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11.3
11.3
11.3
11.3 Monitoring
Monitoring
Monitoring
Monitoring Procedure
Procedure
Procedure
Procedure
11.3.1
11.3.1
11.3.1
11.3.1 Preparation
Preparation
Preparation
Preparation
1. Prepare the patient's skin prior to placing the electrodes.
■ The skin is a poor conductor of electricity, therefore preparation of the patient's skin is important to
facilitate good electrode contact to skin.
■ Shave hair from sites, if necessary.
■ Wash sites thoroughly with soap and water. (Never use ether or pure alcohol, because this
increases skin impedance).
■ Rub the skin briskly to increase capillary blood flow in the tissues and remove skin scurf and
grease.
2. Attach clip or snap to electrodes prior to placement.
3. Put the electrodes on the patient. Before attaching, apply some conductive jelly on the electrodes
if the electrodes are not electrolyte self-supplied.
4. Connect the electrode lead to the patient's cable.
5. Make sure the monitor is ready with power supply.
Warning
Warning
Warning
Warning
Check
Check
Check
Check everyday
everyday
everyday
everyday whether
whether
whether
whether there
there
there
there is
is
is
is skin
skin
skin
skin irritation
irritation
irritation
irritation resulted
resulted
resulted
resulted from
from
from
from the
the
the
the ECG
ECG
ECG
ECG electrodes.
electrodes.
electrodes.
electrodes. If
If
If
If so,
so,
so,
so, replace
replace
replace
replace
electrodes
electrodes
electrodes
electrodes every
every
every
every 24
24
24
24 hours
hours
hours
hours or
or
or
or change
change
change
change their
their
their
their sites.
sites.
sites.
sites.
N
N
N
N ote
ote
ote
ote
For
For
For
For protecting
protecting
protecting
protecting environment,
environment,
environment,
environment, the
the
the
the electrodes
electrodes
electrodes
electrodes must
must
must
must be
be
be
be recycled
recycled
recycled
recycled or
or
or
or disposed
disposed
disposed
disposed of
of
of
of properly.
properly.
properly.
properly.
Warning
Warning
Warning
Warning
Verify
Verify
Verify
Verify lead
lead
lead
lead fault
fault
fault
fault detection
detection
detection
detection prior
prior
prior
prior to
to
to
to the
the
the
the start
start
start
start of
of
of
of monitoring
monitoring
monitoring
monitoring phase.
phase.
phase.
phase. Unplug
Unplug
Unplug
Unplug the
the
the
the ECG
ECG
ECG
ECG cable
cable
cable
cable from
from
from
from the
the
the
the
socket,
socket,
socket,
socket, the
the
the
the screen
screen
screen
screen will
will
will
will display
display
display
display the
the
the
the error
error
error
error message
message
message
message “
“
“
“ ECG
ECG
ECG
ECG LEAD
LEAD
LEAD
LEAD OFF
OFF
OFF
OFF ”
”
”
” and
and
and
and the
the
the
the audible
audible
audible
audible alarm
alarm
alarm
alarm is
is
is
is
activated.
activated.
activated.
activated.
11.3.2
11.3.2
11.3.2
11.3.2 Installing
Installing
Installing
Installing ECG
ECG
ECG
ECG lead
lead
lead
lead
Placing
Placing
Placing
Placing the
the
the
the Electrodes
Electrodes
Electrodes
Electrodes for
for
for
for ECG
ECG
ECG
ECG Monitoring
Monitoring
Monitoring
Monitoring
Electrode placement for 5-lead set (Figure 11-1 )
■ Red (R) electrode - Be placed near the right shoulder, directly below the clavicle.
■ Yellow (L) electrode - Be placed near the left shoulder, directly below the clavicle.
■ Black (N) electrode - Be placed on the right hypogastrium .
■ Green (F) electrode - Be placed on the left hypogastrium .
■ White (C) electrode - Be placed on the chest as illustrated in the F Figure 11-2
Note: the following table gives the corresponding lead names used in Europe and America respectively.
(Lead names are represented by R, L, N, F and C respectively in Europe, whose corresponding lead
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