Dec 09, 2022  
2019-2020 Undergraduate Academic Catalog 
2019-2020 Undergraduate Academic Catalog [ARCHIVED CATALOG]

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NU 3100 - Principles of Electrocardiograph (ECG) Interpretation & Monitoring

3 lecture hours 0 lab hours 3 credits
Course Description
This course focuses on the essential information needed to interpret normal and abnormal rhythm strips, differentiate lethal from non-lethal ECG rhythms, and appropriately select pharmacological and non-pharmacological interventions. Technology used in monitoring cardiac rhythms is explored from design and end-user perspectives. This course is co-taught by nursing and biomedical faculty. Current pharmacology for treatment of cardiac dysrhythmias is addressed. Simulation technology is incorporated into course providing students with real time rhythm identification and treatment. (prereq: consent of instructor or NU 2820 )
Course Learning Outcomes
Upon successful completion of this course, the student will be able to:
  • Identify pertinent anatomy, physiology and electrophysiological principles of cardiac conduction (Level 2, Nursing Care)
  • Interpret normal and abnormal cardiac rhythms including sinus node, atrial, junctional, ventricular dysrhythmias, and bundle branch blocks (Level 2, Nursing Care)
  • Identify characteristic ECG patterns associated with myocardial ischemia, injury, and infarct (Level 3, Nursing Care)
  • Identify and treat ECG alternations related to electrolytes imbalances and toxic drug effects (Level 3, Nursing Care)
  • Differentiate purpose of 12 lead ECG from telemetry ECG monitoring (Level 3, Nursing Care)
  • Articulate client physiological signs, symptoms, and consequences associated with abnormal cardiac rhythms (Level 3, Critical Thinking)
  • Integrate pharmacological and non-pharmacological treatment decisions appropriate to dysrhythmia (Level 3, Critical Thinking)
  • Apply principles of ECG technology and treatment options to clinical case presentations (Level 3, Critical Thinking)
  • Identify different types and sources of ECG artifact and measures to control (Level 3, Technology).
  • Select most appropriate lead configuration for ECG monitoring considering client situation (Level 3, Technology)
  • Describe defibrillation and cardiac pacing principles as well as safety implications (Level 3, Technology)
  • Identify ECG technological limitations from design and user point of reference (Level 3, Technology)

Prerequisites by Topic
  • None

Course Topics
  • Anatomy and electrophysiology of the heart
  • Pharmacological therapy
  • Principles of ECG analysis and monitoring
  • Clinical aspects of sinus dysrhythmias
  • Clinical aspects of atrial dysrhythmias
  • Clinical aspects of junctional dysrhythmias
  • Clinical aspects of ventricular dysrhythmias
  • Clinical aspects of AV heart blocks dysrhythmias
  • 12 lead ECG, pacemaker, principles of defibrillation and synchronized defibrillation
  • ECG and electrolyte imbalances
  • ECG changes with myocardial ischemia and infarction

Dr. Ruth Widder

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