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Related Flashcards
Related Topics
Cards In This Set
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Low blood pressure, low heart rate, syncope = decreased cardiac output
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Signs and symptoms of those needing a pacemaker
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Sinus node dysfunction, chronic a-fib, extreme bradycardia, AV Blocks, Asystole, drug toxicities, lyte imbalance such as hyperkalemia
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Indications for pacemaker
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Lead displacement, arrhythmias, bleeding, infection, death, HICCOUGHS (pacing diaphragm)
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Risks and complications of pacemaker
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Sharp cp increased with inspiration, increased heart rate, hiccoughs, decreased BP, SOB
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Signs of perforation of the endocardium
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Pacemaker fails to recognize the patients own spontaneous atrial or ventricular activity an fires inappropriately
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Failure to Sense
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Could be caused by pacer lead fracture, low batteries, displaced electrode
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Failure to Sense/Failure to Capture
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Pacemaker is firing, but there is no heart contraction
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Failure to Capture
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Pacer spikes with no vent contraction on lead
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Failure to Capture
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Pacer spikes with spontaneous ventricular activity
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Failure to sense
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Fever, redness, swelling, unusual pain, drainage at site
Dizziness, palpitations, chest pain, UNUSUAL WEIGHT GAIN |
Pacemaker signs and symptoms to report
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O = NoneA = AtriumV = VentricleD = Dual (A+V)
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Categories of Pacemaker placement (chamber) and Chambers Sensed
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O = NoneT = TriggeredI = InhibitedD = Dual (T+I)
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Categories of Pacemaker Sensing Response
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Must be performed before ICD is implanted to determine energy levels needed to convert the client from V-fib/V-tach.
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EPS (electrophysiological study)
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The client should be lying or sitting and should notify the Dr. ASAP if...
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The ICD discharges.
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Anxiety and fear
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Pt's may feel this over future ICD charges (not a comfortable thing!)
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