How do you place chest leads in cardiac monitoring?
Apply the RL electrode just below the rib cage on the right side. Apply the LL electrode just below the rib cage on the left side. Apply the chest lead electrode on the V1 position at the fourth ICS right sternal border. Apply the second chest lead electrode on the V6 position at the fifth ICS left midaxillary line.
How do you hook up a heart monitor?
Connecting an ECG monitor The cables from the electrodes usually terminate in a single cable, which is plugged into the port on the ECG monitor. A good electrical connection between the patient and the electrodes is required to minimise the resistance of the skin.
Where are the 6 chest leads placed?
The 6 leads are labelled as “V” leads and numbered V1 to V6. They are positioned in specific positions on the rib cage. To position then accurately it is important to be able to identify the “angle of Louis”, or “sternal angle”.
How do you remember the 5 lead ECG placement?
A little rhyme I use to remember 5-Lead ECG placement is:
- Smoke over fire – (black over red)
- Clouds over grass – (white over green)
- Chocolate on the stomach- (but you must remember that it’s not on the actual stomach but on the right sternal boarder of 4th intercoastal space)
What position is best for electrodes?
Proper 12-Lead ECG Placement
| ELECTRODE | PLACEMENT |
|---|---|
| RL | Anywhere above the right ankle and below the torso |
| RA | Anywhere between the right shoulder and the wrist |
| LL | Anywhere above the left ankle and below the torso |
| LA | Anywhere between the left shoulder and the wrist |
When applying chest leads you will place the V4 lead?
Lead II. When applying chest leads, you will place V4 lead? At the fifth ICS, left midclavicular line.
How many leads are used for bedside monitoring?
If two leads are available, V1 and lead III or aVF (or a limb lead with maximal ST segment displacement) are good choices. If three leads are available, leads V1, III, and aVF are the best choices. Continuous 12-lead monitoring is available and offers several advantages.
Where are the limb lead electrodes placed for continuous bedside monitoring?
Right and left arm electrodes are placed in the infraclavicular fossae, medial to the deltoid muscle, 2 cm below the lower border of the clavicle. Right and left leg electrodes are kept in the anterior axillary line, halfway between costal margin and iliac crest (Fig. 1).
Where is V5 lead placed?
Anterior axillary line
Proper 12-Lead ECG Placement
| ELECTRODE | PLACEMENT |
|---|---|
| V2 | 4th Intercostal space to the left of the sternum |
| V3 | Midway between V2 and V4 |
| V4 | 5th Intercostal space at the midclavicular line |
| V5 | Anterior axillary line at the same level as V4 |
When properly positioning the chest lead electrodes you should?
lift the breast and place the electrodes in the closest position possible. When placing the chest electrodes on a female with large breasts, you must: Use the clavicle as the landmark. You are placing the electrodes for an ECG on a patient who weighs 342 pounds, and you cannot find the midclavicular line.
Where is the V5 lead placed?
Why is lead II the most common?
Lead II is the most common, most popular, and generally the best view because the placement of the positive electrode in Lead II views the wavefront of the impulse from the inferior aspect of the heart, as it travels from the right shoulder (RA) towards the left leg (LL).