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02.11 12 Lead EKG- Injuries for CCRN Review

02.11 12 Lead EKG- Injuries for CCRN Review

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Laura Gasparis Vonfrolio

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Outline

Nursing Points

General

12 Lead EKG: Injuries
1. Inferior wall injury
  1. ST-elevation means injury has occurred (most times)
  2. ST depression means there is ischemia
2. Anterior-septal wall injury
  1. V1, V2, V3
    1. No R wave present, likely previously infarcted (no ST elevation) or currently infarcting (ST elevation)
3. When looking at EKG…
4. First check inferior leads 2, 3, and aVF = look at inferior wall first
  1. 1. ST elevations seen
      1. Inferior wall MI
    2. ST depressions seen
      1. Inferior wall MI –> could be ischemia (ST depressions usually mean ischemia) or it is called reciprocal change
        
        Reciprocal changes should be gone in 24 hours–> if not than = ischemia
    3. Lateral wall MI
      1. ST elevation v5-v6

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Dysrhythmias

Concepts Covered:

Study Plan Lessons

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

02.11 12 Lead EKG- Injuries for CCRN Review

03.02 Diabetes Insipidus for CCRN Review

06.03 Multi-System CCRN Important Points for CCRN Review

06.04 Differentiating Ectopy and Aberrancy for CCRN Review

09.05 Chronic Renal Failure 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)

Abuse and Neglect for Certified Emergency Nursing (CEN)

ACLS (Advanced cardiac life support) Drugs

Acute Coronary Syndrome (ACS)

Acute Coronary Syndrome for Certified Emergency Nursing (CEN)

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)

Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)

Advanced Cardiovascular Life Support (ACLS)

Amiodarone (Pacerone) Nursing Considerations

Amitriptyline (Elavil) Nursing Considerations

Aneurysm and Dissection for Certified Emergency Nursing (CEN)

Antidepressants

Antidepressants

Arterial Pressure Monitoring

Atrial Fibrillation (A Fib)

Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)

Calcium-Ca (Hypercalcemia, Hypocalcemia)

Calculating Heart Rate

Cardiac (Heart) Enzymes

Cardiac Anatomy

Cardiac Stress Test

Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)

Cardiopulmonary Arrest

Cardiovascular Trauma for Certified Emergency Nursing (CEN)

Communicating with Providers

Congestive Heart Failure Concept Map

Critical Thinking

Cushing’s Syndrome Case Study (60 min)

Dialysis & Other Renal Points

Diltiazem (Cardizem) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Dysrhythmia Emergencies

Dysrhythmias Labs

EKG (ECG) Course Introduction

EKG (ECG) Waveforms

EKG Basics – Live Tutoring Archive

Electrical A&P of the Heart

Electrical Activity in the Heart

Electrolytes Involved in Cardiac (Heart) Conduction

Enteral & Parenteral Nutrition (Diet, TPN)

General Anesthesia

Heart (Cardiac) Failure Therapeutic Management

Heart Failure Case Study (45 min)

Heart Failure for Certified Emergency Nursing (CEN)

Hypertension for Certified Emergency Nursing (CEN)

Hypertensive Emergency

Hyperthyroidism Case Study (75 min)

Increased Intraocular Pressure for Certified Emergency Nursing (CEN)

Lung Surfactant

Lung Surfactant for Newborns

Magnesium Sulfate (MgSO4) Nursing Considerations

Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)

Mood Stabilizers

Mood Stabilizers

Myocardial Infarction (MI) Case Study (45 min)

Nitroprusside (Nitropress) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Normal Sinus Rhythm

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens

Nursing Care Plan (NCP) for Angina

Nursing Care Plan (NCP) for Anxiety

Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)

Nursing Care Plan (NCP) for Cardiomyopathy

Nursing Care Plan (NCP) for Congenital Heart Defects

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)

Nursing Care Plan (NCP) for Marfan Syndrome

Nursing Case Study for (PTSD) Post Traumatic Stress Disorder

Nursing Case Study for Cardiogenic Shock

Nursing Case Study for Head Injury

Nursing Case Study for Rheumatic Heart Disease

Obstetric Trauma for Certified Emergency Nursing (CEN)

Peptic Ulcer Disease Case Study (60 min)

Performing Cardiac (Heart) Monitoring

Pericardial Tamponade for Certified Emergency Nursing (CEN)

Potassium-K (Hyperkalemia, Hypokalemia)

Premature Atrial Contraction (PAC)

Premature Ventricular Contraction (PVC)

Procainamide (Pronestyl) Nursing Considerations

Pulmonary Embolus for Certified Emergency Nursing (CEN)

Pulmonary Hypertension for Certified Emergency Nursing (CEN)

Renal Failure- Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD) for Progressive Care Certified Nurse (PCCN)

Rheumatic Fever

Sinus Bradycardia

Sinus Tachycardia

Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)

Somatoform Disorder Case Study (30 min)

Stroke Case Study (45 min)

Stroke for Progressive Care Certified Nurse (PCCN)

Supraventricular Tachycardia (SVT)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

The EKG (ECG) Graph

Thoracic Surgery (Lobectomy, Pneumonectomy) for Progressive Care Certified Nurse (PCCN)

Troponin I (cTNL) Lab Values

Vasopressin (Pitressin) Nursing Considerations

Ventricular Fibrillation (V Fib)

Ventricular Tachycardia (V-tach)