cardiac monitoring.pptx

Presentation is about cardiac monitoring ,gives accurate information

1. CARDIAC MONITORING Submitted to : Submitted By: Respected Kirti Ma’am Tripti Bhardwaj Faculty 05650306619 CON, VMMC & SJH BSc (H) Nursing 4 th year

2. INTRODUCTION

3. Cardiac monitoring in a critic care unit is of great importance because it permits immediate recognition of disturbance in n the rate and rhythm of the heart . Instant recognition of lethal( fatal ) arrhythmias and immediate resuscitation makes it possible nto save lives of many. It generally refers to continuous or intermittent monitoring of heart activity.

4. DEFINITION

5. Cardiac monitoring generally refers to continuous or intermittent monitoring bod heart activity to assess a patient’s condition relative to their cardiac rhythm.

6. PURPOSE

7. Continuous display of ECG Monitor Cardiac Output Monitor arterial blood oxygen saturation Monitor Blood Pressure Early recognition of potentially fatal dysrhythmias allows for prompt interventions that may save lives.

8. COMPONENTS OF BEDSIDE CARDIAC MONITORING

9. These are usually mounted on the wall behind the patient’s bed . Screen can be easily seen by the nursing personnel but not by patient. It consists of : • Eletrodes •Bedside monitor •Connecting Cables

10. Main features of the system : •Main Cable •Patient Cable •Electrodes

11. BEDSIDE CARDIAC MONITOR

12. A Bedside Monitor has following components : • Oscilloscope • Pulse rate indicator • Alarm System - Volume - Reset - Freeze

13. DEFIBRILLATOR AND ECG WRITE OUT

14. Some monitors are combined with a defibrillator to deliver a D.C. Shock. In Cardiac emergency it is usually a feature of portable defibrillator system which also induces an ECG recorder.

15. ELECTRODE PLACEMENT

16. May be placed on the chest or limbs most common electrode placement on chest . However, the placement of the electrodes on the limbs hampers the movement of the patient and produces constant artifacts .

17. Preparations Site preparation Electrode placement site Connection of cable to electrodes patches Placement of blood pressure cuff Placement of saturation probe.

18. PROBLEMS IN CARDIAC MONITORING

19. Problems may arise with faults in the equipment, placement of electrodes , defects in the monitoring technique and changing condition of the patient. Always correlate the patient’s condition with the ECG changes i.e., check the general condition of the patient whenever ECG reflects a change in the tracing.

20. Following problems can occur : Wave from interference Straight Baseline Wandering Baseline Alarm sound and no evidence of arrhythmia Skin excoriation under the electrodes.

21. NURSING IMPLICATIONS

22. Explain the procedure to patient and reassure him before the cardiac monitoring begins. Prepare the skin area of the electrodes placement . Check the monitor for it’s good functionin , before it is used on patient.

23. Apply electrode jelly in sufficient amount to have good contact between skin and electrodes. The limits of the high and low rate alarms must be adjusted to the conditions of the patient. Inspect the area of electrode placement daily for any skin excoriation.

24. Have a constant watch over the cardiac monitor in order to det ct lethal arthymias at the earliest.

25. WEANING FROM THE MONITOR

26. Put off the monitor temporarily to show that the patient is not dependent on monitor. Teach patient how pulse can be felt so that the patient can be assured of the heart beat in absence of monitoring.

27. Keep the patient for a day in ICU after weaning from monitor. This makes the patient less anxious to have his transfer out of ICU. This also permits the nurse on opportunity to observe the patient when he is not on the monitor.

28. THANK YOU !