oc EMS scope of practice

week 6

electrocardiogram (ECG)

diagnostic tool assessing hearts electrical activity: rate, rhythm, abnormalities

12 lead ECG

provides view of hearts electrical activity from 12 diff. angles, used to diagnose conditions

12 lead ECG placement

10 electrodes: 4 limbs, 6 precordial V1-V6 (chest)

chest (precordial) leads

V1 - V6

V1

4th intercostal space, right sternal border

V2

4th intercostal space, left sternal border

V3

between V2 & v4

V4

5th intercostal space, midclavicular line

V5

Horizontal to v4, @ anterior axillary line

v6

@ Midaxillary line

12 lead ECG application

hospital, ambulance, emergencies

5 lead ECG

5 leads providing 5 diff. views

5 lead ECG placement

5 electrodes; 4 limbs, 1 precordial → V1

5 lead ECG application

icu, telemetry units, pt transport

4 lead ECG

monitors basic heart rhythm

4 lead ECG placement

4 limb leads

4 lead ECG application

basic cardiac monitoring

7 rights

pt, medication, dose, route, time, response & documentation

oral glucose indication

hypoglycemia, conscious diabetics

oral glucose route

buccal administration

oral glucose dose + strength

15g per gel tube

naloxone (narcan)

reversing opioid OD

narcan route

intranasal (IN)

narcan dose

4mg in one nostril, if conscious repeat in the other nostril

naxolone dose

2 mg, 1mg in each nostril, if conscious —> repeat

aspirin (ASA)

CP, sx of acute coronary syndrome

ASA route

orally, chewing for fast absorption

ASA dose

325 mg single tab, or 81mg tab (x4)

albuterol metered dose inhaler (MDI)

relieves bronchospasm in asthma

MDI route

inhalation via inhaler

MDI dose

1-2 puffs (90-180 mcg) as needed

nitroglycerin

CP from coronary artery disease

nitroglycerin route

sublingual (tab/spray)

nitroglycerin dose

0.4mg, can be repeated every 5 mins for 3 doses

checking blood glucose

for pt w/ diabetes, AMS, possible hypoglycemia