10 ECG, CO2 Elimination, & ETCO2
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Einthoven’s Triangle
Discovered ECG mechanism
Electrocardiogram
Potential difference across the membrane (voltage) Each cardiomyocyte can create potential difference across the heart
Vector
Mean potential difference Direction & magnitude Length correlates to magnitude (-) → (+)
Lead I
R arm (-) → L arm (+) 0°
Lead II
R arm (-) → L leg (+) 60°
Lead III
L arm (-) → L leg (+) 120°
Mean Electrical Axis (MEA)
Average all depolarization waves = resultant vector
Normal
-30° to 60° MEA Lead I positive (upward deflection) Lead II positive aVF positive
Left Axis Deviation
-30° to -90° Causes: L ventricular enlargement, R side MI, R side tension pneumo, normal variant (diaphragm elevation
Right Axis Deviation
90° to 180° Causes: R ventricular enlargement, L side MI, L side tension pneumo, pediatrics variant
aVR
Augmented voltage right R arm set to positive Sum L arm + L leg (-) starting point at chest center -150°
aVL
Augmented voltage left L arm set to positive Sum R arm + L leg (-) starting point at chest center -30°
aVF
Augmented voltage foot Foot set to positive Sum R arm + L arm (-) starting point at chest center 60°
V Leads
Transverse plain V1 = 120° V2 = 90° V3 = 75° V4 = 60° V5 = 30° V6 = 0°
Anteroseptal
V1 V2
Anteroapical
V3 V4
Anterolateral
V5 V6
Lateral
I, aVL, V5, V6 Left circumflex artery
Inferior
Apical II, III, aVF R coronary artery
Anterior
V1 - V4 L anterior descending
Beer-Lambert Law
Amount energy absorbed or transmitted by solution directly proportional to solution molar absorption and solute concentration More concentrated solution absorbs more light than more dilute solution
Beer-Lambert Application
↑ path-length ↑ absorbance ↓ transmission
Absorbance
Measure quantity of light absorbed by sample Light passes through sample and none absorbed = 0 100% transmission Therefore solution would be pure solvent
CO2 Absorber (Scrubber)
Chemical reaction Function to remove CO2 from circle system Neutralization reaction (acid/base) Able to rebreathe exhaled gas possible