Nurse Nacole
1,209 FOLLOWERS
Nacole Riccaboni is a board-certified registered nurse, blogs about advanced nursing education and being a new nurse. She posts daily nursing tips, bedside nursing resources, practices, along with advice on nursing academics, licensing exams, professionalism, and nursing school success.
Nurse Nacole
1h ago
Category: Fundamentals
Pacemakers are classified according to a standard five-letter code. The first letter designates the chamber that receives the pacing current, the second, the sensing chamber, and the third, the pacemaker's response to sensing ..read more
Nurse Nacole
23h ago
Category: Fundamentals
In essence, a pacemaker consists of an electrical pulse–generating device and a lead system that senses intrinsic cardiac signals and then delivers a pulse. The pulse generator is hermetically sealed with a lithium-based battery device ..read more
Nurse Nacole
2d ago
Category: Fundamentals
Patients with pulseless VT should be initially shocked with 200 J, followed by 300 J if the first shock is not successful. Reentrant SVTs generally respond to low energy levels. Atrial flutter, for example, usually requires less than 50 J for conversion ..read more
Nurse Nacole
3d ago
Category: Fundamentals
Cardioversion with 10 to 20 J is successful in converting ventricular tachycardia in more than 80% of cases. Cardioversion will be accomplished with 50 J in 90% of cases, and conversion should initially be attempted at this energy level ..read more
Nurse Nacole
4d ago
Category: Fundamentals
The amount of energy required for cardioversion varies with the type of dysrhythmia, the degree of metabolic derangement and the configuration and thickness of the chest wall ..read more
Nurse Nacole
5d ago
Category: Fundamentals
Cardioversion may be extremely painful or terrifying, and patients must be adequately sedated before its use. Patients who are not adequately sedated may experience extreme anxiety and fear ..read more
Nurse Nacole
6d ago
Category: Fundamentals
Cardioversion is a direct current “shock” across the chest or directly across the ventricle to normalize the conduction pattern of a rapidly beating heart. This shock is delivered during the absolute refractory period of the ECG QRS ..read more
Nurse Nacole
1w ago
Category: Fundamentals
The most common terminal rhythms reported in children younger than 17 years are PEA, bradycardia and asystole. The etiology of these pediatric arrhythmias is most often hypoxemia, hypotension, hypoglycemia and acidemia ..read more
Nurse Nacole
1w ago
Category: Fundamentals
Ventricular fibrillation (VF) is much less common in children than in adults. The etiology of VF and sudden cardiac death in children is most likely to be sudden infant death syndrome, respiratory compromise, sepsis and neurologic disease ..read more
Nurse Nacole
1w ago
Category: Fundamentals
Cardiac arrest in infants and children should initially be considered to be secondary to respiratory arrest. Sudden cardiac death, ventricular fibrillation, and pulseless ventricular tachycardia are much less likely to occur in children than in adults ..read more