Chapter 4
| Monitoring
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LIFEPAK 15 Monitor/Defibrillator Operating Instructions
61
3.
Locate the second intercostal space on the patient’s right side, lateral to and just below
the Angle of Louis.
4.
Move your finger down two more intercostal spaces to the fourth intercostal space, which
is the V1/C1 position.
5.
Continue locating other positions from V1/C1 (see the preceding figure).
Other important considerations:
•
When placing electrodes on female or obese patients, always place leads V3-V6 and C3-
C6
under
the breast rather than
on
the breast.
•
Never use the nipples as reference points for locating the electrodes for men or women
patients, because nipple locations vary widely.
12-Lead ECG Procedure
To acquire a 12-lead ECG:
1.
Press
ON
.
2.
Insert the lead attachments into the main cable as shown in the following figure.
Figure 20
12-Lead ECG Cables
3.
Insert the cable connector into the green ECG connector on the monitor.
4.
Prepare patient’s skin for electrode application (see ECG Monitoring Procedure (on page 53)).
5.
Apply ECG electrodes (see Limb Lead Electrode Sites (on page 60)).
6.
Encourage the patient to remain as still as possible.
Possible Inaccurate Diagnosis
If age and sex are not entered when a 12-lead ECG is
obtained, the interpretive statements are based on a
default of a 50-year-old male and may provide
incorrect analysis for that patient.
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