[避免心电图实现中的常见错误]。

IF 0.1 Q4 NURSING
Revista Rol de Enfermeria Pub Date : 2016-06-01
Santiago García Velasco Sánchez Morago, Ma Elvira Migallón Buitrago, Almudena Villafranca Casanoves, Francisco Antonio Torres Martín, Ma Del Carmen García Schiaffino
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引用次数: 0

摘要

简介:心电图(ECG)是一种无创技术,操作简单、经济、可重复,并提供有价值的信息,可用于对患者进行诊断和指导临床决策。这是一种经常使用的诊断测试,因为它可以快速完成,因为它是用笔记本电脑完成的,通常总是可以在任何领域实施,无论是初级保健,专业门诊护理。在临床实践中,心电图的诊断被认为是有效的,但只有在电极放置在正确的解剖位置,如果软管正确地连接到电极上,注册表保持良好的质量(使用适当的过滤器,避免干扰和电噪声),并通过同一配位系统(ECG 5或10导联)进行心电图比较,以确定进化变化(确定心肌缺血时ST段的变化或评估再灌注治疗引起的变化)。目的:回顾心电图中最常见的错误,这些错误与分流器放置不当、跳线肢体导联交叉或交换、质量差的记录以及不同采集系统(10导联vs 5导联)心电图序列的比较有关。结论:我们提出了预防和避免这些可能导致诊断和治疗患者不良后果的骗局的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[AVOID COMMON MISTAKES IN REALIZATION OF A ELECTROCARDIOGRAM].

Introduction: The electrocardiogram (ECG) is a noninvasive technique to perform simple, economical, reproducible and provides valuable information that can be used to make the diagnosis of the patient and to guide clinical decisions. It is a diagnostic test used frequently as it can be done quickly, since it is done with a laptop and generally is always possible implementation in any field either primary care, specialty outpatient care. The diagnosis made by the ECG is considered valid in clinical practice, but is only effective if the electrodes are placed in the correct anatomical locations, if the hoses are properly attached to the electrodes, the registry maintains a good quality (the filters are used appropriate, interference and electrical noise are avoided) and ECG compares made by the same registration system (ECG 5 or 10 lead) for determining evolutionary changes (to determine changes in the ST segment during myocardial ischemia or assess the changes caused by reperfusion therapies).

Objective: To review the most common errors in electrocardiography, which are related to inappropriate placements of shunts, cross or exchange of patch cords limb leads, records of poor quality and comparisons of ECG serials made with different acquisition systems (10 vs 5 lead).

Conclusions: We make the recommendations to prevent and avoid these scams that can lead to diagnosis and treatment with adverse outcomes for the patient.

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来源期刊
自引率
0.00%
发文量
25
期刊介绍: Revista ROL de Enfermería es una publicación abierta a todos aquellos trabajos que tengan como objetivo contribuir a la difusión del conocimiento científico en la atención de enfermería en sus diferentes ámbitos de actuación. Revista ROL de Enfermería considerará para su publicación los trabajos que dentro del marco general de las ciencias de la salud, tengan interés por los conocimientos e informaciones que aporten para contribuir al desarrollo y a la formación continuada de los profesionales de enfermería.
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