0
Should a defibrillator be used on a patient with a mechanical heart valve replacement?
Wiki User
∙ 14y ago
Yes. A damaged valve - the worst case scenario - is preferable to death by ventricular fibrillation.
Wiki User
∙ 14y ago
Wiki User
∙ 12y agoyes
Add your answer:
Earn +20 pts
Where due you place Defibrillator pad if patient has iv?
The answer to your question is dependent on why there is an IV where the pads should go. If they have an IV in the artery under the clavicle then they are in the Hospital and most likely in the ER, thus a Doctor should be present.
What precautions should be taken in prescription of the implantable cardioverter-defibrillator?
The implantable cardioverter-defibrillator should not be used on patients who faint from causes other than a known life-threatening ventricular arrhythmia, to treat slow heart rates, or during an emergency.
The joules for biphasic defibrillator cardioversion?
The starting joules should be 100-120. This will generally result in 90% first shock success in patients with persistent A-Fib.
How is a defibrillator used?
A defibrillator is primarily used for two conditions, Ventricular Fibrillation (V-Fib) and Ventricular Tachycardia (V-Tach). V-Fib is when the heart basically twitches and V-Tach is when it beats too fast to actually move blood. A defibrillator will NOT work if there is no electrical rhythm. If the heart is not beating and has no electrical activity at all (Asystole) then contrary to what happens in the movies, using a defibrillator would be pointless. In this situation, the only thing that can possibly "bring the patient back" is full life-support and cardiac drugs. ----------------------------------------------------------------------------------------------------------------- Few opportunities to "bring back" one who has died are as time sensitive as defibrillation. With trauma we have the golden hour. In the best EMS systems in the US with the fastest response times the save rate for out of hospital cardiac arrest is only 2%-15%. We are making some major changes for the better the last 2 years with the advent of Public Access Defibrillators, Hands Only CPR, and cerebral resusitation such as rapid cooling and induced comas in the hospital. We need to get a patient in Sudden Cardiac Arrest defibrillated in 1 to 3 minutes for a 70%-90% resusitation rate. Waiting the 8 minutes average response time for first responders equates to a 20% save rate or less. Any time a patient is not breathing and appears to be dead ( with few exceptions that it would not be appropriate to go into here) you should apply the AED as soon as possible. Do not delay CPR to wait for the AED but immediatly on arrival of the AED stop CPR as the pads are ready to be applied. If the arrest is witnessed ( if they have been down less then 5 minutes) immediatly allow the AED to analize the rhythm and follow it's instructions. If there will be a delay in arrival of the AED begin rapid compressions without breathing stopping when the AED has arrived and the pads are ready to be placed. If you have oxygen available put them on high flow oxygen with a nonrebreathing mask, air will be moved as in breathing as you compress and allow the chest to expand, after all, that is how you are breathing as you read this. If you do not know how long the patient has been down but it is likely more then 5 minutes do 200 compressions prior to applying the AED then follow it's instructions. If you are not currently certified in AED but have been trained in the past most States include you in the Good Samaritan limited immunity statutes. If nobody is using the AED then you should use it. The machine is so smart and so fail-safe that 6th graders with minimal training have demonstrated they can effectivly and safely use it. An AED can not shock a patient who is breathing and is not in a cardiac rhythm that requires a rapid shock to survive. No matter what you do or how many times you push the button you CAN NOT shock a patient who's life does not depend on you doing so. You do NOT have time to wait for Fire/EMS/PD to arrive, if you see or know there is an AED there and the patient is not breathing turn it on, follow the instructions given regardless of if your training is current or not.
What should you do if Drawing blood from the wrong patient?
report it asap and start looking for a new job...
Where due you place Defibrillator pad if patient has iv?
The answer to your question is dependent on why there is an IV where the pads should go. If they have an IV in the artery under the clavicle then they are in the Hospital and most likely in the ER, thus a Doctor should be present.
When should a rescuer deliver a shock with aed?
An automated external defibrillator (AED) should be used when the patient has cardiac arrest. This is when the heart suddenly stops beating; the AED will distribute a shock to the heart to try to get it beating again.
When should a pre cordial thump be delivered?
A pre-cordial thump is delivered to a patient in cardiac arrest in an effort to counter ventricullar fibrillation and restart the heart. It should only be delivered if the cardiac arrest was witnessed AND a defibrillator is not immediately available.
Does congestive heart failure improve with a pacemaker?
Yes, you should externally defibrillate a patient with a pacemaker who has gone into cardiac arrest. Chest compressions, rescue breathing and standard cardiac arrest procedures should be followed, while paying attention to the following points.EMS personnel should be aware that the pacemaker has its own implanted defibrillator and will fire charges at regular intervals. This should not harm the person doing chest compressions. A slight tingling feeling may be felt on the patient as the shock from the pacemaker is delivered. To avoid this, wear thick nitrile or latex gloves while doing chest compressions.The shock from the external defibrillator may cause damage to the pacemaker, and even interfere with it. To lessen the risk of this, the defibrillator should be placed on the lowest possible charge that is clinically accepted. If you notice that the implanted defibrillator and the external defibrillator both deliver a shock at the same time, standard procedure dictates that you wait 30 to 60 seconds prior to re-shocking with the external defibrillator. In the meantime, chest compressions and manual ventilation may be commenced.Intubation, artificial airways and other standard practices should be performed, despite the patient having a pacemaker.It is also vital that urgent medical help be called as with all cardiac arrest patients. Remember, cardiac arrest patients are not normally transported in the ambulance unless they are revived on scene.
Does extraordinary care mean that when caring for a comatose patient one should include CPR and mechanical breathing and chemotherapy and turning and hydration?
CPR and mechanical breathing, chemotherapy, turning and hydration
What you should do if you have an abnormal heartbeat?
Use of the Automated External Defibrillator (AED)
What precautions should be taken in prescription of the implantable cardioverter-defibrillator?
The implantable cardioverter-defibrillator should not be used on patients who faint from causes other than a known life-threatening ventricular arrhythmia, to treat slow heart rates, or during an emergency.
Should you used a tanning bed if you have an internal defibrillator?
You should never use a tanning bed. You'll get skin cancer.
What is a aed machine?
An AED or Automated External Defibrillator is the professional name for a defibrillator. The device is used to shock the heart back into a normal rhythm, ultimately reviving the casualty. The device should be used in conjunction with CPR, and should never be used on a breathing individual.
How long should someone take a drug for hip surgery recovery?
It depends about which type of hip replacement we are talking. There is a short and a long time recovery which also differs from patient to patient. It can take from 4 weeks to 6 months.
What is a good 7 day diet plan for a heart surgery patient?
A seven-day diet plan for a heart surgery patient would depend on the type of surgery and the underlying condition. For example, a valve replacement patient may not need significant fat and sodium restriction beyond that of a normal patient. A neonatal heart surgery patient should be on breastmilk.
What should you do after 2nd shock?
You should keep following the voice prompts of the Automated External Defibrillator (AED). As a first aider, we cannot analyse an ECG and as such we cannot see the heart rhythm. Keep shocking and doing CPR until help arrives, the patient recovers or your safety becomes threatened (heatlh/exhaustion included).
