Show:
Temporary Pacemakers
Possible Pacemaker Complications
Pacemaker Implications
Critical Thinking
Pacemaker Uses
100

What type of pacemaker can be used without surgery or a procedure?

What is Trancutaneous

100
The nurse should monitor for infection or ____ at the pacemaker wire insertion site of an invasive temporary pacemaker.
What is a Hematoma?
100
Use of this test monitors pacemaker function.
What is EKG/ECG?
100

Your patient ECG rhythm shows a failure to capture, what should you do?

What is turn down the sensitivity

100
This artificial device takes over the role of the heart's sinus node
What is a pacemaker?
200

This device is usually seen after valve surgery

What are epicardial wires?

200
This complex can occur due to the irritability form pacing wire in the ventricle.
What is PVCs (premature ventricular complexes)?
200
This may reduce patient anxiety.
What is Patient Teaching?
200

Your patient is bradycardia with a heart rate of 20 post valve surgery, what is your best intervention?

What is the epicardial wires activation

200

A pacemaker will most likely be implanted in a patient with this type of arrhythmia

What is A-fib, bradycardia, 2nd degree or 3rd degree?

300

Where would you find where your patient's heart rate should be?

What is an order set

300
Loss of this is noted by the presence of a pacing stimulus or spike but no QRS complex.
What is Capture?
300
These prevent affected arm and shoulder stiffness.
What are ROM exercises?
300

You assess your patient in the morning and note JVD and hypotension, what should you be concerned about?

What is Cardiac Tamponade

300

Patients with severe heart failure may need this type of device implanted

What is a CRT or Biventricular?

400

Can a dual chamber pacer be used for a single lead?

What is yes

400
This is noted by altered generator variables.
What is an electromagnetic interference?
400
This is used to identify lead placement.
What is a chest xray?
400

Your patient returned from having a permanent pacemaker inserted, you note diminished breath sounds and he is complaining of shortness of breath, what is your main concern?

 What is a Pneumothorax
400

This irregular heart rate will make your cardiologist consider implantation of a pacemaker

What is A fib?

500

What are the different types of temporary pacers?

What is transcutaneous, transvenous, and epicardial

500
Rhythmic contractions of the chest wall muscles or hiccups with the use of high current could lead to this in those with invasive temporary pacemakers.
What is Cardiac Tamponade?
500
This is EKG/ECG reading may indicate inappropriate sensing.
What is failure to pace?
500

Your patient's rhythm all of the sudden stopped pacing, what is your first intervention? Second?

What is a pulse and are the batteries good in the pacemaker?

500
A pacemaker will most likely be implanted after this cardiac glycoside has been tried and failed to be effective
What is Digoxin?