You Are Now Entering The IMC/TeleUNIT. Designed to provide care for those who...
Transcript of You Are Now Entering The IMC/TeleUNIT. Designed to provide care for those who...
You Are Now Entering TheYou Are Now Entering The
IMC/TeleIMC/Tele
UNITUNIT
Designed to provide care for those who ____________________________________________________________
__________, but still require more monitoring than those on the medical
or surgical units.
What is an IMC unit?
INTERMEDIATE CARE UNIT
Provides for continuous _______________________________________. Patients are not necessarily in a critical state but do have a cardiac history.
What is a TELEMETRY unit?
• Nurses• ___________________• CNA’s• ____________________• Doctors (IM,
Cardiologists, Electrophysiologists, Endocrinologists, etc.)
• ______________________,Radiology Techs, etc.
THE IMC/TELEMETRY TEAM
• ER
• _______
• OR
• Med/Surg floor
Nurse/Patient ratio 1:3 to 1:5
Where do the patients come from?
• _____________
• Arrhythmias
• MI’s
• _____________distress
• Angina Pectoris
• Infections
• ___________
• Pancreatitis
• ____________
• Post Surgery
• Acute Renal Failure
Most Common Conditions
• Patient is ____________• _______ monitor put on• Equipment placed in room• Treatment occurs
– Tests, procedures, medication
• Time on unit – ___________________ (average of 4 days)
Now What?
Common Equipment
• __________________________– electrodes
• Suction canisters
• ________________________
Common Equipment
• EKG monitor screen
• _________________________– Nasal canula,
masks
• IV pumps and poles
Focusing on cardiac labs
Cardiac Markers• _________________________________________. They
are often discussed in the context of MI’s, but other conditions can lead to an elevation in cardiac marker level.
• Elevation usually means there has been heart damage
• Cardiac Enzymes– Troponin
– CK
– CK-MB
LABS
What does an EKG tell you?
It shows you the electrical activity of the heart.
I am glad you asked!!!!• P wave – tells you when the
____________________________________
• QRS complex - ______________________________________
• T wave – ______________________________________
Ok NOW How do I read it?
• Strips are printed in ___________ strips.
• To calculate rate you count the _____________________ per strip if rhythm is regular.
• Measure each component of each heart beat to determine if it is normal or abnormal.
Ok NOW How do I read it?
H
ECG Component Time(sec)
Small square 0.04
Large square 0.20
P Wave 0.10
PR Interval 0.12 - 0.20
QRS 0.04-0.08
Measurements of Each Component
EKG Rhythm Examples
This is _______________________. _________________________________ Everything is working as it should and the
rate is WNL.
EKG Rhythm Examples
This is _________________________. ALL parts of the beat are present.
The rate however is ________________.
EKG Rhythm Examples
This is ________________________. ALL parts of the beat are present.
The rate however is __________________.
EKG Rhythm Examples
This is Sinus _________________ with ______________________________________(PVC’s).
ALL parts of the beat are present. _____________________________________.
EKG Rhythm Examples
This is ____________________________. _________________________________.
Irregular rhythm and rate usually 100-160 bpm.Atrium is beating about 200-300 bpm
EKG Rhythm Examples
This is ___________________________. P waves ________________________________
(0.10 sec).
EKG Rhythm Examples
This is _________________________________P waves are consistent BUT NO message being
sent to the ventricles.___________________________
What’s Next?
•Transfer to another floor
•____________
•Discharge