Manual Defibrillator Training Flashcards
what 3 things can produce a rhythm strip?
pads
paddles
ecg leads
what button do you hit on the defibrillator to change where youre viewing the ecg from
Lead
P1
lead 1
P2
lead 2
P3
lead 3
if a patient has pads or paddles and those can produce an ecg rhythm are the ecg leads even necessary?
yes if you want to perform synchronized cardioversion
benefits of monitoring with ecg leads
more accurate
more reliable r wave sensing
what are the indications for using ecg leads on manual defib?
pacing
synchronized cardioversion
standard defib pad disadvantages
lower quality ecg signal
cant measure effectiveness of chest compressions
when is the ecg leads necessary with standard pads?
pacing
syn cardioversion
pads with compression sensor
see thru CPR feature
rate prompt
idle time prompt
depth prompt
see thru cpr feature
see underlying rhythm during compressions
rate prompt
voice says go faster if <80comp/min
idle time prompt
voice says when idle time between compressions is too long
depth prompt
hexagon on monitor fills if correct depth given
2-2.4inches
what are the two types of pads with compression sensors
posterior left anterior cpr pad
anterior anterior cpr pad
what are the 4 types of Zoll one step pads?
one step cpr
one step pacing pad
one step complete pad
one step basic pad
one step cpr pad
standard pad with cpr chest compression sensor
limitation of one step cpr
less effective r wave sensing
one step cpr pad placement
posterior left anterior
one step pacing pad
3 lead ecg system built in and has reliable r wave sensing
one step pacing pad placement
posterior left anterior
this is the only postition where the r wave monitoring will be accurate
is the one step pacing pad a good option for patients who require chest compressions?
no because there is no compression sensor
when pacing with the one step pacing pad where will the paced ecg occur on the defib?
P3
one step complete pad
one step cpr and pacing pad together pacing without extra ecg leads synchronized cardioversion defib compression feedback
one step complete pad placement
posterior left anterior
if you place the complete pad posterior and right anterior do you need ecg leads?
yes
one step basic pad
same as standard defib with no extra abilities
an anesthetist has standard defin pad and wants to attempt synch cardioversion of afib. do you need separate ecg cable?
yes
an anesthetist has a standard defib pad and wants to initiate transcut pacing. is separate ecg cable needed?
yes
an anesthetist has one step complete pad and wants to attempt synchronized cardioversion of monomorphic vtach, is it recommended for separate ecg placed?
no
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
an anesthetist one step pacing pad wants to attempt synch cardioversion of monomorphic vtach. is it recommended for separate ecg cables?
no
an anesthetist has one step complete pad and wants to initiate transcutaneous pacing. is it recommended for separate ecg cable?
no
2 adapters for zoll one step cable
top adapter- connects pads
bottom adapter- connects to one step ecg leads
what is the part on back of defib that is screwed in do
shocking and pacing
connection options for ecg port on back of defib
regular ecg cable
one step ecg cable
how do you attach the defib paddles?
plug one of the paddles into the one step cable
what is the energy dose for internal handles?
10-20J
can you change the size of the ECG display?
yes click size
it can be at 1x or 2x
what does the CPR box on the screen show?
rate prompt
depth promt
idle time
buttons to press for defib
analyze
energy select
charge
shock
knob to monitor shows?
view 3 tracing screens
knob to defib allows?
defib, and synchronized cardioversion
knob set to pacer allows?
pacing
what do the top two tracing screens show?
ecg rhythm
what does the bottom(trace 3) tracing screen show?
energy to be delivered
UNLESS TURNED TO MONITOR on knob
batter indicator colors and meanings
green= good
yellow= charging
yellow/green alternating= problems
code readiness indicator color and meanings
green check= ready
red x= not ready
recorder button
press start/stop for ecg strips
triggered by shock
what function are performed on the paddles?
energy selection
charging
shocking
what can the ecg look like when the paddles arent on the pt?
vfib
make sure they are on the pt
with a rhythm generator connection what do you have to monitor ecgs with?
peds