Cardiac 2
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Questions and Answers

What is the purpose of turning off the defibrillator portion of an AICD in a patient receiving palliative care?

  • To prevent it from shocking the patient if their heart rhythm slows or increases (correct)
  • To save battery life
  • To activate a different kind of therapy
  • To increase the heart rate

Where are the pads placed in a transcutaneous pacemaker?

  • On the forehead
  • Between anterior and posterior of the patient (correct)
  • On the arms
  • On the legs

What is the typical size of an AICD?

  • Size of a credit card
  • Size of a penny
  • Size of a quarter
  • Size of a silver dollar (correct)

For which type of pacemaker is it necessary to be intubated during placement?

<p>Intracardiac pacemaker (A)</p> Signup and view all the answers

What does TEE stand for in medical imaging?

<p>Transesophageal Echocardiogram (D)</p> Signup and view all the answers

What must a patient undergoing outpatient TEE have before eating or going home?

<p>Fully awake and a gag reflex (A)</p> Signup and view all the answers

What is the purpose of an ICD (Implantable Cardioverter Defibrillator)?

<p>To deliver an electrical shock when abnormal heart rhythms are detected (B)</p> Signup and view all the answers

Where can an Intracardiac pacemaker be placed?

<p>During open heart surgery and attached to heart muscle (B)</p> Signup and view all the answers

What is the main difference between a Transthoracic and Transesophageal Echocardiogram?

<p>The position of the patient during the procedure (D)</p> Signup and view all the answers

What action should be taken if no issue is found after 48 hours following epicardiac pacemaker placement?

<p>It can be removed (A)</p> Signup and view all the answers

What is the primary purpose of cardioversion?

<p>To deliver a timed electrical current to the heart (B)</p> Signup and view all the answers

When is elective cardioversion considered appropriate?

<p>For dysrhythmias lasting longer than 48 hours (A)</p> Signup and view all the answers

In preparation for cardioversion, which medication is typically held?

<p>Digoxin (C)</p> Signup and view all the answers

What is the primary purpose of defibrillation?

<p>To restore a normal heart rhythm in emergency situations (A)</p> Signup and view all the answers

What distinguishes between monophasic and biphasic defibrillators?

<p>The direction of energy delivery and energy requirement (C)</p> Signup and view all the answers

What is the typical voltage range used in cardioversion compared to defibrillation?

<p>$50-100$ joules vs. $120-360$ joules (C)</p> Signup and view all the answers

What is the primary function of a pacemaker?

<p>To deliver electrical stimuli to the heart (C)</p> Signup and view all the answers

What distinguishes between fixed and demand pacemakers?

<p>Their ability to sense and respond to the heart's rhythm (B)</p> Signup and view all the answers

Which complication can arise from having a pacemaker inserted?

<p>Ectopy from irritation of electrodes/PVCs (A)</p> Signup and view all the answers

What are the criteria that an Implantable Cardioverter Defibrillator (ICD) typically responds to in order to shock?

<p>Heart rate exceeding a set level and changes in the isoelectric line segment (D)</p> Signup and view all the answers

What must be monitored before, during, and after a TEE procedure?

<p>Blood pressure, heart rate, and oxygen saturation (B)</p> Signup and view all the answers

What does a patient need to have before a TEE procedure?

<p>NPO status for at least 6 hours (A)</p> Signup and view all the answers

What is the advantage of a TEE procedure?

<p>Determines clotting in heart and more thorough than TTE (A)</p> Signup and view all the answers

What type of patient with heart disease may require a TEE procedure?

<p>New diagnosis of AFIB (B)</p> Signup and view all the answers

post-cardiac catheterization, what should be checked?

<p>Neuro checks, Swelling at site, back pain, make sure pt is latying flat and legs immobilized (A)</p> Signup and view all the answers

What is the gold standard for diagnosing heart disease?

<p>Cardiac Catheterization (A)</p> Signup and view all the answers

What is an important nursing care consideration post-cardiac catheterization?

<p>Patient must lay flat for at least 6 hours (B)</p> Signup and view all the answers

During a cardiac catheterization procedure, what is monitored post-op?

<p>BUN, PT/aPTT, INR, H&amp;H, Platelets and electrolytes (C)</p> Signup and view all the answers

In case of an allergy to contrast during cardiac catheterization, what would be administered pre-procedure?

<p>Benedryl Prednisone, and steroid (B)</p> Signup and view all the answers

What is the purpose of turning off the defibrillator portion of an AICD in a patient receiving palliative care?

<p>To prevent it from shocking the heart into rhythm (B)</p> Signup and view all the answers

What distinguishes a Transcutaneous pacemaker from an implanted generator or implanted leads pacemaker?

<p>Being temporary in nature (D)</p> Signup and view all the answers

What type of diagnostic testing is commonly used to help diagnose heart conditions through imaging?

<p>Echocardiograms (D)</p> Signup and view all the answers

Where are the pads typically placed in a Transcutaneous pacemaker?

<p>Between anterior and posterior of the patient (D)</p> Signup and view all the answers

What is the purpose of an Automated Implantable Cardioverter Defibrillator (AICD) other than serving as a pacemaker?

<p>To act as a defibrillator (C)</p> Signup and view all the answers

In which type of pacemaker placement would a patient have open heart surgery done and then have this pacemaker placed into them? & if there is not dysrhythmias or bradycardia for 48 hours it can be removed.

<p>epicardiac pacemaker (B)</p> Signup and view all the answers

When is it important to remember that a patient undergoing outpatient TEE must be fully awake?

<p>Before eating or going home (B)</p> Signup and view all the answers

What distinguishes an Actual Pacemaker with AICD from other types of pacemakers?

<p>Containing an Automated Implantable Cardioverter Defibrillator component (A)</p> Signup and view all the answers

'If no issue is found after 48 hours following Intracardiac pacemaker placement, what action can be taken?'

<p>'The device can be removed' (C)</p> Signup and view all the answers

What is the common site for placement of a Tranvenous pacemaker?

<p>Internal jugular vein (B)</p> Signup and view all the answers

What should a nurse do if a patient's site where cardiac catheterization was done is swelling?

<p>Compress the site and call for help (D)</p> Signup and view all the answers

What medication should a patient with borderline renal function have before a cardiac catheterization procedure?

<p>Oral mucamist mixed with OJ (C)</p> Signup and view all the answers

What is the responsibility of a nurse during cardioversion?

<p>Set up IV access, oxygen, BP cuff (C)</p> Signup and view all the answers

In case of an emergency defibrillation, what is the next step if multiple shocks are not effective?

<p>Consider Amiodarone or Cardioversion (B)</p> Signup and view all the answers

What should be present in a patient to successfully defibrillate?

<p>Absence of a pulse (B)</p> Signup and view all the answers

What is the primary purpose of external electrical therapy such as defibrillation?

<p>To treat tachyarrhythmias by depolarizing heart muscle cells (B)</p> Signup and view all the answers

What should be monitored post-cardiac catheterization besides lab values?

<p>Pulses and site for swelling (B)</p> Signup and view all the answers

What is the correct response if a patient has severe back pain during a cardiac catheterization?

<p>Place in reverse Trendelenburg position (B)</p> Signup and view all the answers

What medication may or may not be given during IV site insertion for cardiac catheterization?

<p>Heparin (D)</p> Signup and view all the answers

What is the indication for urgent cardioversion?

<p>Ventricular fibrillation lasting longer than 48 hours (D)</p> Signup and view all the answers

What is the purpose of holding Digoxin before cardioversion?

<p>To reduce the risk of arrhythmias (B)</p> Signup and view all the answers

In which scenario is defibrillation typically used?

<p>Pulseless ventricular tachycardia (C)</p> Signup and view all the answers

What distinguishes monophasic defibrillators from biphasic defibrillators?

<p>Energy delivery in one direction (D)</p> Signup and view all the answers

Which heart blocks require need for a pacemaker?

<p>Second degree &amp; Third degree (C)</p> Signup and view all the answers

What should be done immediately after implanting a pacemaker?

<p>Get a chest X-ray to check lead placement and for pneumothorax (A)</p> Signup and view all the answers

When would an ICD typically shock a patient?

<p>When the patient's heart rate is rises a set level &amp; changes in isoelectric line segment (A)</p> Signup and view all the answers

What is a significant difference between fixed and demand pacemakers?

<p>'Fixed' pacemakers are set to pace but not sense, while 'demand' pacemakers respond to heart rhythm firing only when needed. (D)</p> Signup and view all the answers

What does Twiddler syndrome refer to in relation to pacemakers?

<p>Patient manipulation leading to dislodged electrodes due to excessive touching (A)</p> Signup and view all the answers

What meds are used during start of CPR

<p>Epinephrine every 3-5min (C)</p> Signup and view all the answers

If CPR epi and defibrillation are not working what would be the next step?

<p>Adminster Amiodarone 300mg IV push (A)</p> Signup and view all the answers

You see a bradycardic EKG what is the first step in caring for this patient

<p>Administer atropine 1amp IV push to stabilize HR &amp; place pacemakers to pace (D)</p> Signup and view all the answers

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