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02.10 12 Lead EKG- Lead V1-V6 for CCRN Review

02.10 12 Lead EKG- Lead V1-V6 for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Study Tools For 02.10 12 Lead EKG- Lead V1-V6 for CCRN Review

10 Common EKG Heart Rhythms (Cheatsheet)
EKG Chart (Cheatsheet)
EKG Electrical Activity Worksheet (Cheatsheet)
EKG Electrical vs Mechanical Worksheet (Cheatsheet)

Outline

Nursing Points

General

  1. 12 Lead EKG: V1-V6
    1. Anterior-septal-lateral wall leads
    2.  Placement
      1. (From the right to left side of heart) -> V1, V2, V3, V4, V5, V6
    3. Electrical current through heart
      1. First travels through left bundle (V5, V6)
        1. Small Q wave normal (electrical current traveling away from +)
      2. Across anterior wall towards V4, V3, V2, V1
      3. Appearance of R wave in V1, V2, V3 = anterior septal wall exists
        1. No R wave = infarcted (no ST elevation) or infarcting (ST elevation)

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