S.P.A.N.C.

This blog is meant to be a place for Sunnybrook Peri-Anesthesia Nurses (Pre-Admission Centre, Same Day Surgery, Post Anesthetic Are Unit and Surgical Short Stay Unit) to stay in communication with each other and to be up-to-date with concerns regarding the Peri-Anesthesia Department. The Purpose of S.P.A.N.C is •To re-implement a unit based council •to identify the unique role of the Peri-anesthesia nurse and to help staff from other areas understand what it is that we do •to create a collegial atmosphere for sharing our professional experiences within the subgroups of Peri-anesthesia •to facilitate open discussion and priority of issues relating to professional practice, education and research that impact on the quality of our work life and thereby affect positive outcomes for our patients and their families.

Thursday, October 16, 2008

QUICK ECG Interpretation

Steps to Interpretation
1: Rhythm Analysis
􀂄Interpret ECG rhythm at bottom of 12 lead
􀂄Measure PR, QRS, QT
􀂄Analyze rate, regularity

2: Lead Grouping
􀂄Group the leads that reflect each wall of the left ventricle
Inferior Wall ––II, III, aVF (sometimes V4)(RCA AFFECTED)
Lateral Wall ––aVL, I, V5, V6 (CIRCUMFLEX AFFECTED)
Septal Wall ––V1 (RCA AFFECTED)
Anterior Wall ––V2, V3, V4 (sometimes Lead I)(LAD AFFFECTED)



3: Assess Each Grouping
Ischemia--ST Depression
Injury--ST elevation
Infarction--possible Q wave
Damage as cardiac tissue depleted of oxygen escalates with time from ischemia, injury to infarction.
Damage will be displayed in only leads facing the injured myocardium


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