presentation on cardiac monitoring , different tools and mechanism used for monitoring one of the vital organ of our body that is heart. specially for medical students, made by basic bsc students of nursing

1. PRESENTATION ON
CARDIAC
MONITORING
SUBMITTED TO: MRS. MAMTA TOPPO
CLASS COORDINATOR
COLLEGE OF NURSING, RIMS
SUBMITTED BY: ASHA RANI HANSDA
ROLL NO: 04
B.SC NURSING 3RD YR, RIMSCON

2. Content
1. ntroduction
2. Definition
3. Purpose of cardiac monitor
4. Types of cardiac monitoring
5. Articles needed for cardiac monitoring
6. Indication of cardiac monitoring
7. Contraindication of cardiac monitoring
8. Principles of cardiac monitoring
9. Procedure of cardiac monitoring
10. After care of articles
11. Recording and reporting format
12. Nursing responsibility during cardiac monitoring
13. New research
14. Questions
15. Summary
16. Bibliography

3. Cardiac Monitor

4. Introduction
 The cardiac monitor is a device that shows the electrical and pressure
waveforms of the cardiovascular system for measurement and treatment.
Parameters specific to respiratory function can also be measured. Because
electrical connections are made between the cardiac monitor and the
patient.

5. Definition
 Cardiac monitor generally refers to continuous or intermittent monitoring
of heart activity, generally by “Electrocardiography”, with assessment of the
patient’s condition related to their cardiac rhythm.
 It is different from the hemodynamic monitoring, which monitors the
pressure and flow of blood within the cardiovascular system.

6. Articles needed for cardiac monitoring:
1. Cardiac monitor
2. Monitor cables
3. Electrodes
4. Leadwires
5. Dry washcloth Or gauze pad
6. Alcohol sponge

7. Purpose of cardiac monitoring
 The cardiac monitor continuously displays the cardiac electrocardiogram
tracing.
 Additional monitoring components allow cardiovascular pressure and
cardiac Output to be monitored and displayed as required for patient
diagnosis and treatment.
 Oxygen saturation of the arterial blood can also be monitored
continuously.
 Most commonly used in emergency rooms and critical care areas, bedside
monitors can be interconnected to allow for continual observation of
several patient’s from a central display.
 Continuous cardiovascular and pulmonary monitoring allows for prompt
identification and initiation of treatment.

8. Indication of Cardiac monitoring
 Patients who may require cardiac monitoring include those who are haemodynamically
compromised and/or at clinical risk of adverse events, for example, patient’s with:
1. Chest painAcute coronary syndrome
2. Acute coronary syndrom- STEMI, NSTEMI, unstable angina
3. Following major surgery- ITU, HDU, Cardiac surgery
4. Major Trauma
5. Post cardiac/ Respiratory arrest
6. Acute medical conditions- pulmonary embolism, drug overdose, electrolyte Imbalance
7. Unexplained syncope episodes
8. Shock
9. Undergoing a specific treatment

9. Contraindication of cardiac monitoring
 No absolute contraindication to performing an ECG exist, other than
patient refusal. Some patients may have allergies or more commonly,
sensitivities to the adhesive used to affix the leads; in these cases
alternative are available from various manufacturer.

10. Principles of cardiac monitoring
 Principles of Cardiac monitoring: this is achieved using a cardiac monitor,
connected to a cable lead and skin electrodes, which captures the electrical
activity predominantly through a single wide(commonly lead 2). The
monitor function includes: A display of heart rate and rhythm.

11. Procedure of cardiac monitoring
1. Patient lies down on his back.
2. Several areas on skin of arms, legs and chest are cleaned and shaved, and
small patches i.e electrodes are attached to these areas.
3. The patches are connected by wires to the ECH machine.
4. The heart’s electrical signals are printed into wavy lines on paper.
5. Variation in size and length of the different parts of the tracing may
indicate a problem in the part of the heart associated with that particular.

13. Recording and Reporting format:

14. Nursing responsibility during cardiac
monitoring
e the procedure:
Advise the patient to wear loose-fitting clothing
rovide precautionary measure
Apply electrodes or conductive paste to the skin sitese
xplain the importance of Cardiac monitorin
Do not fix electrodes in bones, scars and breast tissue
the procedure:
emove all electrodes
cheduled appointment with the health care provider

15. New Research:
Association of implementation of practice standards for ECG monitoring with Nurses’
knowledge, quality of care and patient outcomes:
Background : although continuous ECG monitoring is ubiquitous in hospitals, monitoring
practices are inconsistent.
Method and Results: The pulse trial was a 6 yr multisite randomized clinical trial with cross
over that took place in 65 cardiac units in 17 hospitals.
Measured outcome at baseline, time 2 after group 1 hospitals received the intervention and
time 3 after group 2 hospital received the intervention.
Measurement periods were 15 months later
An online ECG monitoring education program strategies to implement program And sustain
change measured by a validated 20 item online test, quality of care related to ECG by on
site observation , patient outcomes.
Conclusion: Online ECG monitoring education and strategies to change practice can lead to
improved nurse’s knowledge, quality of care.

16. Evaluation:
 Define Cardiac monitoring?
 Cardiac monitoring for:
. Therapeutic Use
. Test
 How many electrode patches are there in cardiac monitor?

17. Summary
 Cardiac monitoring Is a process in which heart activity monitored by
Electrocardiography with assessment of the patient’s condition relative to
their cardiac rhythm.

18. Bibliography
 Kochuthresiamma Thomas, Medical surgical nursing volume 2, Page no:
135-137
 www.wikipedia.org
 https://www.nursingcenter.com
 https://www.sciencedirect.com
 https://heartlearning.org