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Well, hello there. I'm Nurse Mo, and this is the Straight A Nursing podcast where I teach concepts and share tips on how to thrive in school and at the bedside.

Welcome back to Mo's Monday Minute where I share a quick tip that you can start using right away. And this week I want to talk about beats that aren't perfusing. So let's say

you've got a patient on cardiac monitoring. And in that case, you know, sometimes there's a

tendency to just rely on and believe the monitors more than anything else, right?

We look at that and we take it as fact.

Well, actually, you have to determine if beats are actually perfusing because the EKG is not going to be the best indicator of this.

It's going to show electrical activity, not necessarily mechanical capture and the heart

and the ventricles actually pumping and causing perfusion.

And then another instance where this comes up, and this actually happened to me not

too long ago, is that someone who had used the monitor prior to me had set the amplitude

very, very high for that cardiac monitor.

And what happened was the monitor was reading the T waves as

QRS complexes. So it was actually doubling the patient's heart rate. So if I see a heart

rate of, let's say the patient's heart rate was 80 because it's doubling the heart rate

because it's counting the T waves as QRS complexes.

Does that mean the patient has a heart rate or pulse rate of 80 beats per minute?

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