Laurie's review Flashcards

(42 cards)

1
Q

Can torsades be cardioverted?

A

no defibrilated

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2
Q

What are the three requirements for reentry?

A

fast pathway
slow pathway
extra stimulus

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3
Q

What is life threatening with WPW?

A

A. fib

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4
Q

What is an indication for an ICD?

A

VT, VF

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5
Q

What is considered sustained VT?

A

> 30 seconds

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6
Q

What is the treatment for triggered VT (Torsades)?

A

Mg ++

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7
Q

What’s the survival rate for Sudden Cardiac Death?

A

20%

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8
Q

What does ICD stand for?

A

Implantable Cardioverter defibrillator

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9
Q

Where does automaticity happen and why?

A

phase 4
metabolic disturbances
electrolyte imbalances

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10
Q

What is a sensed refractory period?

A

The measure of time after an intrinsic impulse to inhibit shocking

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11
Q

What is a bin used for?

A

To measure the amount of intervals

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12
Q

What is the nominal amount of intervals in a bin?

A

12

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13
Q

What does HV stand for in ICDs?

A

High Voltage Shock

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14
Q

Everything in an ICD is programmed by what?

A

Rate

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15
Q

What does B stand for on pacing channel?

A

Bradycardia pacing

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16
Q

What does S stand for on pacing channel?

A

Sinus Rhythm

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17
Q

What happens when the bin is full?

A

Therapy is delivered

18
Q

What does the stars or dots on the EGM represent?

A

battery charging

19
Q

What is redetection?

A

After delivers therapy it reanalyzes the rhythm

20
Q

Whats the difference between defibrillation and cardioversion?

A

Cardioversion is a lower number of joules

21
Q

Describe the pulse width and voltage of the therapy

A

30-36J

10 - 20 ms

22
Q

What is the max output of an ICD?

23
Q

What is the biggest unit in the ICD?

24
Q

What does the capacitor due?

A

Stores the energy

25
What is reformation?
Periodically recharging the battery
26
What is ERI?
Elective Replacement Indicator
27
What are the two components of an ICD?
Capacitor | Battery
28
What is noncommited therapy?
The charge can be aborted if the rhythm is spontaneously converted to SR
29
What is non comited therapy?
The charge can be aborted if the rhythm is spontaneously converted to SR
30
True or False | Stored energy is always greater than delivered
True
31
What is biphasic pulse?
shocks from the can to the lead and back along the same vector
32
What is biphasic pulse?
shocks from the can to the lead and back along the same vector
33
What is the normal programmable vector for shocking?
classic Triade
34
What is ATP?
overdrive pacing
35
What is burst pacing?
a single series of sequential, rapid, paced, stimuli
36
What is ramp pacing?
Each stimuli in overdrive pacing is increased
37
What are the advantages of ATP?
no charge time
38
What is a normal EF?
55-65%
39
What is the normal O2 level in the LV?
95%
40
What is the first phase of Ventricular systole?
isovolumetric contraction
41
What is the dicrotic notch?
closure of the aortic valve
42
What is the normal O2 level in the RV?
65%