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Butler Community College
JoEva Blair
Nursing, Allied Health and Early Childhood Education Division

Summer, 1995

Course Outline
ECG INTERPRETATION WITH CLINICAL APPLICATION

COURSE DESCRIPTION:

AH220 ECG Interpretation with Clinical Application. 2 hours credit.

Prerequisite: by instructor approval. Asystematic approach to interpretation of ECG rhythms including patient presentation, nursing care and pharmacotherapy. Rhythms covered include sinus, atrial, junctional and ventricular. Atrioventricular blocks, bundle branch blocks and pacemaker therapy are also covered.

REQUIRED TEXTBOOK:

Huszar, Robert J. Basic Dysrrhythmias: Interpretation and Management. St. Louis: Mobs.

SUGGESTED REFERENCES:

Walraven,G.(1994). Basic Arrhythmias 3rd Ed. New Jersey: Prentice Hall.

COURSE OBJECTIVES:

At the completion of this course, the student should be able to:

1. Demonstrate proper electrode placement for Lead II and MCL1

2. Identify common waves: P, Q, R, S and T

3. Accurately calculate ventricular and atrial rhythm, ventricular and atrial rate, PR interval and QRS duration

4. Identify age-related differences for PR interval, QRS duration and rates

5. Interpret rhythms originating from atrioventricular and bundle branch blocks

6. Interpret rhythms originating from atrioventricular and bundle branch blocks

7. Interpret rhythms from single and dual chambered pacemaker

8. Correlate ECG rhythm with patient presentation

9. Describe nursing care for patients experiencing arrhythmias

10. Anticipate pharmacotherapy for potentially compromising arrhythmias.

TOPICAL OUTLINE OF UNITS:

I. Clinical Electrophysiology

a. Identify pertinent cardiac anatomy and physiology

b. Describe the cardiac cycle and factors, which effect it.

c. Define electrocardiography and its uses

d. List components of the ECG monitoring system

e. Recall principles of impulse formation and conduction

f. Demonstrate lead placement for Lead II and MCL1

g. Identify common waves

h. Accurately calculate ventricular and atrial rhythm, ventricular and atrial rate, PR interval and QRS duration

i. Identify age-related differences for PR interval, QRS duration and rate.

II. Sinus Rhythms

a. Determine optimal lead for interpreting sinus rhythms

b. Interpret rhythms origination from the sinus node

c. Correlate ECG rhythms with patient presentation and nursing care

d. Anticipate pharmacotherapy for potentially compromising arrhythmias.

III. Atrial Rhythms

a. Determine optimal lead for interpreting atrial arrhythmias

b. Interpret rhythms origination from atrial foci

c. Correlate ECG rhythms with patient presentation and nursing care

d. Anticipate pharmacotherapy for potentially compromising arrhythmias.

IV. Junctional Rhythms

a. Determine optimal lead for interpreting junctional arrhythmias

b. Interpret rhythms originating from junctional foci

c. Correlate ECG rhythms with patient presentation and nursing care

d. Anticipate pharmacotherapy for potentially compromising arrhythmias.

V. Ventricular Rhythms

a. Determine optimal lead for interpreting ventricular arrhythmias

b. Interpret rhythms origination from ventricular foci

c. Correlate ECG rhythms with patient presentation and nursing care.

d. Anticipate pharmacotherapy for potentially compromising arrhythmias.

VI. Atrioventricular Blocks

a. Determine optimal lead for interpreting AV blocks

b. Interpret rhythms originating due to AV blocks

c. Correlate ECG rhythms with patient presentation and nursing care

d. Anticipate pharmacotherapy for potentially compromising arrhythmias.

VII. Bundle Branch Blocks

a. Determine optimal lead for interpreting bundle branch blocks

b. Interpret rhythms originating due to right and left blocks

c. Correlate ECG rhythms with patient presentation and nursing care

d. Anticipate pharmacotherapy for potentially compromising arrhythmias.

VIII. Paced Rhythms

a. Interpret rhythms origination single and dual chambered pacemakers

b. Identify capture, sensing and pacing

c. Correlate ECG rhythms with patient presentation and nursing care

d. Anticipate pharmacotherapy for pacemaker malfunctions.

METHODS OF INSTRUCTION:

Teaching learning methods utilized to assist the students in achieving course objectives include lecture, case studies, discussion, demonstration and textbook reading assignments.

METHODS OF EVALUATION:

Grade will be dependent upon the final exam. Successful passing requires correct interpretation of the lethal arrhythmias including ventricular tachycardia, ventricular fibrillation and asystole.