ICM Insertion Flashcards
what is an ICM
implantable, patient and auto activated monitoring system
what kind of ECG does ICM record
subcutaneous
ICM indications
Patients with clinical an increased risk of arrhythmias.
Patients who experience transient symptoms that may suggest a cardiac arrhythmia such as
- dizziness
- palpitations
- syncope
- chest pain
ICM size
1/3 the size of an AAA battery
3 ICM components
ICM
Pt monitor
Pt assistant
ICM battery life
3-years
ICM dx & detection
Episode Detection – Pauses, brady, tachy, AT/AF
Diagnostics – ECG, Episode log, Episode counters, AT/AF Summaries, Trends, Rate Histograms
Optimal insertion site
4th intercostal space, left of the sternum
how deep & far is the ICM inserted
8 mm & 10 mm
what must you do before pushing the ICM in
rotate the insertion tool 180 degrees
what should be assessed/sensed
R-wave amplitude at the top left-hand corner of the screen
what should the minimum R wave sensing be set to, to ensure adequate sensing
0.2 mV
what do you do after ensuring the device is sensing properly
confirm the final device programming parameters and print a final report
what should you do at the time of insertion
Distribute the Patient Monitor
what needs to be done before the patient is discharged.
Perform the one-time initial set up manual transmission
what does the pt need to do with the monitor daily, usually while asleep
stay within 2 meters of the monitor for 5 hours
T/F - Verify that only P-waves are sensed by the device.
false
If signals smaller than _____ are observed, it is recommended that the device be repositioned
0.2 mV
According to the ICM lecture, what is the correct order of an ICM implantation?
a. Prepare for insertion
b. Insert ICM
c. Enable ICM
d. Check for proper sensing
e. Reposition the device, if necessary.
f. Confirm Final Programming
g. Complete Device Resigstration
h. Educate patient and connect ICM to Remote Monitor
i. Perform initial set-up manual transmission.
