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Exam (elaborations)

NR 603 Week 3 Case Discussion

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ST depression is a useful indicator for detecting asymptomatic ischemia. ST depression is when the ST segment appears to be below baseline levels. Several leads are used to monitor ST depression and elevation based on ECG information. Electrodes are located close to the chest region where the leads are located to determine waveform changes. The leads that demonstrate ST depression are Leads I, II, aVL, aVF, V2, V3, V4, V5, and V6. An ECG can be conducted to confirm whether an individual has silent MI or ST depression. ECG information is usually acquired when the electrodes that are close in various leads result in waveform changes (Cooper, 2016). Ischemic patterns are determined when depressions >0.1mV with T waves that are negative occur. A resting ECG in ST depression usually indicates positive values for V4-V6 leads. T-waves usually normalize a few minutes later when an individual is recovering after an exercise. The case reveals that the patient named Lorene experienced shortness of breath together with other symptoms such as nausea and shoulder discomfort while exercising. However, these symptoms normalized when she stopped. The episode can be considered an indication of the normalization of the T waves during the recovery phase

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Uploaded on
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Written in
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