Lesson 1Before-Test Check for No-Go and Risk Levels (BP Limits, Unsteady Chest Pain, Recent Heart Attack)This reviews before-test check to find no-go and level risk, like blood pressure limits, unsteady chest pain, recent heart attack, and other states that may need delay or change in testing.
Looking at medical past and findsFinding total no-goPartial no-go and caresBlood pressure and beat checkRisk group and test planningLesson 2After-Exercise Recovery Watching: ECG and Vitals Timeline, Watch Time, Rules for Going HomeThis covers planned after-exercise watch, like ECG and vital sign timeline, rules for longer recovery, and safe home going choices after treadmill test, stressing finding late low blood or wrong beats.
Right after exercise ECG line orderBlood pressure and heart rate recovery planWatching for late low blood or wrong beatsWatch time and noting pointsClinic rules for safe home goingLesson 3Worker Steps for Bad Events: Low Blood Changes, Lasting Wrong Beat, Low Pressure, FaintingThis covers worker duties when bad events happen, like spotting and quick handling of low blood ECG changes, lasting wrong beats, low pressure, fainting, and working with emergency teams.
Quick steps for low blood ST changesHandling lasting fast wrong beatsReply to low pressure and near-faintHandling faint and patient falls safeStarting emergency and code rulesLesson 4ECG Watching During Steps: What ST Changes, Wrong Beats, and Rate Replies to WatchThis details ECG changes to watch in each treadmill step, like ST part shifts, T-wave changes, wrong beats, and heart rate replies, stressing early spotting of low blood and wrong time or recovery ways.
Expected heart rate and beat repliesST part down and up signsT-wave and U-wave exercise changesSpotting heart chamber and upper wrong beatsTime wrong and recovery signsLesson 5Blood Pressure Watch Plan and Way During Exercise PartsThis explains right blood pressure measure during exercise, like band pick, time in each step, way to cut move shaky lines, and reading normal and wrong pressure replies.
Picking band size and arm spotTiming BP reads in each stepListening way on moving patientNormal up and down pressure repliesSpotting low and high pressure trendsLesson 6Pad Setup for Steady Watching and Best Wire Pick for Low Blood SpottingThis explains right skin ready, pad placing, and wire pick to best spot low blood in treadmill test, stressing cutting shaky lines and steady, good ECG watch all steps.
Skin ready and shaky line cut stepsStandard arm and chest pad spotsChanged chest wire place for stress testPicking watch wires for ST part checkWire handling and move shaky line controlLesson 7Full Agreement and Patient Tell: Test Goals, Stop Rules, and Expected FeelingsThis outlines getting full agreement and telling patients on test goal, process, expected feelings, and stop rules, making sure they understand, work together, and worry less before treadmill stress test.
Explaining test goals and clinic reasonsDescribing treadmill process step by stepTalking expected feelings during exerciseReviewing total and partial stop rulesAnswering patient questions and worriesLesson 8Rules for Quick Raise: Total and Partial Signs to Stop the TestThis sets total and partial signs to stop treadmill test, like ECG changes, blood pressure wrongs, bad signs, and equipment issues, and clears when to raise to urgent clinic check.
Total signs to stop right awayPartial signs needing thinkECG-based stop triggersBlood pressure and sign limitsAfter stop clinic raise stepsLesson 9Standard Treadmill Plans (e.g., Bruce) and Step Time/SettingsThis reviews common treadmill plans like Bruce and changed Bruce, like step times, speed and slope changes, and pick based on patient fitness, age, and clinic reason for stress test.
Bruce plan steps, speed, and slopeChanged Bruce and low level plansRamp and personal treadmill plansPicking plan for patient stateChanging or stopping steps safeLesson 10Sign and Effort Watching: Short Breath, Chest Pain, Dizzy, Tired—Use of Borg/RPE ScaleThis explains steady watch of signs and effort using planned questions and Borg or RPE scale, linking patient-told effort with ECG and blood flow replies in each treadmill step.
Using Borg and RPE scales rightChecking chest pain and heart signsWatching short breath, dizzy, and tiredLinking signs with ECG changesTalking with patients in stepsLesson 11Base Measures: Resting ECG, Blood Pressure, Sign List, Work Ability GuessThis describes base checks before exercise, like resting ECG, blood pressure, sign review, meds, and work ability guess, to find past wrongs and guide plan pick and test safety.
Resting 12-lead ECG taking and reviewBase blood pressure and heart rate notingSign past and now complaint listMedicine review and time before testGuessing work ability and METsLesson 12Noting Items for Stress Test: Base Finds, Step-by-Step Data, Reasons for StopThis sets key noting for treadmill tests, like base data, step-by-step ECG, vitals, signs, work, and stop reasons, making sure clear talk and legal full.
Noting base ECG and vital signsStep-by-step speed, slope, and METs logSign, wrong beat, and BP event notesNoting stop reason and timeSumming key finds for report