ECG MONITORING
740
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21-22-0335 Rev D
Page 25 of 40
ECG AND HEART RATE MONITORING MESSAGES
Table 2 indicates the Monitor Messages associated with the HR parameter:
Message
Parameter
Value
Possible Cause
Suggested Action
HR < [lower limit]
[number]
The patient's heart rate
has fallen below the
current lower alarm
limit.
Check the patient and provide any necessary
clinical care.
Change the alarm limit if it is no longer clinically
appropriate.
HR > [upper limit]
[number]
The patient's heart rate
has risen above the
current upper alarm
limit.
Check the patient and provide any necessary
clinical care.
Change the alarm limit if it is no longer clinically
appropriate.
HR asystole
ASY
No QRS detected for last
4 seconds
Check the patient and provide any necessary
clinical care.
Check the ECG lead being used to calculate the
heart rate (the top displayed lead)
– make sure
that the QRS amplitude on this lead is at least
0.5 mV.
Change to another ECG lead to get adequate
QRS amplitude.
Reposition or change electrodes if no lead gives
adequate QRS amplitudes. Remember the
importance of good skin preparation techniques.
HR ventricular
fibrillation
VF
No organized ventricular
rhythm detected
Check the patient and provide any necessary
clinical care.
Check the ECG lead being used to calculate the
heart rate (the top displayed lead)
– make sure
that the QRS amplitude on this lead is at least
0.5 mV.
Change to another ECG lead to get adequate
QRS amplitude.
Reposition or change electrodes if no lead gives
adequate QRS amplitudes. Remember the
importance of good skin preparation techniques.
HR lead off
[blank]
Unplugged cable
Broken cable
Loose lead wire
Faulty lead wire
Dried out electrode
Inoperable ECG circuit
Intentional removal by
clinician
Check to make sure electrodes are still securely
attached to the patient, and reattach if
necessary. Remember the importance of good
skin preparation techniques.
Check to make sure all the lead wires are still
connected to the electrodes.
Check to make sure the lead wires are securely
connected to the
monitor.
Check to make sure there are no broken lead
wires.
Turn monitor off, then back on
If message persists, contact Zoe technical
support.
Press ALARM SILENCE in the event of intentional
removal by clinician.
HR artifact
---
Patient movement
Electrical noise from
auxiliary equipment
Bad electrode contact
Calm the patient.
Isolate the patient from auxiliary equipment, if
possible.
Check to make sure electrodes are still securely
attached to the patient, and reattach if
necessary. Remember the importance of good
skin preparation techniques.
Table 2: HR Monitoring Messages