Ventricular Pacemaker by Jerae Doffin https://padlet.com/jeraedoffin/c2mv0juv8n2c en-us 2017-05-25 21:02:27 UTC 2017-05-26 16:01:55 UTC hello@padlet.com Indications jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173905476 -Sinus node dysfunction
-Acquired atrioventricular block
-Acute myocardial infarction
-Post cardiac transplantation
-Prevent tachycardia
-Congenital heart disease]]> 2017-05-25 21:09:18 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173905476 Contraindications jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173905612 -Local infection at site
-Active systemic infection with bacteremia
-Severe bleeding tendencies
-Active anti-coagulation therapy
-Severe lung disease and PEEP ventilation

]]> 2017-05-25 21:10:29 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173905612 Resources jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173905943 http://emedicine.medscape.com/article/1839735-overview#a1

https://www.nhlbi.nih.gov/health/health-topics/topics/pace/howdoes]]> 2017-05-25 21:13:31 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173905943 Placement of Device/How it Works/Change in HR jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173905959 The pacemaker is placed in the right ventricle.  
A pacemaker helps monitor and control your heart beat.  It has a battery and wires with electrodes at the tips. The battery runs the generator. The wires connect the generator to the heart.  It sends your heart's electrical activity information through the wires and to the generator.  If your heart beat is irregular or abnormal, the generator will send electrical pulses through the wires to your heart. ]]> 2017-05-25 21:13:42 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173905959 Complications jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173907502 -Failure to output
-Failure to capture
-Over-sensing
-Under-sensing
-Pacemaker syndrome

]]> 2017-05-25 21:29:10 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173907502 Patient Outcomes jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173908736 - Outcomes are usually high if the patient has a healthy lifestyle and they are on heart medication. ]]> 2017-05-25 21:41:21 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173908736 Hypotension/Hypertension jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173909132 Hypertension causes tachycardia.   Blood pressure medicine with help resolve this.   

Hypotension causes bradycardia. The pacemaker can help to increase the heart rate, but the patient will have to get on blood pressure medicine to help resolve this.

]]> 2017-05-25 21:45:34 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173909132 Case Study jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173909815 Mr. Foster had an MI 2 years ago.  Since then he has had intermittent occasions where his exercise capacity was limitted by SOB, and the feeling like his "heart was racing".  However, it was not consistent as to when it would occur.

His cardiologist had a 24 hour heart monitor recording and found he was having periods of atrial fibrillation and ventricular fibrillation on and off throughout the day with rates ranging aroun 124 bpm.  

He was subsequently scheduled for ablation procedure, which was followed by another 24 hour heart monitor recording.  The recording showed the ablation procedure was unsuccessful and he was still having atrial and ventricular fibrillation periods on and off throughout the day.

His cardiologist then prescribed him Amiodarone followed by 24 hours of monitoring.  He was then sent home with a prescription for amiodarone, and instructed to follow-up with the cardiologist in 3 weeks.

After 3 weeks he returned to his cardiologist.  When asked about how he had been feeling, he stated that he was having periods throughout the day where he would feel significantly fatigued, but no occasions of SOB or feelings of his heart racing, like he had experienced before starting the amiodarone.  During assessment his heart rate was found to be 32 bpm.  Another 24 hour heart monitor was ordered and it was found his heart rate was consistently below 60 beats per minute.

]]> 2017-05-25 21:55:20 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/173909815 Case Study Continued.. jeraedoffin https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/174011310 The Amiodarone seems to be taking care of the heart rhythms; however, the strength may need to be decreased since his HR is <60 bpm. If they experiment with the Amiodarone strengths, and he is still brady, a pacemaker would need to be implanted. This would send electrical impulses to the heart to increase the heart rate.]]> 2017-05-26 15:54:07 UTC https://padlet.com/jeraedoffin/c2mv0juv8n2c/wish/174011310