OF NURSE IN UNIT FOR EXERCISE ELECTROCARDIOGRAPHY
Krtalić, E. Fazlibegović, D. Zelenika, I. Knezović and M.
Hospital Mostar, Mostar, Bosnia and Herzegovina
Unit for exercise electrocardiography in Mostar
Clinical Hospital egzists more than 35 years. Master step tests
were introduced first, on improvised moveing stairways with successive
ECG recording on classical 3 or 6 channel equipment. After, unit
was supplied with bicycle-ergometer without continutaed monitoring
and later with continuated monitoring with exercise cut-off in
a phase of recording. In 1984 TRENDMIL was obtained with computer
software and monitoring, and its been used up to now. We perform
exercise tests in estimation of coronary disease and in rare occasions
in following of patientns functional status and effects of treatment.
In technical maintenance of exercise electrocardiography equipment
as in prepareing and education of patients for that examination,
nurse plays important role. During 2000. We performed 265 tests.
165 patients were male and 109 female. With age to year 40 we
had 43 patients (16.2%), with age 40-60 we had 154 patients (58.1%)
and older than 60 were 168 (25.6%) patients. Nurse is involved
in collecting of patients data: dateing of patients, collecting
findings: laboratory and X-ray, internal medicine specialist examination,
ECG. Very important is role of nurse in correct placement of electrodes,
skin cleaning and hair removeing before procedure and also in
placeing of contact webs (important for good signal during test).
Important role of nurse is in follow up of monitoring, recording
disturbances, reacting on fall of blood pressure, malignant rhythm
disturbances and interventing with therapy of DC shock.