Manual Defibrillator Training Flashcards

1
Q

what 3 things can produce a rhythm strip?

A

pads
paddles
ecg leads

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2
Q

what button do you hit on the defibrillator to change where youre viewing the ecg from

A

Lead

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3
Q

P1

A

lead 1

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4
Q

P2

A

lead 2

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5
Q

P3

A

lead 3

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6
Q

if a patient has pads or paddles and those can produce an ecg rhythm are the ecg leads even necessary?

A

yes if you want to perform synchronized cardioversion

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7
Q

benefits of monitoring with ecg leads

A

more accurate

more reliable r wave sensing

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8
Q

what are the indications for using ecg leads on manual defib?

A

pacing

synchronized cardioversion

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9
Q

standard defib pad disadvantages

A

lower quality ecg signal

cant measure effectiveness of chest compressions

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10
Q

when is the ecg leads necessary with standard pads?

A

pacing

syn cardioversion

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11
Q

pads with compression sensor

A

see thru CPR feature
rate prompt
idle time prompt
depth prompt

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12
Q

see thru cpr feature

A

see underlying rhythm during compressions

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13
Q

rate prompt

A

voice says go faster if <80comp/min

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14
Q

idle time prompt

A

voice says when idle time between compressions is too long

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15
Q

depth prompt

A

hexagon on monitor fills if correct depth given

2-2.4inches

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16
Q

what are the two types of pads with compression sensors

A

posterior left anterior cpr pad

anterior anterior cpr pad

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17
Q

what are the 4 types of Zoll one step pads?

A

one step cpr
one step pacing pad
one step complete pad
one step basic pad

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18
Q

one step cpr pad

A

standard pad with cpr chest compression sensor

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19
Q

limitation of one step cpr

A

less effective r wave sensing

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20
Q

one step cpr pad placement

A

posterior left anterior

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21
Q

one step pacing pad

A

3 lead ecg system built in and has reliable r wave sensing

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22
Q

one step pacing pad placement

A

posterior left anterior

this is the only postition where the r wave monitoring will be accurate

23
Q

is the one step pacing pad a good option for patients who require chest compressions?

A

no because there is no compression sensor

24
Q

when pacing with the one step pacing pad where will the paced ecg occur on the defib?

25
one step complete pad
``` one step cpr and pacing pad together pacing without extra ecg leads synchronized cardioversion defib compression feedback ```
26
one step complete pad placement
posterior left anterior
27
if you place the complete pad posterior and right anterior do you need ecg leads?
yes
28
one step basic pad
same as standard defib with no extra abilities
29
an anesthetist has standard defin pad and wants to attempt synch cardioversion of afib. do you need separate ecg cable?
yes
30
an anesthetist has a standard defib pad and wants to initiate transcut pacing. is separate ecg cable needed?
yes
31
an anesthetist has one step complete pad and wants to attempt synchronized cardioversion of monomorphic vtach, is it recommended for separate ecg placed?
no
32
an anesthetist has one step complete pad and wants to attempt syn cardioversion of afib. if anterior pad is placed where it should be. is separate ecg needed?
yes
33
an anesthetist one step pacing pad wants to attempt synch cardioversion of monomorphic vtach. is it recommended for separate ecg cables?
no
34
an anesthetist has one step complete pad and wants to initiate transcutaneous pacing. is it recommended for separate ecg cable?
no
35
2 adapters for zoll one step cable
top adapter- connects pads | bottom adapter- connects to one step ecg leads
36
what is the part on back of defib that is screwed in do
shocking and pacing
37
connection options for ecg port on back of defib
regular ecg cable | one step ecg cable
38
how do you attach the defib paddles?
plug one of the paddles into the one step cable
39
what is the energy dose for internal handles?
10-20J
40
can you change the size of the ECG display?
yes click size | it can be at 1x or 2x
41
what does the CPR box on the screen show?
rate prompt depth promt idle time
42
buttons to press for defib
analyze energy select charge shock
43
knob to monitor shows?
view 3 tracing screens
44
knob to defib allows?
defib, and synchronized cardioversion
45
knob set to pacer allows?
pacing
46
what do the top two tracing screens show?
ecg rhythm
47
what does the bottom(trace 3) tracing screen show?
energy to be delivered | UNLESS TURNED TO MONITOR on knob
48
batter indicator colors and meanings
green= good yellow= charging yellow/green alternating= problems
49
code readiness indicator color and meanings
green check= ready | red x= not ready
50
recorder button
press start/stop for ecg strips | triggered by shock
51
what function are performed on the paddles?
energy selection charging shocking
52
what can the ecg look like when the paddles arent on the pt?
vfib | make sure they are on the pt
53
with a rhythm generator connection what do you have to monitor ecgs with?
peds