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    Take5 ECG

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    King Julian
    12-lead electrocardiograms are recorded using electrodes on the patient's arms and left leg. The three standard limb leads (I, II, and III) and the three augmented leads (aVR, aVL, and aVF) are recorded using these electrodes. To ensure an accurate recording, be sure to apply the electrodes correctly.

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    Take5 ECG

    Uploaded by

    King Julian
    42 views2 pages
    12-lead electrocardiograms are recorded using electrodes on the patient's arms and left leg. The three standard limb leads (I, II, and III) and the three augmented leads (aVR, aVL, and aVF) are recorded using these electrodes. To ensure an accurate recording, be sure to apply the electrodes correctly.

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    Take5_ECG

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    12-lead electrocardiograms are recorded using electrodes on the patient's arms and left leg. The three standard limb leads (I, II, and III) and the three augmented leads (aVR, aVL, and aVF) are recorded using these electrodes. To ensure an accurate recording, be sure to apply the electrodes correctly.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    42 views2 pages

    Take5 ECG

    Uploaded by

    King Julian
    12-lead electrocardiograms are recorded using electrodes on the patient's arms and left leg. The three standard limb leads (I, II, and III) and the three augmented leads (aVR, aVL, and aVF) are recorded using these electrodes. To ensure an accurate recording, be sure to apply the electrodes correctly.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Precordial lead placement

    To record a 12-lead ECG, place electrodes on the patient’s


    arms and left leg and place a ground lead on the patient’s
    right leg. The three standard limb leads (I, II, and III) and the
    Brought to you by Nursing2006
    three augmented leads (aVR, aVL, and aVF) are recorded using
    these electrodes. Then, to record the precordial chest leads,
    place electrodes as follows:
    ● V1 — fourth intercostal 12-lead electrocardiograms
    space (ICS), right sternal
    border
    ● V2 — fourth ICS, left SELECTING LEAD SITES
    sternal border ● Choose areas that are flat and fleshy, not muscular or
    ● V3 — midway between bony.
    V2 and V4 ● As needed, take steps to enhance electrode contact with
    ● V4 — fifth ICS, left the skin:
    midclavicular line —Clip (don’t shave) excessively hairy areas.
    ● V5 — fifth ICS, left anterior —Remove excess oil and other substances from the skin.
    axillary line ● To ensure an accurate recording, be sure to apply the
    ● V6 — fifth ICS, left electrodes correctly.
    midaxillary line ● Keep in mind that inaccurate placement of an electrode
    may lead to inaccurate waveforms and incorrect ECG
    V1 V4 interpretation.

    PLACING THE LEADS


    V2 V5 Limb leads
    ● Place electrodes on both of the patient’s arms and on his
    left leg.
    ● Place an electrode on his right leg. (This is a ground
    V3 V6 that doesn’t contribute to the waveform.)
    Precordial leads
    ● Place the six unipolar precordial leads (V1 through V6)
    _____________________________________________________________________ in sequence across his chest.
    Source: ECG Interpretation: An Incredibly Easy! Pocket Guide, Lippincott
    Williams & Wilkins, 2006.
    Take5: © Lippincott Williams & Wilkins, 2006
    Limb lead placement
    Proper lead placement is crucial for accurate recording of
    cardiac rhythms. These drawings show correct electrode
    placement for the six limb leads. RA stands for right arm;
    LA, left arm; RL, right leg; and LL, left leg. A plus sign (+)
    indicates a positive pole; a minus sign (-), a negative pole; and
    G indicates a ground. Below each drawing is a sample ECG
    strip for that lead.

    Lead I Lead II Lead III Lead aVR Lead aVL Lead aVF
    Connects the right Connects the right Connects the left Connects the right Connects the left Connects the left leg
    arm (negative pole) arm (negative pole) arm (negative pole) arm (positive pole) arm (positive pole) (positive pole) with
    with the left arm with the left leg with the left leg with the heart with the heart the heart (negative
    (positive pole). (positive pole). (positive pole). (negative pole). (negative pole). pole).

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