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02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review

02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Outline

Nursing Points

General

 

  1. 12 Lead EKG: Leads 1, 2, 3, aVL, & aVF
    1. “+” or “-” regarding electrical charge of heart
      1. Positive lead = left arm, left leg
      2. Negative lead = arm
    2. Lead monitoring
      1. Lead 1, aVL -> view inferior wall of heart
    3. To read a hemi-block
      1. Electrical current goes through L bundle first -> through ventricular anterior septal wall -> then through right bundle
      2. ‘Deviations’ of the direction of electrical current
        1. Right axis deviation = S wave dips down far in Lead 1 and aVL
        2. Left axis deviation = S wave dips down far in Lead 2, 3, and aVF
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Cardiology

Concepts Covered:

  • Circulatory System
  • Emergency Care of the Cardiac Patient
  • Preoperative Nursing
  • Terminology
  • Cardiac Disorders
  • Shock
  • Shock
  • Acute & Chronic Renal Disorders
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Immunological Disorders
  • Medication Administration
  • Vascular Disorders
  • Studying
  • Lower GI Disorders
  • Oncology Disorders
  • Cardiovascular
  • Noninfectious Respiratory Disorder
  • Emergency Care of the Respiratory Patient
  • Respiratory Emergencies
  • Emergency Care of the Trauma Patient
  • Intraoperative Nursing

Study Plan Lessons

Intro to Circulatory System
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
Cardiac (Heart) Physiology
EKG (ECG) Course Introduction
EKG (ECG) Waveforms
Electrical A&P of the Heart
Electrical Activity in the Heart
Intro to Circulatory System
Intro to Health Assessment
Introduction to Health Assessment
The EKG (ECG) Graph
The Heart
Cardiac Terminology
Pharmacology Terminology
Diagnostics Terminology
02.06 Heart Murmurs for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
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)
ACE (angiotensin-converting enzyme) Inhibitors
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Kidney Injury Case Study (60 min)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
AIDS Case Study (45 min)
Angiotensin Receptor Blockers
Anti-Platelet Aggregate
Atenolol (Tenormin) Nursing Considerations
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Blood Flow Through The Heart
Brain Natriuretic Peptide (BNP) Lab Values
Brain Tumors
Calcium Channel Blockers
Cardiac (Heart) Enzymes
Cardiac A&P Module Intro
Cardiac Anatomy
Cardiac Course Introduction
Cardiac Stress Test
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiovascular Angiography
Cardiovascular Disorders (CVD) Module Intro
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Coronary Circulation
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension for Certified Emergency Nursing (CEN)
Hypertensive Emergency
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Procainamide (Pronestyl) Nursing Considerations
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Sinus Bradycardia
Sinus Tachycardia
Supraventricular Tachycardia (SVT)
Trauma Nursing Interventions for Certified Perioperative Nurse (CNOR)