(2) TB 146 - Lifepak 15 Defibrillator Flashcards
Placing the defibrillator pads on patients chest:
• Upper- right sternal border directly below the clavicle.
• Lower- left midaxillary line between the _____ and _____ intercostal space.
5th and 6th intercostal
Lifepak 15: After pressing the red SHOCK button and system charges
If the SHOCK button is not pressed within ____ seconds, the stored energy is removed internally. Press CHARGE to restart charging.
60 seconds
Nitroglycerin patches can cause _______ between the defibrillator pads resulting in burns to the patient. Nitroglycerin patches must be removed and any residual paste wiped off prior to defibrillation.
arcing
Defibrillator pads should not be placed directly over a cardiac pacemaker.
Defibrillation pads may be placed where on a patient with an internal pacemaker?
place the defibrillation pads below or to the side of the pacemaker
The CPR metronome is a tool to be used as a timing aid during CPR. The metronome “tacks” at a rate of ____ DO/minute to guide the rescuer in performing chest compressions.
1 DO/minute
NIBP is more likely to be inaccurate in patients with profound ________.
If the NIBP reads a normal or elevated blood pressure but your patient shows signs of SHOCK confirm with a MANUAL blood pressure and treat accordingly.
hypotension
Pulse Oximeter
Pediatric patients age _____ or less require the disposable pediatric Sp02 sensor and the extension cable.
Consideration should be given to placement of the Sp02 sensor on the patient’s ______.
3
big toe
(For patients with thin or small fingers (e.g., pediatric or elderly patients), the pediatric sensor should be used.)
The pulse oximeter measures Sp02 levels between ____ to ____%.
Replace the sensor if the light is not flashing.
50%-100%
Keep in mind that Sp02 readings may not always be obtainable in _______ patients and in patients with opaque painted nails.
hypotensive, hypothermic patients
Carbon Monoxide Sensor
The SpCO value will automatically display on the LP 15 ONLY if the SpCO value is >10% and the Adult Sp02/SpCO Rainbow sensor (red base) is being used.
Carbon Monoxide poisoning is often missed, therefore CO screening should be performed on?
-All EMS patients (age 3 and over)
-firefighter rehabilitation
-all occupants of buildings with carbon monoxide detector alarm activations.
Carbon Monoxide sensor
A SpCO >____% is abnormal in any patient and mandates treatment with high flow oxygen via a non-rebreather mask (NRB) and hospital transport.
10%
What is the preferred site for the SpO2/CO sensor placement?
The ring, middle, or index finger on the patient’s NON-DOMINANT hand
Capnography can determine:
• If the endotracheal tube (ET) has been placed successfully.
• If adequate CPR compressions are being performed.
• Return of Spontaneous Circulation (ROSC).
• The effectiveness of administered ventilations.
12 Lead ECG
The six precordial chest lead electrodes are placed on specific locations. Locating the V1 position is critically important because it is the reference point for locating the placement of the remaining V leads.
Where shall the V1 lead be placed?
just to the right of the sternum, in the fourth intercostal space.
A 12-Lead ECG is required for patients complaining of any of the following signs/symptoms:
- Patients > 34 years of age who complain of non-traumatic chest pain.
- Patients >34 years of age who complain of SOB with no known history of asthma, COPD, or recent symptoms consistent with pneumonia.
- Diabetics with non-specific complaints, including nausea/vomiting, generalized weakness, etc.
- Elderly patients (age> 65) complaining of feeling weak and dizzy or had a syncopal episode or complain of SOB (regardless of previous history of lung disorders).
- Any patient whose past medical history or physical exam places them at risk for having an AMI.
