You are on page 1of 4

INTERPRETASI ELEKTROKARDIOGRAM (EKG)

PADA ..................... DENGAN........................................................


DI INTENSIVE CARE UNIT RS ROEMANI SEMARANG
Disusun untuk memenuhi tugas praktek klinik stase Keperawatan Kritis
Dosen Pembimbing : .............................................
Clinical Instructor :................................................

Disusun oleh :
..........................................................
...........................................................

PROGRAM PENDIDIKAN PROFESI NERS


JURUSAN KEPERAWATAN FAKULTAS KEDOKTERAN
UNIVERSITAS DIPONEGORO
2015
INTERPRETASI EKG

Inisial Pasien/Usia :..................................................................


Diagnosa Medis :..................................................................
Tanggal Masuk :..................................................................

1. Gambaran EKG

2. Irama
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
3. Frekuensi (Heart Rate)
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
4. Gelombang P
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
5. Interval PR
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
6. Gelombang QRS
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
7. Segmen ST
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
.......................................................................................................................
8. Axis Jantung
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................

9. Interpretasi
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................

Semarang,......................... ..

(......................................................)

You might also like