NUR 431L FINAL EXAM (ELECTRICAL)
QUESTIONS AND ANSWERS
1. Turn pacer on and set to 60 PPM, dial up current until you see a spike prior to q QRS
(in video, went to 80 and gave 10 safety room so set to 90 mA)
2. Check VS, LOC, meds - Answer-Transcutaneous pacing:
LPNs, RNs, or experienced personnel are responsible for monitoring these monitors -
Answer-All pt's in the ICU get telemetry
-Adhesive stickers resistance (gel dries out and needs replacement so clean skin and
apply new leads)
-Battery power- telemetry team can tell when batteries are running low and will call and
alert you
-Bad wires
-The head of lead can become separated from the wire
-Pt can walk out of receiving parameter (won't transmit that far) - Answer-Limitations of
ECG
•Maintain SBP of at least 90 mmHg and O2 sat of at least 94%.
•May give 1-2 L NS or LR and/or give vasopressor infusion.
•Consider therapeutic hypothermia if patient remains unconscious after ROSC to
optimize neurologic recovery.
•Optimizing oxygenation, ventilation and perfusion, especially to brain and heart, is
primary goal after ROSC is achieved.
•Identify and treat causes of arrest to prevent recurrence.
•Transport to hospital if out of hospital or ICU if on the hospital floor - Answer-RETURN
OF SPONTANEOUS CIRCULATION (ROSC)
1. Turn machine ON
2. Open door to turn on manual mode
3. Start at 200 J of energy (for defibrillation)
4. Hit the home key if you need to dump the charge - Answer-Defib & Lifepak 20: This
lifepak can be operated in AED mode or manual mode.
1. Turn on and open door
2. No CPR
3. Press the synch button first- ensures we will deliver energy in the exact amount of
time we need to base on the pt's cardiac rhythm
4. Start at 50 Jules - Answer-Synchronize cardioversion:
-gives us almost a 360 picture of the heart, see most of the data points one would want
to see
-place over muscle, not bone
QUESTIONS AND ANSWERS
1. Turn pacer on and set to 60 PPM, dial up current until you see a spike prior to q QRS
(in video, went to 80 and gave 10 safety room so set to 90 mA)
2. Check VS, LOC, meds - Answer-Transcutaneous pacing:
LPNs, RNs, or experienced personnel are responsible for monitoring these monitors -
Answer-All pt's in the ICU get telemetry
-Adhesive stickers resistance (gel dries out and needs replacement so clean skin and
apply new leads)
-Battery power- telemetry team can tell when batteries are running low and will call and
alert you
-Bad wires
-The head of lead can become separated from the wire
-Pt can walk out of receiving parameter (won't transmit that far) - Answer-Limitations of
ECG
•Maintain SBP of at least 90 mmHg and O2 sat of at least 94%.
•May give 1-2 L NS or LR and/or give vasopressor infusion.
•Consider therapeutic hypothermia if patient remains unconscious after ROSC to
optimize neurologic recovery.
•Optimizing oxygenation, ventilation and perfusion, especially to brain and heart, is
primary goal after ROSC is achieved.
•Identify and treat causes of arrest to prevent recurrence.
•Transport to hospital if out of hospital or ICU if on the hospital floor - Answer-RETURN
OF SPONTANEOUS CIRCULATION (ROSC)
1. Turn machine ON
2. Open door to turn on manual mode
3. Start at 200 J of energy (for defibrillation)
4. Hit the home key if you need to dump the charge - Answer-Defib & Lifepak 20: This
lifepak can be operated in AED mode or manual mode.
1. Turn on and open door
2. No CPR
3. Press the synch button first- ensures we will deliver energy in the exact amount of
time we need to base on the pt's cardiac rhythm
4. Start at 50 Jules - Answer-Synchronize cardioversion:
-gives us almost a 360 picture of the heart, see most of the data points one would want
to see
-place over muscle, not bone
