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19 Cards in this Set
- Front
- Back
WHAT ARE THE 2 TYPES OF INVASIVE TEMPORARY PACING?
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1.TRANSVENOUS-UNDER FLUROSCOPY,A CATHERTER CONTAINING 2 LEAD WIRES IS PERCUTANEOUSLY PUT THROUGH A VEIN TO THE RT VENTRICLE
2.EPICARDIAL-WIRES THREADED ON THE EPICARDIAL SURFACE |
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COMPLICATIONS OF INVASIVE TEMPORARY PACING:
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1.INFECTION OR HEMATOMA AT WIRE SITE
2.ECTOPIC COMPLEXES,LOSS OF CAPTURE,OVERSENSING,DISSLOCATION 3.BLEEDING 4.HEMOTHORAX DURING INSERTION 5.HICCUPS |
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WHAT ARE THE 2 TYPES OF PACEMAKERS?
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1.TEMPORARY-NON SURGICAL(FOR SHORT TIME)
2.PERMANENT-PULSE GENERATOR IMPLANTED IN POCKENT IN ANTERIOR CHEST |
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PERMANENT PACEMAKER
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1.PERFORMED FOR CONDUCTION D/O
2.POWERED BY LITHIUM BATTERY-LASTS 10 YRS 3.RATE RESPONSIVENESS 4.HYSTERESIS-SLOWS RATE 10-20 BEATS NURSING:ACTIV RESTICTED 24 HRS** |
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WHAT ARE THE MOST COMMON MODES OF PACING?
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1.VVI
2.DVI 3.DDD |
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PACING MODALITIES (ICHD IDENTIFICATION MODE)
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1.CHAMBER PACED (VAD)
2.CHAMBER SENSED (VADO) 3.RESPONSE (ITDO) |
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VENTRICULAR PACING
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REGULAR RHYTHM
NO P WAVES PACER ARTIFACT-BIG BLIP QRS IS WIDE |
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ATRIAL PACING
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REGULAR PACING
P WAVE NORMAL P-R INTERVAL NORMAL PACER ARTIFACT-SPIKE QRS WIDTH IS NORMAL |
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TROUBLESHOOTING FOR FAILURE TO CAPTURE (PACEMAKER FAILS TO STIMULATE IMPULSES),FAILURE TO SENSE(APICAL RATE HIGH),& FIRING LOSS (NO PACING SEEN):
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S/S:APICAL RATE IS BELOW PACEMAKER SETTING
-PACEMAKER SPIKE NOT FOLLOWED BY QRS -CONTINUOUS SENSE/PACE CAUSE:DISPLACEMENT OF LEAD,CATHETER SOLUTION:**TURN PT ON LEFT SIDE TO AID CATHETER CONTACT W/MYOCARDIUM |
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WHAT IS TEMPORARY PACING USED FOR?
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1.SYMPTOMATIC,ATROPINE REFRACTORY BRADYDYSRHYTHMIAS
2.HEART BLOCKS 3.ASYSTOLE 4.TO TERMINATE SYMPTOMATIC TACHYDYSRHYTHMIAS AS IN A FIB OR FLUTTER |
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IMPLANTABLE CARDIOVERTER/DEFIBRILLATOR
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FOR CLTS WHO HAVE VT OR FV UNRELATED TO MI
-PSYCHOLOGIAL PROFILE DONE (FOR FEAR W/ICD) -LEADS INTRODUCED PERCUTANEOUSLY -ACTIVATED/DEACTIVATED W/ MAGNET **PT MAY BECOME UNCONSIOUS AFTER SHOCKED |
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SYNCHRONOUS (DEMAND)
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PACEMAKERS SENSITIVITY IS SET TO SENSE THE CLT'S OWN BEATS
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ASYNCHRONOUS (FIXED RATE)
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DOESNT SENSE PTS BEAT
-FIRES AT FIXED RATE REGARDLESS USED FOR ASYSTOLE OR SEVERE BRADYCARDIA |
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PACEMAKER
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INTERVENTION THAT USES A PULSE GENERATOR (POWER SOURCE) TO DELIVER AN ARTIFICIAL STIMULUS TO THE HEART TO CAUSE ELECTRICAL DEPOLARIZATION & MYOCARDIAL CONTRACTION
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NON-INVASIVE TEMPORARY PACING
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2 LARGE ELECTRODES ATTACHED TO PT & CONNECTED TO THE EXTERNAL PULSE GENERATOR WHICH OPERATES ON BATTERY OR AC
-USED IN AN EMERGENCY (TO PROVIDE DEMAND VENTRICULAR PACING) |
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WHERE DOES THE PACEMAKER DELIVER THE STIMULUS?
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TO THE RIGHT ATRIUM,RT VENTRICLE, OR BOTH
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PROCEDURE FOR APPLYING PACEMAKER
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1.WASH SKIN W/SOAP & WATER
2.PLACE 1 ELECRODE ON PT'S BACK ON THE LFT SIDE BET THE SPINE & SCAPULA & BEHIND THE HEART 3.ANTERIOR ELECTRODE APPLIED TO CHEST OVER HEART,ON FEMALE..UNDER BREAST 4.SET RATE AS ORDERED 5.SET STIMULATION 6.TAKE VS PALPATE R RADIAL PULSE/CAROT |
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3 COMPLICATIONS FROM NTP (NON INVASIVE TEMPORARY PACING)
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1.DISCOMFORT
2.LOSS OF CAPTURE 3.INAPPROPIATE PACING |
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INVASIVE TEMPORARY PACING
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EXTERNAL,BATTERY-OPERATED PULSE GENERATOR
-WIRES GO THROUGH VEIN -PT DOESNT FEEL STIMULATION |