Question

In: Nursing

Match the definitions with one of the following two terms: transcutaneous, transvenous. Definitions: through the skin,...

Match the definitions with one of the following two terms: transcutaneous, transvenous.

Definitions: through the skin, through a vein.

Using the terms above, which type of pacemaker is implanted permanently? Which type of pacemaker is used temporarily such as in emergencies? List the indications for permanent pacemaker insertion. List a few arrhythmias that might need to have pacing in an emergency.

Expert Solution

Transcutaneous means through the skin.

Transvenous means through a vein.

TYPE OF PACEMAKER PERMANENTLY IMPLANTED -- Transvenous pacemaker . it's permanent when transcutaneous pacemaker is not of use and this is done by electrode pacing through a central large vein to the node which is present near in right atrium or right ventricle.

TYPE OF PACEMAKER USED TEMPORARILY SUCH IN EMERGENCIES-- Transcutaneous pacemaker. It is also used in Symptomatic bradycardia along with in emergency like Myocardial infarction, complete heart block but it is temporary until the patient stabilize by permanent pacing . In this situation the electric current is being sent through the skin by placing it on the chest.

INDICATIONS FOR PERMANENT PACEMAKER INSERTION--

1) if atrium is involved in arrhythmia like -- most cases sinus node dysfunction.

2) Atrioventricular nodal block is present.

3)post cardiac transplant.

4) congenital heart disease.

5) neurocardiogenic syncope .

6) chronic bifascicular block.

7)In patient with severe systolic heart failure.

LIST OF ARRHYTHMIA NEED TO HAVE PACING IN AN EMERGENCY--

1) arrhythmia which involves the atrium like - atrial flutter, atrial fibrillation , junctional rhythm failure in diastolic period.

2) supraventricular Bradyarrhythmia like sinus node dysfunction.

3) ventricular tachycardia.

4) Atrioventricular nodal dysfunction like in second degress type 2 heart block.

5) Torsade de pointes.

Nightingale answered 2 years ago

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