C
HAPTER
6 M
ONITORING
ECG
6-2
www.zoll.com
9650-0806-01 Rev. D
•
To avoid a shock hazard and interference from nearby electrical equipment, keep
electrodes and patient cables away from grounded metal and other electrical
equipment.
•
To avoid electrosurgery burns at monitoring sites, ensure proper connection of the
electrosurgery return circuit so that the return paths cannot be made through
monitoring electrodes or probes.
•
Check the operation and integrity of the Propaq MD unit and ECG cable regularly
by performing the Daily Operational Verification Test.
•
Implanted pacemakers may cause the heart rate meter to count the pacemaker rate
during incidents of cardiac arrest or other arrhythmias. Carefully observe
pacemaker patients. Check the patient's pulse; do not rely solely on heart rate
meters. Dedicated pacemaker detection circuitry may not detect all implanted
pacemaker spikes. Patient history and physical exam are important in determining
the presence of an implanted pacemaker.
ECG Monitoring Setup
The proper application and placement of electrodes is essential for high quality ECG
monitoring. Good contact between the electrode and skin minimizes motion artifact and signal
interference.
The following procedure describes how to monitor a patient’s ECG using 3- and 5-Lead ECG
cables. For information on the application and use on MultiFunction Pads and External
Paddles, which you can also use to monitor ECG, see Chapter 15, “Manual Defibrillation.”
To monitor a patient’s ECG using 3- and 5-Lead ECG cables, perform the following steps:
1. Prepare the patient's skin for electrode application:
2.
Apply the electrode pads to the patient.
3.
Connect each lead of the ECG cable to the appropriate electrode.
4.
Insert the patient cable plug into the ECG input connector on the Propaq MD unit.
5.
Select the ECG waveforms to be displayed on the waveform trace display screen.
6.
Observe the patient‘s electrocardiogram on the display, and adjust size of the ECG waveform
trace, as necessary.
Preparing the Patient for Electrode Application
The proper application of electrodes is essential for high quality ECG monitoring. Good contact
between the electrode and skin minimizes motion artifact and signal interference.
Before applying electrodes, prepare the patient’s skin, as necessary:
•
Shave or clip excess hair at electrode site.
•
Clean oily skin with an alcohol pad.
•
Rub site briskly to dry.
Summary of Contents for Propaq MD
Page 1: ...Propaq MD Operator s Guide 9650 0806 01 Rev D...
Page 40: ...CHAPTER 1 GENERAL INFORMATION 1 28 www zoll com 9650 0806 01 Rev D...
Page 60: ...CHAPTER 2 PRODUCT OVERVIEW 2 20 www zoll com 9650 0806 01 Rev D...
Page 74: ...CHAPTER 4 TRENDS 4 4 www zoll com 9650 0806 01 Rev D...
Page 84: ...CHAPTER 5 ALARMS 5 10 www zoll com 9650 0806 01 Rev D...
Page 94: ...CHAPTER 6 MONITORING ECG 6 10 www zoll com 9650 0806 01 Rev D...
Page 104: ...Chapter 7 Monitoring Respiration Resp and Heart Rate HR 7 10 www zoll com 9650 0806 01 Rev D...
Page 120: ...CHAPTER 8 MONITORING NON INVASIVE BLOOD PRESSURE NIBP 8 16 www zoll com 9650 0806 01 Rev D...
Page 154: ...CHAPTER 11 MONITORING INVASIVE PRESSURES IBP 11 10 www zoll com 9650 0806 01 Rev D...
Page 160: ...CHAPTER 12 MONITORING TEMPERATURE 12 6 www zoll com 9650 0806 01 Rev D...
Page 186: ...CHAPTER 14 12 LEAD ECG INTERPRETIVE ANALYSIS 14 16 www zoll com 9650 0806 01 Rev D...
Page 212: ...CHAPTER 17 ADVISORY CPR PROTOCOL DEFIBRILLATION 17 6 www zoll com 9650 0806 01 Rev D...
Page 222: ...CHAPTER 18 EXTERNAL PACING 18 10 www zoll com 9650 0806 01 Rev D...
Page 240: ...CHAPTER 21 PATIENT DATA 21 6 www zoll com 9650 0806 01 Rev D...
Page 268: ...CHAPTER 22 COMMUNICATIONS 22 28 www zoll com 9650 0806 01 Rev D...
Page 284: ...CHAPTER 24 MAINTENANCE 24 12 www zoll com 9650 0806 01 Rev D...
Page 326: ...ACCESSORIES B 6 www zoll com 9650 0806 01 Rev D...
