Electrical Therapy Review

Question 1

Indications for Pacing

Answer 1

2nd degree type II HB
3rd degree uncontrolled tachycardias
AFib or Aflutter
SVT or pulseless VTach

Question 2

Temporary Pacemaker

Answer 2

lead or wire is treated transvenously to the RB with the wire to the power source externally

Question 3

Permanent

Answer 3

on non-dominant hand side

surgically inserted

Question 4

Micra Transcatheter Pacing System (TPS)

Answer 4

A fully self-contained, miniaturized pacemaker designed to provide patients with bradycardia, an advanced pacing technology via a minimally invasive approach

Question 5

NGB Codes

Answer 5

I - Pacing – capturing the heart’s electrical impulse
II - Sensing – see the heart’s own intrinsic rhythm
III - Inhibits (stops) or Triggers (sends) an impulse out or not
IV - Rate Mod – programmability
V - Multisite Pacing – anti-tachycardia function

Question 6

Failure to Capture

Answer 6

Pacer does not stimulate heart impulse at right time, but heart does not respond

Question 7

Failure to Ouput

Answer 7

pacer does not generate a pacer spike when needed

Question 8

Microshocks

Answer 8

Stray electrical current

WEAR GLOVES

Question 9

Post-Insertion Care

Answer 9

check pacer
education
pacer card for info
check pulse
do not lift arm over head
s/s of infection or decreased CO

Question 10

Defibrillation

Answer 10

UNSYNCHRONIZED

puts heart into temporary systole - in hopes normal conduction will restart

Question 11

Cardioversion

Answer 11

SYNCHRONIZED

machine synched to QRS - fires when ready

Question 12

The Magnet

Answer 12

closes a reed with - magnet mode – synchronized pacing

Question 13

AED

Answer 13

cues rescuer

turn on, place pads, analyze, shock (if indicated)

Question 14

ICD

Answer 14

Defibrillates when needed