PERTEMUAN 7A - PROSEDUR PEMASANGAN EKG

Summary

In this educational video, viewers are guided through the process of recording an EKG for adult patients in Indonesia. The video emphasizes the importance of evaluating heart abnormalities, electrolyte imbalances, and heart hypertrophy. It also discusses the impact of heart medication and the functionality of implanted pacemakers. The tutorial covers the necessary equipment, including EKG machines and electrodes, and provides a step-by-step demonstration on how to properly apply electrodes to patients. The video concludes with a reminder to clean up equipment and document the procedure, ensuring a comprehensive understanding of EKG recording for medical professionals.

Takeaways

• 📝 The script is a tutorial on how to record an EKG for adult patients.
• 🔍 The purpose of recording an EKG includes evaluating heart abnormalities, electrolyte imbalances, and heart hypertrophy.
• 📺 The video is hosted on the YouTube channel 'Escape Indonesia'.
• 📋 Before starting, viewers are reminded to subscribe, like, and share the video for channel growth.
• 🧳 Equipment needed for EKG recording includes a precomp.exe machine, electrodes, cables, and prekordial leads.
• 👕 It's important to prepare the patient by explaining the procedure, ensuring privacy, and washing hands before starting.
• 🚫 Ensure no metals or electronic devices are near the patient to avoid interference.
• 🔌 The script details the step-by-step process of attaching electrodes to extremities and prekordial leads to the patient's chest.
• 📍 Specific lead placements are described, such as V1 at the fourth intercostal space, V2 and V3 between V1 and V4, and V4, V5, and V6 along the axillary line.
• 🖨 After ensuring all leads are properly attached and monitored, the EKG results are printed.
• 🧼 Post-procedure, equipment is cleaned, the patient is made comfortable again, and the results are documented according to institutional regulations.

Q & A

What is the primary function of recording an EKG?

The primary function of recording an EKG is to evaluate any abnormalities in the patient's heart, assess for electrolyte imbalances, measure or estimate the presence of heart hypertrophy in either the atrium or ventricle, and observe the effects of administered heart medications as well as the function of any implanted cardiac devices.

What equipment is necessary for EKG recording on adult patients?

For EKG recording on adult patients, you need an EKG machine, electrodes with cables, prekordial leads, a gel or jelly for better electrode contact, tissues for cleaning the patient's chest, and hand sanitizer for hygiene purposes.

How should you prepare the patient before starting the EKG recording?

Before starting the EKG recording, inform the patient about the procedure, ensure privacy by closing the door, wash your hands with sanitizer, and make sure the patient is comfortable and lying flat. Also, check for any metal objects or electronic devices on or near the patient.

What color-coded electrodes are typically used for limb leads in EKG recording?

The limb leads are typically color-coded as red, yellow, green, and black. However, it's important to check the labels on the electrodes as there might be variations in color coding across different products.

Where should the V1, V2, and V3 electrodes be placed on the chest for EKG recording?

The V1 electrode should be placed at the fourth intercostal space on the right side of the sternum. V2 is placed at the fourth intercostal space to the left of the sternum, and V3 is positioned between V2 and V4.

What is the correct placement for V4, V5, and V6 electrodes during an EKG recording?

V4 should be placed at the fifth intercostal space, level with the midpoint of the clavicle. V5 and V6 are placed along the midaxillary line, level with V4 and V5 respectively.

Why is it important to monitor the EKG machine before printing the results?

It is important to monitor the EKG machine to ensure that all electrodes are properly attached and none have become detached, as this could affect the accuracy of the EKG reading. Only after confirming the quality of the recording should the results be printed.

What should be done after completing the EKG recording?

After completing the EKG recording, clean the electrodes from the patient's chest and extremities, clean the patient's skin, re-dress the patient, and communicate to the patient that the procedure is finished. Also, clean the equipment and document all actions taken, including attaching the EKG results to the patient's file according to the institution's regulations.

Why is hand hygiene emphasized before and after the EKG procedure?

Hand hygiene is emphasized to prevent the spread of infections and maintain a sterile environment for the patient. It is a standard practice to wash hands with sanitizer before and after any medical procedure, including EKG recording.

What should you do if there are differences in electrode color coding among different EKG machines?

If there are differences in electrode color coding, it is crucial to check the labels on the electrodes or refer to the machine's manual for the correct color-lead association to ensure accurate placement.

Outlines

00:00

📺 Introduction to Adult EKG Recording

The script begins with a friendly introduction to the audience by the host of the Escape Indonesia YouTube channel. The focus of the video is to discuss how to record an EKG for adult patients. The host explains the purposes of EKG recording, which include evaluating heart abnormalities, assessing electrolyte imbalances, estimating heart hypertrophy, observing the effects of heart medications, and checking the functionality of implanted heart devices. Before diving into the recording process, the host encourages viewers to subscribe, like, and share the video to support the channel's growth. The script then lists the necessary equipment for EKG recording, such as an EKG machine, electrodes, cables, prekordial leads, and cleaning supplies. The host also emphasizes the importance of hand hygiene before starting the procedure.

05:01

🔬实操:成人EKG记录步骤

The second paragraph delves into the practical steps of performing an EKG recording on an adult patient. The host instructs on preparing the patient, explaining the procedure, and ensuring patient comfort. The script outlines the correct placement of electrodes on the patient's body, including extremity leads and prekordial leads, with specific attention to the color-coding and positioning of the leads (V1 to V6). The host also discusses the importance of monitoring the EKG machine to ensure all leads are properly attached and functioning before printing the EKG results. After completing the EKG, the host describes the process of cleaning up, removing the equipment, and communicating with the patient that the procedure is finished. The script concludes with a reminder to document all actions and attach the EKG results according to institutional regulations.

Keywords

💡EKG

EKG, also known as an electrocardiogram, is a test that checks for problems with the electrical activity of the heart. In the video, the main theme revolves around the recording of EKGs in adult patients, highlighting its importance in evaluating heart conditions. The script mentions that EKG is used to assess heart abnormalities, electrolyte imbalances, and the effects of heart medications.

💡Electrodes

Electrodes are conductive devices used to transmit electrical signals from the body to the EKG machine. The script specifies the need for electrodes and cables to be connected to the patient for the recording of EKG. They are essential components in the process of capturing the heart's electrical activity.

💡Prekordial leads

Prekordial leads refer to the electrodes placed on the chest to record the heart's electrical activity from different angles. The video script describes the process of placing these leads, such as V1, V2, V3, V4, V5, and V6, which are crucial for a comprehensive EKG reading. Proper placement is emphasized to ensure accurate results.

💡Extremity leads

Extremity leads are the electrodes placed on the limbs to record the heart's electrical activity. The script mentions the placement of extremity leads, such as the red, yellow, green, and black electrodes on the right hand, left hand, and right foot, which are connected to the EKG machine to complete the circuit for recording.

💡Intercostal spaces

Intercostal spaces are the gaps between the ribs, and they are significant in EKG placement as they indicate where to position certain chest leads. The script provides instructions on how to count these spaces to accurately place the V1, V2, V3, and V4 leads, which is vital for a correct EKG reading.

💡Sternum

The sternum, or breastbone, is a landmark used in EKG lead placement. The script mentions placing the V3 lead between V2 and V4, which are located near the sternum, to ensure proper positioning for an accurate EKG recording.

💡Axillary line

The axillary line is an imaginary line that runs vertically down the chest, starting from the armpit. The script refers to this line when instructing the placement of V5 and V6 leads, which should be positioned along this line to capture the heart's electrical activity from a specific angle.

💡Hand sanitizer

Hand sanitizer is used for hand hygiene before handling medical equipment or touching patients. The script emphasizes the importance of using hand sanitizer before starting the EKG procedure, which is a standard practice to prevent infection and maintain patient safety.

💡Documentation

Documentation in the context of the video refers to the process of recording the EKG results and the procedure performed. The script mentions the importance of documenting all actions taken during the EKG recording and attaching the results to the patient's medical file, which is crucial for medical record-keeping and future reference.

💡Patient communication

Patient communication is the process of informing the patient about the procedure and obtaining their consent. The script highlights the need to communicate with the patient about what will happen during the EKG recording, ensuring their comfort and understanding, which is essential for patient cooperation and a successful procedure.

💡Hygiene

Hygiene in the video script pertains to the cleanliness and sterility of the environment and equipment used in the EKG procedure. The script includes steps for cleaning the patient's chest with a tissue and applying conductive jelly, which are important for maintaining hygiene and ensuring the accuracy of the EKG reading.

Highlights

Introduction to the purpose of ECG recording, which includes evaluating heart abnormalities, electrolyte imbalances, and heart hypertrophy.

Explanation of the impact of heart medication and the functionality of implanted cardiac devices through ECG.

Reminder to subscribe to the YouTube channel and engage with the content by liking and sharing.

List of equipment needed for adult ECG recording, including the ECG machine, electrodes, cables, and prekordial leads.

Emphasis on the importance of cleanliness and hand hygiene before performing ECG recording.

Instructions on preparing the patient for ECG recording, including communication and ensuring patient comfort.

Procedure for placing extremity leads, with a focus on color-coding and proper placement.

Technique for applying prekordial leads, including the correct placement on specific intercostal spaces.

Tips for ensuring accurate ECG readings by avoiding metal objects and electronic devices near the patient.

Demonstration of how to apply gel for optimal ultrasonic wave recording during ECG.

Step-by-step guide on attaching electrodes to the chest for prekordial leads, with attention to detail.

Advice on monitoring the ECG machine to ensure all leads are properly connected and secure.

Instructions for printing ECG results and the importance of checking the output before proceeding.

Procedure for cleaning up after ECG recording, including removing electrodes and sanitizing the patient's skin.

Emphasis on the importance of documenting all actions taken during the ECG recording process.

Conclusion of the video with a reminder to subscribe, like, and share for future educational content.

Transcripts

hai hai

hai hai sahabat appskep Indonesia jumpa

lagi dengan suci di channel YouTube

Escape Indonesia untuk kali ini kita

akan membahas Bagaimana cara perekaman

EKG pada pasien dewasa Nah apa sih

fungsinya perekaman EKG itu fungsi

perekaman EKG adalah yang pertama untuk

menilai Apakah adanya kelainan pada

jantung pasien lalu untuk menilai Apakah

ada ketidakseimbangan elektrolit

mengukur atau memperkirakan Apakah ada

hipertrofi pada jantung baik itu Atrium

atau ventrikel selanjutnya yaitu untuk

melihat efek dari obat jantung yang

telah kita berikan dan melihat Apakah

fungsi dari alat pacu jantung yang telah

terpasang itu baik-baiklah Sebelum kita

mulai ke Bagaimana cara perekaman EKG

seperti biasa jangan lupa teman-teman

Silahkan di subscribe dulu channel

YouTube kita lalu diklik tombol likenya

dan di-share ke teman-teman lain agar

channel ini makin berkembang dan dapat

membagikan

memanfaat yang maksimal untuk kita semua

Sebelum kita mulai untuk melakukan

perekaman EKG pada pasien dewasa Yuk

kita cek dulu apa aja sih alat-alat yang

kita butuhkan untuk perekaman EKG

tersebut nah ini dia lawatannya untuk

perekaman EKG pada pasien dewasa apa aja

Nah pertama tentu saja mesin precomp.exe

Gwe temen-temen ya Nah mungkin disini

bentuknya beda sama yang biasa

temen-temen temukan di rumah sakit atau

institusi masing-masing tapi enggak

pa-pa karena fungsinya itu sama

fungsinya seperti es Jelaskan di awal

saja temen-temen ya terus kita tentu

saja butuh elektrodanya nah ini ada

kabel-kabel beserta elektroda yang akan

kita hubungkan kepada pasien terus ada

nah ini kan untuk LED prekordial ya

teman-teman ya Ini udah tersambung

biasanya terpisah nah ini udah kita

sambungin terus ini untuk lead

ekstrimitas nanti kita akan pasang di

ekstremitas pasien lalu selanjutnya kita

butuh J

namun sejauh ini adalah untuk

mempermudah pengantaran gelombang

ultrasonik nya biar gay bagus

perekamannya lalu selanjutnya tisu tisu

ini kita gunakan nanti untuk

membersihkan dada pasien atau

mengaplikasikan Jelly Nike badan pasien

Nah selanjutnya adalah jangan lupa SNI

TZ untuk saja ini untuk cuci tangannya

teman-teman ya setiap sebelum melakukan

tindakan Jangan lupa untuk mencuci

tangan baik itu henbos secara langsung

atau menggunakan hand sanitizer dengan

langkah-langkah yang benar Oke Langsung

saja yuk kita cek Bagaimana cara

pemasangan EKG pada pasien dewasa cek

Edah Oke rekan-rekan sekarang kita akan

mempraktekkan Bagaimana cara perekaman

EKG pada pasien dewasa ya Nah Sebelum

kita mulai merekam nah teman-teman

seperti biasa silahkan dikomunikasikan

dulu kepada Pasiennya apa itu perekaman

EKG atau fungsinya perekaman itu kita

enam apa saja hal-hal yang akan

teman-teman lakukan selama perekaman EKG

sama pasien nantinya selanjutnya

silahkan dijaga profesi pasien kita

yaitu dengan masalah sampiran atau bisa

juga dengan menutup pintu dari kamar

pasiennya teman-teman ya San jutnya eh

sebelum mulai tentu saja kita cuci

tangan dulu di sini kita cuci tangannya

pakai hand sanitizer ya Nah jangan lupa

asyiknya nama setelah kita cuci tangan

kita berikan box nyaman pada pasien dulu

pastikan pasien nyaman terus posisinya

tidur telentang seperti ini selanjutnya

kita Permisi pada pasien untuk membuka

pakaian pasien kartunis kita buka

pakaiannya ya Nah Sebelum itu jangan

lupa teman-teman pastikan tidak ada

logam lagi di dekat pasien di tempat

tidur pasien ataupun di sagusaku pasien

juga tidak ada lagi Eh barang elektronik

seperti HP di badan pasien Nah

selanjutnya kita akan pasang pertama

adalah Lite ekstrimitas dulu Nah

sekarang kita akan memasang litaxim

saya teman-teman ya pertama kita

applicant kasihkan dulu jel atau enggak

punya jauh istrinya bisa pakai air yang

diletakkan di Casa di istri mitos pasien

ya sms-nya

hai eh

Hai selanjutnya kita akan pasang ring

satu ditangan kanan nah biasanya itu

warnanya merah kuning hijau hitam nah

tapi untuk jaga-jaga mungkin ada

perbedaan dari warna dari produknya buat

teman-teman nanti cek label yang ada di

sini ya seperti ini daerahnya baterai

art Oke tangan kanan satu yang kuning di

tangan kiri yang hijau di kasih pilih

yang salah temen-temen ya terus siang

hitam di kaki kanan nah ini adalah kulit

ekstremitas pada perekaman EKG saatnya

kita lanjut kelib prekordial oke

Sekarang kita akan memasang led

prekordial ya rekan-rekan ya Nah caranya

adalah pertama kita berpatok pada V1

dulu nah Thomas sampai satu itu terletak

di interkosta keempat caranya ada kita

hitung interkosta 123 ngasih nih 4 nah

kalau pasien cowok itu biasa

nya lebih mudah ya kita sepatu aja ke

ditengah puting susu ini itu bagusnya

sih temen-temen ukurannya interkosta nya

biar lebih lebih akurat ya Nah kalo udah

dapet kita aplikasikan selnya kita

pasang

Hai Kehna disintesa nya kok di sini C1E

temen-temen ya Jadi untuk pemasangan di

tengok dulu labelnya nggak bisa

sembarang sembarang pasang bener ya

terpasang di interkosta keempat sebelah

kanan untuk V2 itu kita pasang di

sejajar dengan V1 interkosta keempat di

sebelah kiri Club aplikasikan jel agar

hasilnya nanti itu bagusnya tentunya Nah

selanjutnya

Hai C4 dulu baru chatting gaya C4 itu

letaknya di interkosta 5 sejajar dengan

pertengahan puting susu atau dimit

krismit klavikula ini teman-teman ya Nah

baru kita pasang c3c tiga itu letaknya

diantara C2 dan C4 lalu selanjutnya kita

akan pasang V5 V6 itu Sazer dengan hal

V4 V5 itu letaknya di garis pinggir

aksila sejajar dengan Ashilla ya sejajar

dengan v4v 16 sejajar dengan V4 V5 dimit

aksila Ok nah ini adalah lihat di rekor

dia oke setelah memastikan semua LED

terpasang dan kita tengok dimonitor itu

semua LED aman tidak ada yang copot kita

akan memprint dari hasil EKG ini Nah ini

kan mesinnya berbau tidak melulu seperti

ini ya Kalau diskusinya mungkin ada yang

berbeda intinya adalah ke teman-teman

pastikan dulu dimonitor bahwa hasilnya

itu bagus baru diprint di sini oh

direkrutnya itu kita tunggu 10 detik

dulu berbeda dengan beberapa mesin EKG

yang lain sekali lagi kalau untuk

tombol-tombol ini tidak usah terlalu

berpatok disini temen-temen ya karena

mesin-mesin beda-beda seakan nanti

teman-teman untuk mengoperasikan mesin

EKG secara langsung itu dibaca shop

biasanya sopnya digantung di troli tuh

kalau di institusinya masing-masing ya

oke teman-teman nah kita sudah selesai

itu melakukan rekaman kg Udah diprint

juga selanjutnya kita lakukan adalah

membereskan peralatan ya Nah kita

komunikasikan pada pasien bahwa

perekaman EKG sudah selesai dilaksanakan

terus kita buka semua lihatnya

Hai hey kita buka semua elit di

prekordial dan LED di ekstremitas eh

selanjutnya kita bersihkan gel.di badan

pasien ya terbersihkan kembali semua

jamnya semuanya baik di prekordial

maupun ekstrimitas lalu kita rapikan

lagi pakaian pasiennya ke pasangkan

kembali kalau ada selimut kita pasangkan

selimut hanya kita komunikasikan lagi

pada pasien bahwa tindakan kita sudah

selesai Setelah itu kita bawa peralatan

Keluar kita beresin Selatan Jangan lupa

cuci tangan lalu jangan lupa

dokumentasikan semua tindakan yang

teman-teman lakukan ya jangan lupa

dilampirkan juga hasil.ekg baik d11

pundi berkas sesuai dengan peraturan

institusinya masing-masing Baiklah

rekan-rekan itu tadi Bagaimana tata cara

perekaman EKG pada pasien dewasa sekian

video kita untuk kali ini sampai jumpa

di kesempatan selanjutnya

yang lupa di subscribe tekan tombol like

dan di share video ini agar teman-teman

yang lain dapat menikmati manfaat dari

CD ini sekian Suci untuk diri sampai

jumpa say aku jauh-jauh Untuk

mengantarkan gelombang Ultrasonic new

Ultrasonic

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