Cardiac Monitor and Pulse Oximeter
Cardiac Monitor and Pulse Oximeter
CARDIAC MONITOR
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.
PURPOSE
Cardiac ECG tracing
Cardiovascular pressures and cardiac
output
Oxygen Saturation
Other vital signs
Continuous cardiovascular and pulmonary
monitoring allows for prompt identification and
initiation of treatment.
EQUIPMENT
cardiac monitor
monitor cable
leadwires
electrodes
dry washcloth or
gauze pad
alcohol sponges
Blood pressure cuff
Pulse oximeter
LEAD PLACEMENT
PRECAUTION!
Pacemakers
Plug in the monitor, turn on power, and
connect the cable if not already attached.
Connect the lead wires to the proper
position and ensure that color-coded wires
match the color-coded cable.
Open the electrode package, and attach an
electrode to each lead wire.
Expose the chest and the sites selected for
electrode placement.
Using the rough patch on the electrode, a
dry washcloth, or gauze pad, each site
should be rubbed briskly until it reddens.
Patients who are extremely hairy may
need to be shaved prior to application of
the electrodes. An alcohol pad is used to
clean the sites in patients with oily skin.
Apply one electrode to each site, press
one side of the electrode against the skin,
and pull gently. Then, the opposite side
of the electrode should be pressed against
the skin.
Press two fingers on the electrode in a
circular pattern to affix the gel and
stabilize the electrode, then repeat for
each electrode.
AFTERCARE
Observe the monitor and evaluate the quality of
the tracing and adjustments as needed.
Take an apical pulse and comparing the pulse to
the digital display.
The upper and lower alarm limits should be set
according to institutional policy. Activate the
alarm.
A rhythm strip should be recorded for the medical
record, and labeled with patient name, room
number, date, time, and interpretation of the
strip.
COMPLICATIONS
There is a potential for skin breakdown at
the electrode placement site. The patient
may be allergic to the adhesive used, or
the electrode may have been left on the
skin too long. The electrodes should be
removed and new electrodes applied,
using hypoallergenic electrodes if
necessary.
RESULTS
NORMAL
Regular rate and rhythm
No deviations in the QRST complex
ABNORMAL
Alarm
Bradycardia
Tachycardia
Deviations in the QRST complex