PEDIATRIC NURSING CARDIAC EMERGENCY AND ECG interpretation

PEDIATRIC NURSING CARDIAC EMERGENCY AND ECG interpretation for nurses

1. PEDIATRIC CARDIAC EMERGENCIES SHINI CHERIAN NURSING EDUCATION AND TRAINING DIVISION

2. OBJECTIVES At the end of the lecture the staff will be able to: Explain the conduction system of heart Describe the importance of ECG interpretation Enumerate the pediatric cardiac emergencies Explain the treatment modalities and nursing management

3. Conduction system of heart

4. https :// youtu.be/RYZ4daFwMa8

5. Electrocardiography An electrocardiogram (ECG or EKG) is  one of the simplest and fastest tests used to evaluate the heart .

6. 12 LEAD ECG

7. 3-LIMB LEADS AND 3-AUGMENTED ELECTRODES

8. 6 PRECORDIAL LEADS

9. ECG rhythm

10. Electrocardiography

11. ECG waves

12. Step 1: Determine the rhythm Methods of measuring rhythm: Regular or Irregular Paper-and-pencil method Regular

13. Step 2: Determine the rate 10-times method The easiest way to calculate heart rate is the 10-times method, especially if the rhythm is irregular. 6-second strips represent 1 minute 30 large boxes. count the number of R waves , and multiply by 10

14. Management

15. Step-3 Evaluate P wave

16. Management of P-wave abnormalities

17. Ventricular fibrillation

18. How to read ECG

19. Identify the Rhythm Ventricular Tachycardia The heart rate for this patient is approximately : 180

20. Sinus Bradycardia Sinus Tachycardia-narrow complex Supraventricular Tachycardia- P waves not detectable

21. Atrial Fibrillation Second degree heart block –PR longer and dropped beat PAC/PVC Atrial Flutter

22. Ventricular Fibrillation First degree heart block-AV block

23. Complete Heart block

24. Ventricular Asystole Rate zero Regularity none P waves none QRS none