions (IV solutions)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Fractures
Hypertonic Solutions (IV solutions)
Integumentary (Skin) Important Points
Meniere’s Disease
Casting & Splinting
The EKG (ECG) Graph
Drawing Blood
EKG (ECG) Waveforms
Levels of Consciousness (LOC)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Calculating Heart Rate
Diabetes Management
Dialysis & Other Renal Points
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Routine Neuro Assessments
Adjunct Neuro Assessments
Chloride-Cl (Hyperchloremia, Hypochloremia)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Oncology Important Points
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Brain Death v. Comatose
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Phosphorus-Phos
Cerebral Perfusion Pressure CPP
Immunizations (Vaccinations)
Cognitive Impairment Disorders
Normal Sinus Rhythm
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Cholecystitis
Sinus Bradycardia
Nursing Care and Pathophysiology for Anaphylaxis
Sinus Tachycardia
Atrial Flutter
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Parkinsons
Atrial Fibrillation (A Fib)
Brain Tumors
Premature Atrial Contraction (PAC)
Supraventricular Tachycardia (SVT)
Premature Ventricular Contraction (PVC)
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
Inserting an NG (Nasogastric) Tube
Hierarchy of O2 Delivery
NG (Nasogastric)Tube Management
Artificial Airways
NG Tube Med Administration (Nasogastric)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Airway Suctioning
Nursing Care and Pathophysiology for Menopause
Stroke Assessment (CVA)
Stroke Therapeutic Management (CVA)
Stroke Nursing Care (CVA)
Stoma Care (Colostomy bag)
Seizure Causes (Epilepsy, Generalized)
Seizure Assessment
Seizure Therapeutic Management
Chest Tube Management
Pain and Nonpharmacological Comfort Measures
Enteral & Parenteral Nutrition (Diet, TPN)
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Addisons Disease
Albumin Lab Values
Ammonia (NH3) Lab Values
Nursing Care and Pathophysiology for Anemia
AVPU Mnemonic (The AVPU Scale)
Base Excess & Deficit
Blood Urea Nitrogen (BUN) Lab Values
Bronchoscopy
Burn Injuries
Cardiac (Heart) Enzymes
Cardiac Anatomy
Chest Tube Management
Cholesterol (Chol) Lab Values
Nursing Care and Pathophysiology for Heart Failure (CHF)
Congestive Heart Failure (CHF) Labs
COPD (Chronic Obstructive Pulmonary Disease) Labs
Coronary Circulation
Creatinine (Cr) Lab Values
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Dysrhythmias Labs
Neurological Fractures
Fractures
GERD (Gastroesophageal Reflux Disease)
Glaucoma
Glomerular Filtration Rate (GFR)
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Hemodynamics
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Intracranial Pressure ICP
Ischemic (CVA) Stroke Labs
Lactic Acid
Leukemia
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Lung Sounds
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Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
MI Surgical Intervention
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Pneumonia Labs
Potassium-K (Hyperkalemia, Hypokalemia)
Preload and Afterload
Pressure Ulcers/Pressure injuries (Braden scale)
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
ROME – ABG (Arterial Blood Gas) Interpretation
Skin Cancer
Spinal Cord Injury
Systemic Lupus Erythematosus (SLE)
Thoracentesis
Thrombocytopenia
Total Bilirubin (T. Billi) Lab Values
Troponin I (cTNL) Lab Values
Urinalysis (UA)
Vent Alarms