EKG PLAIN AND SIMPLE

Author: Karen Ellis, RN
Affiliation: Touro Infirmary, New Orleans
Publisher: Pearson Health Science
Publication Date: 2012
ISBN 10: 0132377292
ISBN 13: 9780132377294
Edition: 3rd

Description:

Unlike books that encourage rote memorization, this conversationally-written text puts the student at the patient's bedside, focusing not just on identifying rhythms or EKGs, but also on "Now what do I do for the patient?" Assuming no prior knowledge, EKG PLAIN AND SIMPLE, 3/e covers EKG from basic to advanced concepts. Part I progresses seamlessly from basic cardiac A&P through waves and complexes, lead morphology, and rhythms. Part II covers 12-lead interpretation, axis, hypertrophy, myocardial infarction, and more. The text presents many clinical scenarios, anecdotes, and critical thinking exercises, plus hundreds of practice rhythm strips and 12-lead EKGs. This edition adds new scenarios, chapter notes, and tables; more medication information; and new coverage ranging from MI symptoms to hemiblocks.

Table of Contents

Front Matter

  • ABOUT
  • Notice
  • Introduction
  • Acknowledgments
  • Reviewers

PART ONE The Basics

    Coronary Anatomy and Physiology

    • CHAPTER 1 OBJECTIVES
    • Introduction
    • Layers of the Heart
    • Heart Chambers
    • Heart Valves
    • Great Vessels
    • Blood Flow through the Heart
    • The Cardiac Cycle
    • Blood Flow through the Systemic Circulation
    • Coronary Arteries
    • Heart Cells
    • Nervous Control of the Heart
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Electrophysiology

    • CHAPTER 2 OBJECTIVES
    • Introduction
    • Depolarization and Repolarization
    • The Action Potential
    • Refractory Periods
    • EKG Waves and Complexes
    • Waves and Complexes Identification Practice
    • QRS Nomenclature
    • QRS Nomenclature Practice
    • Cardiac Conduction System
    • Cardiac Cells
    • Inherent (Escape) Rates of the Pacemaker Cells
    • Conduction Variations
    • EKG Paper
    • Intervals
    • Intervals Practice
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Lead Morphology and Placement

    • CHAPTER 3 OBJECTIVES
    • Introduction
    • Bipolar Leads
    • Augmented Leads
    • Precordial (Chest) Leads
    • Continuous Monitoring
    • Electrocardiographic Truths
    • Normal QRS Deflections
    • Lead Morphology Practice
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Technical Aspects of the EKG

    • CHAPTER 4 OBJECTIVES
    • Introduction
    • Control Features
    • Electrical Safety
    • Artifact
    • Troubleshooting
    • Artifact Troubleshooting Practice
    • Artifact Masquerading as Rhythms
    • Artifact in Three Leads Monitored Simultaneously
    • Is It Real or Is It Artifact?
    • Real or Artifact: How to Tell the Difference
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Calculating Heart Rate

    • CHAPTER 5 OBJECTIVES
    • Introduction
    • Methods for Calculating Heart Rate
    • Regularity-Based Heart Rate Calculation
    • Regularity Types
    • Practice Strips: Regularity of Rhythms
    • Kind of Heart Rate to Calculate for Different Types of Regularity
    • Practice Strips: Calculating Heart Rate
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    How to Interpret a Rhythm Strip

    • CHAPTER 6 OBJECTIVES
    • Introduction
    • The Five Steps to Rhythm Interpretation
    • Practice Quiz

    Rhythms Originating in the Sinus Node

    • CHAPTER 7 OBJECTIVES
    • Introduction
    • The Word on Sinus Rhythms
    • Sinus Rhythm
    • Sinus Bradycardia
    • Sinus Tachycardia
    • Sinus Arrhythmia
    • Sinus Arrest
    • Sinus Block (Also Called Sinus Exit Block)
    • Practice Strips: Sinus Rhythms
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Rhythms Originating in the Atria

    • CHAPTER 8 OBJECTIVES
    • Introduction
    • The Word on Atrial Rhythms
    • Wandering Atrial Pacemaker/Multifocal Atrial Tachycardia
    • Premature Atrial Complexes (PACs)
    • Paroxysmal Atrial Tachycardia (PAT)
    • Atrial Flutter
    • Atrial Fibrillation
    • Supraventricular Tachycardia (SVT)
    • Practice Strips: Atrial Rhythms
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Rhythms Originating in the AV Junction

    • CHAPTER 9 OBJECTIVES
    • Introduction
    • The Word on Junctional Rhythms
    • Premature Junctional Complexes (PJCs)
    • Junctional Bradycardia
    • Junctional Rhythm
    • Accelerated Junctional Rhythm
    • Junctional Tachycardia
    • Practice Strips: Junctional Rhythms
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Rhythms Originating in the Ventricles

    • CHAPTER 10 OBJECTIVES
    • Introduction
    • The Word on Ventricular Rhythms
    • Premature Ventricular Complexes (PVCs)
    • Agonal Rhythm (Dying Heart)
    • Idioventricular Rhythm (IVR)
    • Accelerated Idioventricular Rhythm (AIVR)
    • Ventricular Tachycardia (V-tach)
    • Wolff-Parkinson-White Syndrome (WPW)
    • Torsades de Pointes
    • Ventricular Fibrillation (V-fib)
    • Asystole
    • Pacemaker Rhythm
    • Practice Strips: Ventricular Rhythms
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    AV Blocks

    • CHAPTER 11 OBJECTIVES
    • Introduction
    • Degrees of AV Block
    • The Word on AV Blocks
    • First-Degree AV Block
    • Mobitz I Second-Degree AV Block (Wenckebach)
    • Mobitz II Second-Degree AV Block
    • 2:1 AV Block
    • Third-Degree AV Block (Complete Heart Block)
    • Practice Strips: AV Blocks
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Rhythm Practice Strips

    • CHAPTER 12 OBJECTIVES
    • Introduction
    • Rhythm Summary Sheets
    • Rhythms for Practice

PART TWO Advanced Concepts

    How to Interpret a 12-Lead EKG

    • CHAPTER 13 OBJECTIVES
    • Introduction
    • The Six Steps to 12-Lead EKG Interpretation
    • Axis Determination
    • Axis Practice EKGs
    • Bundle Branch Blocks
    • BBB Practice
    • Ventricular Hypertrophy
    • Hypertrophy Practice
    • Miscellaneous Effects
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Myocardial Infarction

    • CHAPTER 14 OBJECTIVES
    • Introduction
    • Symptoms of MI
    • The Three Is of Infarction
    • ST Segment
    • T Wave
    • QRS Complexes
    • R Wave Progression and Transition
    • Evolution of a STEMI
    • Determining the Age of an MI
    • Walls of the Left Ventricle
    • Myocardial Infarction Locations
    • Infarction Squares
    • MI Pictorials
    • Myocardial Infarction Algorithm
    • Right Ventricular Infarction
    • Conditions That Can Mimic an MI
    • MI Practice
    • EKG Complications of MI
    • Treatment of MI
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    12-Lead EKG Practice

    • CHAPTER 15 OBJECTIVES
    • Introduction
    • 12-Lead EKG Interpretation in a Nutshell
    • 12-Lead EKG Interpretation Checklist
    • Practice EKGS

    Medications and Electrical Therapy

    • CHAPTER 16 OBJECTIVES
    • Introduction
    • Medications
    • Electrical Therapy
    • DDD versus VVI Practice
    • Pacemaker Malfunctions Practice
    • Therapeutic Hypothermia (TH)
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Diagnostic Electrocardiography

    • CHAPTER 17 OBJECTIVES
    • Introduction
    • Stress Testing
    • Stress Test Assessment Practice
    • Holter Monitoring
    • Event Monitoring
    • Practice Quiz
    • Putting It All Together—Critical Thinking Exercises

    Putting It All Together: Critical Thinking Scenarios

    • CHAPTER 18 OBJECTIVES
    • Introduction
    • Scenario A: Mr. Johnson
    • Scenario B: Ms. Capitano
    • Scenario C: Mr. Farley
    • Scenario D: Mr. Lew
    • Scenario E: Mrs. Epstein
    • Scenario F: Mr. Calico
    • Scenario G: Mrs. Taylor
    • Scenario H: Mr. Foster
    • Scenario I: Mr. Frye
    • Scenario J: Mrs. Terry

Appendix Answers to Chapter Skills Practice Questions, End-of-Chapter Practice Quizzes, and Critical Thinking Exercise Questions

Glossary

Glossary of Abbreviations