Manual Defibrillator Training Flashcards
Learn how to use the defibrillator in ACLS.
Name 3 ways to detect rhythm with defibrillator
Leads, Pads, and Paddles
2 reasons Leads should be used if possible.
- More accurate ECG tracing.
2. More reliable R-wave sensing
Significance of R-wave sensing
R-wave sensing required for pacing and synchronized cardioversion.
True/False: ECG leads are needed for defibrillation.
False: defibrillator shocks are not synchronized.
Standard Pads:
- Location options
- Disadvantages
- ECG needs
Location pairings: Anterior/posterior or Right anterior/Apex-lateral.
Disadvantages:
1. Lower quality r-waves than ECG leads
2. No compression detector.
ECG Needs: Need separate ECG leads for pacing/cardioversion.
Pads with a Compression Sensor 4-way feedback
- See thru CPR rhythm during compressions
- Prompts you to go faster if rate<80
- Prompts if idle time too long
- Depth detector. Hexagon on monitor fills with depth of compressions. (2-2.4)
Type (location) of pads w/compression sensor?
- Posterior/L-anterior
2. Anterior/Anterior (Right upper/Lateral left like AEDpads)
Name 4 types of Zoll One-Step Pads
- Basic (No CPR sensor)
- Pacing (No CPR sensor)
- CPR
4 Complete
CPR pad limitation
Should we get ECG leads?
less effective R-wave.
Yes use ECG if we need to pace/cardiovert.
Placement of One Step CPR pads
Posterior/Left anterior
Landmarks for Compression sensor?
Vertical line mid sternum.
Horizontal Line between nipples
How to use One Step CPR pads for atrial cardioversion.
invert left anterior pad and place on right anterior so compression sensor still aligns with sternum.
One Step Pacing Pad:
- Placement
- ECG leads needed?
- Posterior/ Left Anterior
- No additional ECG leads needed as long as anterior pad is left of sternum.
Can One Step Pacing pad be used for atrial cardioversion?
Yes, invert the anterior pad and put it on the right upper but R-wave is useless so Yo DO NEED ECG cable.
In which lead will Pacing Pad rhythm appear?
P3 lead.
What 4 things are available with a One Step COMPLETE pad?
CPR compression sensing
Defibrillation
Cardioversion w/out separate ECG cable
Pacing w/out separate ECG cable
Can complete pad be used on R-anterior? Any lost capabilities?
Yes, like others, just invert the Left anterior pad and place it on R anterior. In order to detect R-waves, need separate ECG cable.
Can still sense compressions and defibrillate.
Placement of One Step Basic Pad?
Posterior/L-anterior
Needs separate ECG cable.
When do I plug in the One Step ECG adaptor cable to back of defibrillator?
Only plug in the One Step ECG adapter if monitoring ECG thru One Step Cable.
When must One Step ECG adapter be unplugged?
When using standard ECG leads. They must be plugged into the back of the monitor.
Which pads have a built in 3 lead ECG?
One Step Complete and One Step Pacing Pads.
Which One Step Pads DO NOT have Built in 3-lead ECG?
One Step Basic and CPR
Internal Handles are used for which area of the body?
Open hearts when they fibrillate coming off pump.
What is the energy dose for internal handles on open heart?
10-20 Joules
