pacemaker AICD Flashcards
when would you do pacemaker therapy
symptomatic brady and symptomatic heart block
what are the components of a pacemaker?
electronic pulse generator and pacemaker electrodes
Where is a single chamber pacemaker placed
lead placed in atrium OR ventricle
where is a dual chamber pacemaker placed
one lead in the atrium AND one in the ventricle
which pacemaker is more likely to be affected by electromagnetic interference
single chamber pacemaker
What is the NASPE-BPEG code? (pacemaker)
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
what pacemaker code is most likely to have pacemaker syndrome
VVI
what is the definition of pacing
stimulating of the chamber
what may cause failure to capture in patients with a pacemaker
low battery or poor connection
what do hiccups indicate in patients with a pacemaker
that the pacemaker is pacing the diaphragm
what causes electromagnetic interference
MRI and airport security
what do you need before a pacemaker is inserted
informed consent, patent IV, defibrillator, emergency cart
vitals, ECG before during and after
what does the nurse monitor for pacemaker post op?
bleeding, hematoma, infection
What does an automatic implantable cardioverter defibrillator do
detects and terminates dysrhythmias
What is a major caution if a patient has an AICD and is having a cardiac emergency
do not put defibrillator paddles directly over device