One lead off

  1. 0 This may be a stupid question, but one of my patients HR showed in the low 20, however 1 of the 5 leads was off. Is it a true heart rate or not?
  2. Enjoy this?

    Join thousands and get our weekly Nursing Insights newsletter with the hottest, discussions, articles, and toons.


  3. Visit  CAnurse2012} profile page

    About CAnurse2012

    Joined Aug '12; Posts: 15; Likes: 8.

    7 Comments so far...

  4. Visit  registered_nerdCW} profile page
    0
    Quote from CAnurse2012
    This may be a stupid question, but one of my patients HR showed in the low 20, however 1 of the 5 leads was off. Is it a true heart rate or not?
    No. Just like it can show a rhythm other than what the heart may actually be in. Sometimes a-fib or other crazy rhythms are shown when leads are too close together too. For accuracy all the leads need to be on and properly placed.
  5. Visit  merlee} profile page
    0
    What?
  6. Visit  pookyp} profile page
    0
    ^^ lol
  7. Visit  TRR8021} profile page
    0
    Quote from CAnurse2012
    This may be a stupid question, but one of my patients HR showed in the low 20, however 1 of the 5 leads was off. Is it a true heart rate or not?
    I've never heard of that. I would think it wouldn't show a heart rate at all if a lead is off. You can always check the HR manually, re-attach the lead and compare. Could just be a faulty EKG machine
  8. Visit  HouTx} profile page
    0
    Depends upon which lead was off. Most rhythms can be accurately detected with 3 leads - that used to be the norm for continuous monitoring, even in ICU.
  9. Visit  SummitRN} profile page
    1
    Might depend which lead was off, but, use your eyes to count complexes if you question the machine.

    Don't forget, the EKG only shows electric activity. It does not tell you if the activity is perfusing. Take a pulse.

    Your machine could read a rate of 60, but you might find a pulse of 20 if they have bigeminal PVC couplets.
    turnforthenurseRN likes this.
  10. Visit  turnforthenurseRN} profile page
    0
    Did you assess your patient? What did they look like? This is why you need to assess your patient and treat, not assess and treat the monitor. I would expect a patient with a HR of 20 to look very sick because they aren't perfusing very well with that rhythm. In regards to the leads, everyone gave good advice here.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

Top