Question

"Where Education Comes To Life" Chapter 49 Electrocardiography pages: 1204-1227 nts assignment: Read the Case Scenario in the textbook, Chapter 49, page 1205 and respond to the following questions. 20 points 11. When the medical assistant asks Mr. Masterson to lie down on the exam table for the ECG, the batient informs the MA that he has a back problem and is unable to lie down on his back. If you Jare the medical assistant, how would you handle this situation? What would you specifically tell the patient and ask him to do? b. When the ECG tracing begins, the medical assistant notices that the baseline is wandering on the paper. What is probably causing this? What should the medical assistant do to correct the problem? B. When the ECG is complete, the patient asks the medical assistant if it looks alright. What should the medical assistant tell the patient? Be specific about what the patient should be told. Week 2 Assignment Grading Rubric 20 points 1. Provided specific explanation of handling the situation of patient 5 Points unable to lie on his back. 2. Provided explanation of the wandering baseline and how to correct 5 Points 5 points 3. Provided appropriate response to the patient about whether the ECG is alright No grammar or spelling errors in any responses. 5 points Clinical Procedure 49-1 - Recording a 12-Lead Electrocardiograph 2 @ 40 Points Each Quiz - 50 Point

Answer 1

1.The ECG has to be taken in the supine position. In case if the patient is unable to lie on the back it can lead to wrong reading. Left lateral pr right lateral position can lead to changes in the P waves and other waves .In these situations the patient ECG can be taken in upright position .

2.Baseline wandering can be probably because of the looses loose connection of electrodes in the chest, loose contact, wetness or watery surface ,hair ,hard breathing ,metals, devices can lead to wandering line in the ECG.

3.The Medical assistant has to clearly explain that the provider or the nurse practitioner will read the ECG and let the patient know the soon. Until then the patient can be informed nothing to worry about.