Holter Monitoring and Ambulatory EKG Flashcards
7 cards from real CET practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Holter Monitoring and Ambulatory EKG flashcards as text
What is a key advantage of an implantable loop recorder (ILR) compared to a standard Holter monitor?
Answer: It can record cardiac data continuously for up to 3 years
An ILR can continuously monitor and store cardiac electrical activity for up to 3 years, making it ideal for patients with very rare but potentially serious arrhythmias.
Mobile cardiac outpatient telemetry (MCOT) differs from a standard Holter monitor because it:
Answer: Transmits cardiac data wirelessly in real-time to a remote monitoring center
MCOT systems transmit EKG data wirelessly and continuously to a remote monitoring center, enabling real-time analysis and immediate response to detected arrhythmias.
When a Holter recording is analyzed, which of the following is typically NOT assessed?
Answer: Pulmonary artery pressure
Pulmonary artery pressure cannot be measured by a Holter monitor, which only records electrical cardiac signals and cannot assess hemodynamic pressures.
Which of the following is a significant concern when applying a Holter monitor to a patient?
Answer: Known severe allergy to electrode adhesive
A severe allergy to electrode adhesive is a significant concern because it can cause substantial skin injury and may prevent safe application of the monitor.
During initial skin preparation for Holter monitoring, which step should be performed FIRST?
Answer: Clipping excessive body hair from the electrode sites
Clipping excessive hair is performed first because hair prevents the subsequent cleaning and abrading steps from working effectively and prevents proper electrode-to-skin contact.
If a patient returns a Holter monitor that recorded for less than the prescribed duration, what should the technician document?
Answer: The reason for interruption, when it occurred, and the quality of available data
The technician should document the reason for the shortened recording, the time of interruption, and data quality so the physician can properly interpret the available findings.
Which patient instruction is MOST important to reinforce before the patient leaves with a Holter monitor?
Answer: Keep the device dry and maintain the symptom diary accurately
Patients must be told to keep the device dry to prevent damage or data loss and to maintain an accurate diary so symptoms can be correlated with the cardiac recording.