EKG CHAPTER 13 Review

What is ambulatory monitoring?

• Ambulatory monitoring is a process of recording an ECG tracing while the patient performs daily activities.

• Ambulatory monitoring is a method of measuring blood pressure only during sleep.

• Ambulatory monitoring is a technique used to monitor brain activity during surgery.

• Ambulatory monitoring is a process of recording heart rate only during exercise.

How long is ambulatory monitoring usually recorded?

• 24-48 hours

• 1-2 hours

• 72-96 hours

• 1 week

How many leads wires are generally required for Holter monitoring?

• 3-5 leads

• 1 lead

• 10-12 leads

• 8 leads

What does a patient record in their ambulatory monitoring diary?

• Activities, Symptoms, Abnormal sensations

• Medications only

• Dietary intake only

• Sleep patterns only

• Blood pressure readings only

Should the patient be encouraged to move around and perform all normal daily activities while being monitored?

• Yes. In fact, the test is not as valuable if the patient alters their normal activity.

• No. The patient should remain in bed at all times during monitoring.

• Only light activities are allowed, but strenuous activities should be avoided.

• The patient should avoid any movement and rest completely.

CET’s responsibilities during ambulatory monitoring include:

• Applying and removing the monitor, instructing the patient, and ensuring proper functioning of the device.

• Diagnosing cardiac conditions based on the monitor results.

• Prescribing medication for arrhythmias.

• Performing surgical procedures related to cardiac monitoring.

Why is ambulatory monitoring used?

• - To capture abnormal heart rhythms (dysrhythmias) when symptoms do not occur during 12-lead or stress ECGs

• - To measure blood pressure response to exercise

• - To diagnose lung diseases

• - To assess kidney function

What patient symptoms might the physician order ambulatory monitoring to evaluate?

• Chest pain, Light-headedness, Syncope, Dizziness, Palpitations

• Fever, Cough, Sore throat, Runny nose, Headache

• Abdominal pain, Nausea, Vomiting, Diarrhea, Constipation

• Joint pain, Swelling, Redness, Stiffness, Warmth

What type of patient is not a good candidate for an ambulatory monitor?

• Dementia or confused patients

• Young healthy adults

• Patients with mild headaches

• Athletes in training

When would a patient use an event marker during ambulatory monitoring?

• To mark the ECG tracing when the patient is experiencing symptoms

• To start the ambulatory monitoring device

• To record the patient's blood pressure

• To signal the end of the monitoring period