Sign in to follow this  
sdmedic42

12 lead EKG question

Recommended Posts

sdmedic42    0

What is the main reason why a pt needs to be put from a sitting position into a semi-supine/supine position to do a 12 lead EKG?? Thanks

Share this post


Link to post
Share on other sites
scratrat    14

It keeps the leads from hanging down. It makes it easier to obtain the tracing. If they are sitting upright, it will sometimes pull the leads off.

Share this post


Link to post
Share on other sites
firedoc5    6

Try to put them in the most comfortable and relaxed position so they are not tensed up.

Share this post


Link to post
Share on other sites
Mateo_1387    50

Position of the patient is important because other positions may cause the heart to move. Think about when you are listening to heart tones, you want your patient to sit forward so that the heart is closest to the ribs. The closeness to the ribs helps the practitioner to hear the heart tones. Just the patient sitting up in the same position you would listen to heart tones can causes reading of the EKG to change. One change can be axis deviation. Take for example a patient who does not have axis deviation. It is possible for axis deviation to show up on the EKG while the patient is sitting up or leaning forward, but would not appear when the patient is laying properly.

Share this post


Link to post
Share on other sites
triemal04    44
Position of the patient is important because other positions may cause the heart to move. Think about when you are listening to heart tones, you want your patient to sit forward so that the heart is closest to the ribs. The closeness to the ribs helps the practitioner to hear the heart tones. Just the patient sitting up in the same position you would listen to heart tones can causes reading of the EKG to change. One change can be axis deviation. Take for example a patient who does not have axis deviation. It is possible for axis deviation to show up on the EKG while the patient is sitting up or leaning forward, but would not appear when the patient is laying properly.

Actually, in my case it was the opposite; laying down I showed RAD and sitting up didn't. Got the nurse all worked up though. Go figure.

Share this post


Link to post
Share on other sites
Kaisu    198

Tense muscles will quiver, causing artifact. When the patient lies down, muscles relax and a better tracing can be obtained.

Share this post


Link to post
Share on other sites
MSDeltaFlt    1
What is the main reason why a pt needs to be put from a sitting position into a semi-supine/supine position to do a 12 lead EKG?? Thanks

Also laying down will give you access to properly place the ECG leads. Proper placement is everything.

Share this post


Link to post
Share on other sites
iMac    0

So up or down? I had never heard of this before. It seems like either sitting up or supine are the 2 ways of doing it. Very interesting thread.

Share this post


Link to post
Share on other sites
firedoc5    6
So up or down? I had never heard of this before. It seems like either sitting up or supine are the 2 ways of doing it. Very interesting thread.

Which ever way they are most comfortable. Unless they are a trauma patient.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

Sign in to follow this