AED and Defribrilation

Question 1

Alternative Pad Placement

Answer 1

AP Scheme

Question 2

AED

Answer 2

Automatic Electronic Defribrillator

Question 3

Treatable Arrythmias:

Answer 3

Ventricular Tachycardia and Ventricular Fibrillation

Question 4

AICD

Answer 4

Automatic Implantable Cardiac Defibrillator

Question 5

AED Codes: Position 1

Answer 5

Shock Chambers
O = none
A = atrium
V = Ventricle
D = Dual (A + V)

Question 6

AED Codes:Position II

Answer 6

Antitachycardia Pacing Chambers
O = none
A = atrium
V =ventricle
D = Dual (A + V)

Question 7

AED Codes:Position III

Answer 7

Tachycardia Detection
E = Electrogram
H = Hemodynamic

Question 8

AED Codes:Position IV

Answer 8

Antibradycardia Pacing Chambers
O= none
A = Atrium
V = ventricle
D  = Dual (A +V)

Question 9

Monophasic vs Biphasic

Answer 9

Monophasic waveform = delivers unidirectional energy charge (360 J)
Biphasic waveform = in-series bidirectional energy charge (120 - 200 J)

Question 10

Pacemaker: Position 1

Answer 10

Chambers Paced
O= none
A = Atrium
V = ventricle
D  = Dual (A +V)

Question 11

Pacemaker: Position 2

Answer 11

Chambers Sensed
O= none
A = Atrium
V = ventricle
D  = Dual (A +V)

Question 12

Pacemaker: Position 3

Answer 12

Response to Sensing
O = None
I = Inhibited
T = triggered
D  = Dual (T + I)

Question 13

Pacemaker: Position 4

Answer 13

Programmability
O = none
R = Rate modulation

Question 14

Pacemaker: Position 5

Answer 14

Multisite Pacing
O= none
A = Atrium
V = ventricle
D  = Dual (A +V)

Question 15

Pacing Indications

Answer 15

-Sinus Node
-AV Node
-Long Q-T Syndrome
-Cardiomyopathy
+ Hypertrophic cardiomyopthy (HOCM)
+ Dilated cardiomyopathy (D-CMP)

Question 16

Intra-op consideration

Answer 16

Have artline and back up

Question 17

AICD Indications

Answer 17

• V-Tach
• V Fib
• Post MI Patients w/ EF < 30%
• Cardiomyopathy from any cause w/ EF < 35%
• Hypertrophic cardiomyopathy
• Awaiting heart transplant
• Long Q-T syndrome
• Arrhythmogenic right ventricular dysplasia
• Brugada syndrome (RBBB, S-T Segment elevation in leads V1 - V3)

Question 18

Magnet Response

Answer 18

• Tachy response

- Brady Response

Question 19

Drug therapy for adult cardiac arrest:

Answer 19

1. Epi 1 mg every 3-5 min
2. Vasopressin 40 units
3. Amiodarone 300 mg, 2nd dose 150 mg

Question 20

Drug Therapy for adult tachycardia ( > 150 bpm)

Answer 20

Adenosine 6 mg w/ NS flush

Question 21

Drug therapy for bradycardia ( < 50 bpm)

Answer 21

Atropine 0.5 mg bolus every 3 -5 min
Dopamine 2 - 10 mcg/kg/min
Epi 2 - 10 mcg/min

Question 22

Pulseless V-Tach or V Fib

Answer 22

Amiodarone

Lidocaine if Amiodarone is not available