55. B. Ambulatory ECG (Holter Monitoring) – allows continuous recording of cardiac activity during an extended period (usually 24 hours) while the client is performing the usual ADL. Preparation: b.1. Encourage the client to maintain a normal day’s schedule. b.2. Instruct to keep a diary, or log, in which to note the time of activities, such as eating, sleeping, walking, and working and to record any symptoms such as chest pain, lightheadedness, fainting and palpitations b.3. Instruct the client to avoid operating heavy machinery, using electric shavers and hair dryers and bathing or showering. These activities may interfere with the ECG recorder
56.
57.
58.
59.
60.
61. Pulmonary capillary wedge pressure (PCWP) provides an indirect estimate of left atrial pressure (LAP). Normal PCWP is 8-12mmHg Elevated PCWP are usually indicative of pulmonary congestion.