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What does a wandering baseline look like on an EKG
tracing? - ANSWER-
wavelike up and down movements throughout
the tracing
What causes a wandering baseline? - ANSWER--movement of
the cables or leads during the reading
-patient movement
-loose electrodes
-dry electrodes
-a patient's labored breathing
-improper skin preparation
-leaving traces or lotion
-oils or gel on the skin
How do you reduce a wandering baseline? - ANSWER--
reposition the limb leads to ensure they are on fleshy areas
,-instruct the patient to make sure the skin is free of topical
substances
-clean attachment sites prior to the procedure
-educate the patient on what to expect
-provide clear directions on how to breathe and when not to talk
What does a somatic tremor look like on an EKG tracing? -
ANSWER-uneven
spikes on the EKG
tracing
What causes a somatic tremor? - ANSWER--muscle
movements
-common causes include
shivering
-nervous
movements
-
Parkinson's
-seizures
How do you reduce somatic tremors? - ANSWER--
shivering: offer a light
, blanket and maintain a warm temperature
in the room
-nervous movement: explain the procedure
thoroughly
-parkinson's disease: placing the palms in a prone position and
under the buttocks or crossed over the abdomen
-seizures: avoid performing an EKG while a patient is having an
active seizure unless otherwise directed by the provider
What does AC interference look like on an EKG tracing? -
ANSWER-uniform
sharp spikes on the EKG
tracking
What causes AC interference? - ANSWER-electronic devices
How do you reduce AC interference? - ANSWER--ensure that
the patient's cell phone is off or moved away from the patient
during the procedure
-the exam table is pulled away from the wall
-the ground prong of the three-prong plug is tight and fits
snugly into the outlet
What does an interrupted baseline look like on an EKG
tracing? - ANSWER-a