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Marcapasos en Cuidados Intensivos

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Marcapasos en Cuidados Intensivos

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Quiz sobre marcapasos

Created by

David Cortés Aviles
David Cortés Aviles
Mexico

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Marcapasos en Cuidados Intensivos
 

Marcapasos en Cuidados IntensivosOnline version

Quiz sobre marcapasos

by David Cortés Aviles
1

¿Qué describe el modo DDD en un marcapasos?

2

VDD: ¿Qué hace el marcapasos?

3

¿Qué ocurre en un fallo de captura?

4

Verdadero o falso: la falla de sensado implica que el marcapasos no detecta la actividad cardíaca.

5

Relaciona columnas: Marcapasos DDI, DDDR, VVIR con su característica.

6

¿Qué significa la letra R en el código de marcapasos?

7

Caso clínico: un paciente con marcapaso DDD presenta espigas auriculares y ventriculares sincronizadas. ¿Qué indica eso?

8

Caso clínico: FC 110 lpm, PA 95/60, dolor torácico, trazado con espigas presentes pero sin P-V activo. ¿Primera intervención de enfermería?

9

Caso clínico 2: FC 70, PA 120/80, mareo, trazado con espigas auriculares pero no ventriculares. ¿Intervención inicial?

Explicación

DDD significa dual sensado y estimulación dual con sincronía AV.

VDD sensa en aurícula y ventrículo, estimula solo cuando es necesario.

La falla de captura es cuando el latido del marcapasos no genera activación muscular.

La falla de sensado es cuando no detecta el complejo de cada latido.

Comprender las combinaciones de estimulación y sensado por cámara.

R indica respuesta de la frecuencia ante la actividad física.

Espigas en aurícula y ventrículo sugieren captación y sensado efectivos.

FC elevada con espigas sin respuesta requiere evaluación de captura/sensado.

Sin espigas ventriculares indica falla de captura ventricular; corregir estimulación.

 
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