pacemaker AICD Flashcards

1
Q

when would you do pacemaker therapy

A

symptomatic brady and symptomatic heart block

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2
Q

what are the components of a pacemaker?

A

electronic pulse generator and pacemaker electrodes

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3
Q

Where is a single chamber pacemaker placed

A

lead placed in atrium OR ventricle

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4
Q

where is a dual chamber pacemaker placed

A

one lead in the atrium AND one in the ventricle

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5
Q

which pacemaker is more likely to be affected by electromagnetic interference

A

single chamber pacemaker

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6
Q

What is the NASPE-BPEG code? (pacemaker)

A

First: paced
A: atrium
V: ventricle
D: dual
Second: sensed
A; V; D
Third: response
I: inhibited
Response of the pacemaker is controlled by the activity of the patient’s heart
T: triggered
Response when it senses intrinsic heart activity (p wave)
D: dual

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7
Q

what pacemaker code is most likely to have pacemaker syndrome

A

VVI

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8
Q

what is the definition of pacing

A

stimulating of the chamber

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9
Q

what may cause failure to capture in patients with a pacemaker

A

low battery or poor connection

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10
Q

what do hiccups indicate in patients with a pacemaker

A

that the pacemaker is pacing the diaphragm

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11
Q

what causes electromagnetic interference

A

MRI and airport security

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12
Q

what do you need before a pacemaker is inserted

A

informed consent, patent IV, defibrillator, emergency cart
vitals, ECG before during and after

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13
Q

what does the nurse monitor for pacemaker post op?

A

bleeding, hematoma, infection

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14
Q

What does an automatic implantable cardioverter defibrillator do

A

detects and terminates dysrhythmias

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15
Q

What is a major caution if a patient has an AICD and is having a cardiac emergency

A

do not put defibrillator paddles directly over device

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16
Q

How is an electrophysologic study done

A

Invasive cardiac catherization