You get confident with rhythm first. That's something you can assess fairly accurately from the monitor. But maybe there's a normal rhythm hiding a heartbeat that's severely compromised. You've got to look inside the pattern to learn that. It's the waveform that communicates the integrity of the cycle. It tells you whether or not the impulse is following normal pathways.
The electrocardiogram provides a relatively simple tool for charting the very complex electrophysiology of the heart. In the acute care setting, one has to define any changes in conduction, some of which may be benign and some which signify significant disease.
ECG changes associated with intraventricular conduction are discussed in this program.
Topics that will be discussed are the normal process of synchronous ventricular activation, the anatomic differences of the bundle branches, the alteration of electrical forces with bundle branch block, the features and significance of right and left bundle branch block, the features of hemiblock, the differences of bifascicular, trifascicular and bilateral bundle branch block and the nursing implications associated with these intraventricular conduction disturbances.
To complete this course, you must do the following:
The material is organized around the following categories:
The purpose of this program is to provide nurses an understanding of intraventricular conduction disturbances in performing cardiac monitoring for acute care, and steps for appropriate management.
After completing this course, the learner should be able to:
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