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Ex. Testing Lab Practical

Terms in this set (53)

V1 placement
Fourth intercostal space just to the right of the sternal border
V2 placement
Fourth intercostal space just to the left of the sternal border
V3 placement
At the midpoint on a straight line between V2 and V4
V4 placement
On the midclavicular line in the 5th intercostal space
V5 placement
On the anterior axillary line and on a horizontal plane through V4
V6 placement
On the midaxillary line and on a horizontal plane through V4 and V5
Absolute indication
ST elevation in leads without pre-existing Q waves because of prior MI
Absolute indication
Drop in SBP >10mm Hg (WITH ischemia)
Absolute indication
Moderate to severe angina
Absolute indication
CNS symptoms (ataxia, dizziness)
Absolute indication
Signs of poor perfusion
Absolute indication
Sustained V-tach or other arrhythmia thst interferes with normal maintenance of Q during exercise
Absolute indication
Technical difficulties monitoring EKG or SBP
Absolute indication
Subject requests to stop
Relative indication
Marked ST displacement
Relative indication
Drop in SBP >10mm Hg (WITHOUT ischemia)
Relative indication
Increasing chest pain
Relative indication
Fatigue, SOB, wheezing, leg cramps, claudication
Relative indication
Arrhythmias other than V-tach
Relative indication
Exaggerated hypertensive response
(SBP > 250 or DBP > 115)
Relative indication
Development of BBB that can't be distinguished from V-tach
Relative indication
SpO2 </= 80%
General indication
Onset of angina or angina-like symptoms
General indication
SBP drop >/=10mm Hg with increased workload
General indication
SBP > 250 or DBP > 115
General indication
SOB, wheezing, leg cramps, claudication
General indication
Signs of poor perfusion (light-headedness, confusion, ataxia, pallor, cyanosis, nausea, cold/clammy skin)
General indication
Failure of HR to increase with increased exercise intensity
General indication
Noticeable changes in heart rhythm
General indication
Subject requests to stop
General indication
Physical or verbal manifestations of severe fatigue
General indication
Failure of testing equipment
Hernia
Hietl, abdominal, or inguinal.
Common due to genetics, overexertion during exercise.
Abdominal causes heartburn
Pacemaker
Given to someone with an irregular heartbeat due to AV blocks and/or sinus bradycardia
Dyspnea
(Shortness of breath) It can be due to exercise, obesity, asthma, congestive heart failure, and other pulmonary diseases
Emboli
Anything floating in blood stream (solid, liquid, gas) harmful to lungs and heart
Claudication
Pain in the legs due to poor circulation. Symptom of peripheral artery disease
Back pain
Due to spinal cord injury, neurological injury. Upper back pain caused by heart pain
Heart palpitations
Dysrhythmias (V-tach, SVT, etc.), microvalve prolapse
Nose bleed
Drama due to accident or picking, internal bleeding, anticoagulants, antiplatelet meds, children, heat conditions, hemophiliacs
Phlebitis
Inflammation of a vein due to standing all day or procedure
Swollen joints
Injuries, arthritis, gout, careful with physical activity
CVA (Cerebrovascular Accident)
Stroke, a blockage and/or bleeding in the brain
Turgor
Normal - pulling on skin and it recoils back right away (hydrated)
Abnormal - skin does not require back right away
PTCA
Procedure where they put an air bubble in the heart to remove blockage <70%
Cath
Shoot dye into coronary arteries during imaging procedure to reveal blockages
Nocturnal urination
Urination during the night caused by diabetes, high stress, bladder infections, diuretics (consumption of alcohol or coffee). Common in children and elderly
Sleep on > 1 pillow
Congestive heart failure, prop head with 2-3 pillows to relieve chest discomfort caused by fluid buildup in thoracic cavity
Chest discomfort
Due to obesity, poor diet, coronary artery disease, lung disease
CABG (Coronary Artery Bypass Graft)
Take a vein out of the leg and then use that vein to wrap around the blockage
Dizziness
Hypoglycemia, dysrhythmia, hypertension, meds/drugs/alcohol, inner ear problems, vertigo, ear infections
Gout
Pain in fingers, toes, etc. due to buildup of uric acid from nitrogen products
Osteoporosis
Thinning of bones (demineralization), common in elderly (females) treated with better diet and exercise
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