Page 49 - AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition

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When using a 3- or 5-wire-monitoring system, place electrodes as follows:

of shoulder as close to where arm joins torso as possible. Place arm electrodes in infraclavicular fossa close to shoulder a or on top or back Place leg electrodes at lowest point on rib cage or on hips. a,b Place V 1 electrode at the fourth inter

Evidence-Based Practice: ST-Segment Monitoring

– – – – Lead Selection in all multilead combinations. b Alarm Limits in more stable patients. a
• • • • • • • • • • •

Class I: ST-segment monitoring recommended for the following Patients in the early phase of acute coronary syndromes (unstable angina, “rule-out MI, ST elevation MI, non–ST- Patients presenting to emergency department with chest pain Patients and w

Patient Selection types of patients: elevation MI). a,c or anginal equivalent symptoms. a,c vasospasm. a,c percutaneous coronary intervention 1. congenital or acquired conditions. a Electrode Application electrodes. a,b,c
3.11 • • • results. a,c • • • • surgery. a • • •