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.