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Holter Monitoring

A Holter monitor is a small, wearable device that records the heart's rhythm for 24 hours to detect cardiac arrhythmias and abnormalities. It may be recommended if a patient has signs of an irregular heartbeat, unexplained fainting, or a heart condition with increased arrhythmia risk. The procedure involves attaching electrodes to the chest to connect to the Holter monitor, which can be worn around the waist or shoulder. After 24 hours, the monitor is removed and the recording analyzed by a doctor to check for any issues. Proper nursing care involves explaining the process, ensuring electrodes are correctly placed, and instructing the patient on recording events during monitoring.

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521 views21 pages

Holter Monitoring

A Holter monitor is a small, wearable device that records the heart's rhythm for 24 hours to detect cardiac arrhythmias and abnormalities. It may be recommended if a patient has signs of an irregular heartbeat, unexplained fainting, or a heart condition with increased arrhythmia risk. The procedure involves attaching electrodes to the chest to connect to the Holter monitor, which can be worn around the waist or shoulder. After 24 hours, the monitor is removed and the recording analyzed by a doctor to check for any issues. Proper nursing care involves explaining the process, ensuring electrodes are correctly placed, and instructing the patient on recording events during monitoring.

Uploaded by

Angel Lee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

HOLTER

Niva Tiwary
Rollno. 22
MONITORING
Introduction
 A Holter monitor is a small, wearable
device that records the heart's rhythm. 
 it is an ambulatory ECG monitoring

technique with a device used to detect


cardiac arrhythmias abnormal
changes in cardiac rate and silent
myocardial ischemia
Why it’s done?
 A health care provider may recommend a
Holter monitor if you have:
 Signs and symptoms of an irregular heart

rhythm (arrhythmia)
 Unexplained fainting

 A heart condition that increases the risk

of arrhythmias
Purpose
 To detect suspected rhythmic

 disturbances.

 To monitor myocardial functional after


myocardial infraction.
contd…
contd…
 To evaluate high risk cardiac patients for
silent ischemic and suspected myocardial
infraction
Patient Preparation
 Take a shower
 Shave the chest

 Don’t apply a lotion over chest and

abdomen
 Dress in loose shirt
Procedure
Asked thee patent to remove any jewelry or
other objects that may interfere with the reading.
Asked to remove your clothing from the waist

up so that electrodes can be attached to your


chest.
 The technician will ensure your privacy by

covering you with a sheet or gown and exposing


only the necessary skin
cont…
 The areas where the electrodes patches are
placed are cleaned.
 Electrodes will be attached to chest and
abdomen.
 The holter monitor will be connected to the

electrodes with wires. The small monitor box


may be worn over patients shoulder like a
shoulder bag, around the waist, or it may clip to
a belt or pocket.
Nursing Management
 Explain the procedure to the patient.
 Ask the patient to keep a notebook to

record time and sleeping time, etc.


 Explain the deposit needed for Holter

monitoring.
 Move the patient both shave the hair on

his chest and clean the area with spirit


swab where the electrodes will be places.
contd…

 Apply the chest electrodes to the correct


locations and correct ECG wires and turn
on monitor.
 Instruct the patient to record any unusual

events on the notebook during the time


when they wear the monitor
 Instruct the patient to wear monitor for

24 hours.
contd…
 After 24 hours remove the holter monitor
from the patient.
 Remove the cassette from the holter

monitor and place them inside holter


analyzes.
 Obtain the analyzed record from the

holter analyzer machine.


contd…

 Inform the doctor of the result


 Give the report to the patient and family

 Clean the holter machine thoroughly and

return it to the proper place.


Precaution
 Don’t allow patient to swim
 Stay away from metal detector
Reference

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