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Figure 4-11 CPR Artifact. Rhythm Without CPR Artifact. Following is the rhythm with CPR interrupted. Figure 4-12 Rhythm Without CPR Artifact. Defibrillation/Cardioversion Artifact. Caused by sudden electrical surge entering heart
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Rhythm Without CPR Artifact • Following is the rhythm with CPR interrupted
Defibrillation/Cardioversion Artifact • Caused by sudden electrical surge entering heart • Causes the rhythm pattern to shoot down/up before rhythm pattern resumes
Artifact in Three Leads Monitored Simultaneously • Following is a strip with three leads recording the same rhythm • Leads I and II are limb leads and show a lot of artifact • V1 has less artifact and shows the true rhythm
Figure 4-14 Artifact in Three Leads Monitored Simultaneously
Artifact vs. Real Rhythm • How to tell the difference • Check the patient for symptoms • Check electrode wires and patches • See if “rhythm” meets its normal criteria • Check another lead • Observe for muscle twitches or movements that could cause artifact
Pop Question 1 The type of electrical shock associated with a pacemaker inside the body would be • Endoshock • Exoshock • Macroshock • Microshock
Pop Question 1 Answer The type of electrical shock associated with a pacemaker inside the body would be • Endoshock • Exoshock • Macroshock • Microshock
Pop Question 2 Artifact is noted in leads I, II, and AVR. From which limb is the artifact likely arising? • Right leg • Left leg • Right arm • Left arm
Pop Question 2 Answer Artifact is noted in leads I, II, and AVR. From which limb is the artifact likely arising? • Right leg • Left leg • Right arm • Left arm
Pop Question 3 Mr. Johnson has Parkinson’s disease. What kind of artifact might you expect to see on his EKG tracing? • 60-cycle interference • CPR artifact • Defibrillation/cardioversion artifact • Somatic tremors artifact
Pop Question 3 Answer Mr. Johnson has Parkinson’s disease. What kind of artifact might you expect to see on his EKG tracing? • 60-cycle interference • CPR artifact • Defibrillation/cardioversion artifact • Somatic tremors artifact
Pop Question 4 Sally has a cell phone, laptop, IV pump, cardiac monitor, and a fan on or by her hospital bed. What type of artifact might you expect to see? • Tooth brush tachycardia • Somatic tremors • CPR artifact • 60-cycle interference
Pop Question 4 Answer Sally has a cell phone, laptop, IV pump, cardiac monitor, and a fan on or by her hospital bed. What type of artifact might you expect to see? • Tooth brush tachycardia • Somatic tremors • CPR artifact • 60-cycle interference
Pop Question 5 Molly is in cardiac arrest. What types of artifact might you expect to see as a result of resuscitation efforts? • 60-cycle interference and CPR artifact • Baseline sway and defib/cardioversion artifact • CPR and defib/cardioversion artifact • Toothbrush tachycardia and broken recording
Pop Question 5 Answer Molly is in cardiac arrest. What types of artifact might you expect to see as a result of resuscitation efforts? • 60-cycle interference and CPR artifact • Baseline sway and defib/cardioversion artifact • CPR and defib/cardioversion artifact • Toothbrush tachycardia and broken recording