Welcome to EMT City
Register now to gain access to all of our features. Once registered and logged in, you will be able to create topics, post replies to existing topics, give reputation to other members, get your own private messenger, post status updates, manage your profile and so much more. This message will be removed once you have signed in.
Sign in to follow this  
Followers 0

12 lead EKG question

15 posts in this topic

Posted · Report post

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

Posted · Report post

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

Posted · Report post

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

Posted · Report post

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

Posted · Report post

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

Posted · Report post

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

Posted · Report post

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

Posted · Report post

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

Posted · Report post

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

Posted · Report post

Excellent post.

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  
Followers 0