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</p> Signup and view all the answers

    What does TEE stand for in medical imaging?

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

    Where can an Intracardiac pacemaker be placed?

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

    What is the primary purpose of cardioversion?

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

    When is elective cardioversion considered appropriate?

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

    In preparation for cardioversion, which medication is typically held?

    <p>Digoxin</p> Signup and view all the answers

    What is the primary purpose of defibrillation?

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

    What distinguishes between monophasic and biphasic defibrillators?

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

    What is the primary function of a pacemaker?

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

    Which complication can arise from having a pacemaker inserted?

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

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

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

    What is the gold standard for diagnosing heart disease?

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

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

    <p>Echocardiograms</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</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</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</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</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</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'</p> Signup and view all the answers

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

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

    What is the responsibility of a nurse during cardioversion?

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

    What should be present in a patient to successfully defibrillate?

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

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

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

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

    <p>Heparin</p> Signup and view all the answers

    What is the indication for urgent cardioversion?

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

    What is the purpose of holding Digoxin before cardioversion?

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

    In which scenario is defibrillation typically used?

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

    What distinguishes monophasic defibrillators from biphasic defibrillators?

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

    Which heart blocks require need for a pacemaker?

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

    What meds are used during start of CPR

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

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