The 12-Lead EKG is frequently ordered as part of the cardiovascular assessment of a patient. The purpose of this one-day course is to assist the registered nurse and other healthcare providers in understanding and interpreting the 12-Lead EKG and the changes often seen on it.

Prerequisite: Knowledge of Basic Dysrhythmias is required in order to attend this course.

The class participant will be able to:

1. Identify the features of a normal 12-Lead EKG
2. Determine the mean QRS axis in a 12-Lead EKG
3. State the causes of right and left axis deviation
4. Describe the changes in the EKG associated with myocardial ischemia, injury and infarct and identify which area of the heart is involved
5. Describe changes associated with pericarditis and ventricular aneurysm.
6. Identify changes seen with atrial and ventricular hypertrophy
7. Identify features of the EKG seen with Bundle Branch Blocks and Fascicular Blacks
8. Describe changes in the EKG seen with electrolyte abnormalities

Barbara Krumbach, MSN, RN, CNS, CPAN, CCRN

7:30-8:00
Registration & Continental Breakfast

8:00-9:15
Normal 12 lead EKG in the Adult, Axis Calculation

9:15-10:00
EKG Changes with Myocardial Injury, Ischemia and Infarction, Ventricular Aneurysm, Pericarditis

10:00-10:15
Break

10:15-11:30
Changes with Ischemia, Injury, Infarction and Dysrhythmias associated with Myocardial Infarction

11:30-12:30
Lunch (On Your Own)

12:30-1:05
EKG Changes with Cardiac Enlargement

1:05-2:00
Conduction Defects

2:00-2:15
Break

2:15-3:00
Drug and Electrolyte Influence on the EKG Practice

3:00-3:50
Putting It All Together

3:50-4:00
Evaluation