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Simultaneous Transthoracic Defibrillation With Two Defibrillators for Refractory Ventricular Fibrillation A Literature Review

Simultaneous Transthoracic Defibrillation With Two Defibrillators for Refractory Ventricular... EARN CE CREDIT ONLINE Go to http://www.nursingcenter.com/CE/AENJ and receive a certificate within minutes. CE Test Simultaneous Transthoracic Defibrillation With Two Defibrillators for Refractory Ventricular Fibrillation: A Literature Review Test Instructions For questions, contact Lippincott Williams & Wilkins: CEP 11749 for 2.0 contact hours. LWW is also an ap- Read the article. The test for this CE activity can only be 1-800-787-8985. proved provider of continuing nursing education by the taken online at http://www.nursingcenter.com/CE/AENJ. Registration deadline is March 31, 2017. District of Columbia #50-1223 and Florida #50-1223. Tests can no longer be mailed or faxed. Your certificate is valid in all states. You will need to create (its free!) and login to your The ANCC’s accreditation status of Lippincott Provider Accreditation personal CE Planner account before taking online tests. Williams & Wilkins Department of Continuing Educa- Lippincott Williams & Wilkins, the publisher of Advanced Your planner will keep track of all your Lippincott Williams tion refers only to its continuing nursing educational Emergency Nursing Journal, will award 2.0 contact hours & Wilkins online CE activities for you. activities and does not imply Commission on Accred- including 0.0 Pharmacology credits for this continuing There is only one correct answer for each question. itation approval or endorsement of any commercial nursing education activity. A passing score for this test is 13 correct answers. If product. Lippincott Williams & Wilkins is accredited as you pass, you can print your certificate of earned contact a provider of continuing nursing education by the hours and access the answer key. If you fail, you have Disclosure Statement American Nurses Credentialing Center’s Commission on the option of taking the test again at no additional cost. The authors and planners have disclosed that they have Accreditation. no financial relationships related to this article. This activity is also provider approved by the Cal- ifornia Board of Registered Nursing, Provider Number CE TEST QUESTIONS General Purpose: To provide information on the 6. A nonmodifiable patient factor 13. In the report by Chang et al. (2008), use of two defibrillators for simultaneous defibrillation in leading to increased transthoracic outcomes for the patient included an patients with refractory ventricular fibrillation (VF). impedance is elevated Learning Objectives: After reading the article and a. edema of the thoracic cage. a. troponin level. taking this test, you should be able to: b. hyperthermia. b. creatine kinase level. 1. Identify characteristics of VF and impediments and c. moisture on the skin. c. blood pressure. facilitators to successful defibrillation. 7. Modifiable patient factors contribut- 14. Rodriguez et al. (2005) reported the 2. Examine results from studies evaluating the use of ing to transthoracic impedance largest predictor of unsuccessful simultaneous defibrillation or cardioversion with two include cardioversion was defibrillators. a. obesity. a. patient weight. b. excessive chest hair. b. position of the electrodes. 1. The first phase of VF is the c. pleural effusion. c. a history of hypertension. a. metabolic phase. 8. Transthoracic impedance is 15. Complications of simultaneous b. circulatory phase. increased when energy is delivered cardioversion with two defibrillators c. electrical phase. a. using the anteroposterior pad position. reported by Alaeddini et al. (2005) 2. The circulatory phase of VF lasts b. as “stacked” shocks. included between c. at full inspiration. a. congestive heart failure. a. 0and 3min. 9. Impedance is decreased with b. transient sinus bradycardia. b. 5 and 15 min. a. an increase in the number of shocks delivered. c. thromboembolic events. c. 20 and 25 min. b. greater distance between electrodes. 16. After simultaneous cardioversion 3. Biphasic defibrillators deliver c. self-adhesive electrodes. with two defibrillators, Kabukcu et al. a. unidirectional energy flow from one paddle to 10. Factors that increase the (2004) reported that a few patients another. defibrillation threshold include all of had b. simultaneous bidirectional energy flow from the following except a. multifocal premature ventricular contractions. one paddle to the opposite paddle. a. chronic lung disease. b. third-degree atrioventricular block. c. energy from one paddle to the other and then b. low body mass index. c. transient ST elevation. the energy flow is reversed. c. cardiac ischemia. 17. Patient reports of skin burns after 4. A low-energy biphasic defibrillator 11. The 1990 study by Lerman and simultaneous cardioversion in the can deliver a maximum of Deale revealed approximately how Saliba et al. (1999) study were a. 150 J. much transthoracic current delivered a. less significant than those observed with stan- b. 200 J. reaches the heart? dard cardioversion. c. 360 J. a. 4% b. worse than those observed with standard car- 5. Transthoracic impedance is b. 40% dioversion. described as c. 80% c. similar to those observed with standard car- a. a measure of opposition to electric current. 12. Results from the 2007 study by Jones dioversion. b. the level at which shock strength is delivered and Lode suggest that a lethal dose 18. As noted in the article, indicators for to defibrillate the heart. simultaneous defibrillation with two of energy for 50% of the population c. the direction of energy flow across the my- would be about defibrillators for refractory VF include ocardium. a. 1,000 J. a(n) b. 3,000 J. a. patient history of aortic aneurysm. c. 33,000 J. b. cerebral thromboembolic event. c. electrolyte imbalance. E1 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Simultaneous Transthoracic Defibrillation With Two Defibrillators for Refractory Ventricular Fibrillation A Literature Review

Advanced Emergency Nursing Journal , Volume 37 (1) – Jan 1, 2015

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© 2015 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0000000000000054

Abstract

EARN CE CREDIT ONLINE Go to http://www.nursingcenter.com/CE/AENJ and receive a certificate within minutes. CE Test Simultaneous Transthoracic Defibrillation With Two Defibrillators for Refractory Ventricular Fibrillation: A Literature Review Test Instructions For questions, contact Lippincott Williams & Wilkins: CEP 11749 for 2.0 contact hours. LWW is also an ap- Read the article. The test for this CE activity can only be 1-800-787-8985. proved provider of continuing nursing education by the taken online at http://www.nursingcenter.com/CE/AENJ. Registration deadline is March 31, 2017. District of Columbia #50-1223 and Florida #50-1223. Tests can no longer be mailed or faxed. Your certificate is valid in all states. You will need to create (its free!) and login to your The ANCC’s accreditation status of Lippincott Provider Accreditation personal CE Planner account before taking online tests. Williams & Wilkins Department of Continuing Educa- Lippincott Williams & Wilkins, the publisher of Advanced Your planner will keep track of all your Lippincott Williams tion refers only to its continuing nursing educational Emergency Nursing Journal, will award 2.0 contact hours & Wilkins online CE activities for you. activities and does not imply Commission on Accred- including 0.0 Pharmacology credits for this continuing There is only one correct answer for each question. itation approval or endorsement of any commercial nursing education activity. A passing score for this test is 13 correct answers. If product. Lippincott Williams & Wilkins is accredited as you pass, you can print your certificate of earned contact a provider of continuing nursing education by the hours and access the answer key. If you fail, you have Disclosure Statement American Nurses Credentialing Center’s Commission on the option of taking the test again at no additional cost. The authors and planners have disclosed that they have Accreditation. no financial relationships related to this article. This activity is also provider approved by the Cal- ifornia Board of Registered Nursing, Provider Number CE TEST QUESTIONS General Purpose: To provide information on the 6. A nonmodifiable patient factor 13. In the report by Chang et al. (2008), use of two defibrillators for simultaneous defibrillation in leading to increased transthoracic outcomes for the patient included an patients with refractory ventricular fibrillation (VF). impedance is elevated Learning Objectives: After reading the article and a. edema of the thoracic cage. a. troponin level. taking this test, you should be able to: b. hyperthermia. b. creatine kinase level. 1. Identify characteristics of VF and impediments and c. moisture on the skin. c. blood pressure. facilitators to successful defibrillation. 7. Modifiable patient factors contribut- 14. Rodriguez et al. (2005) reported the 2. Examine results from studies evaluating the use of ing to transthoracic impedance largest predictor of unsuccessful simultaneous defibrillation or cardioversion with two include cardioversion was defibrillators. a. obesity. a. patient weight. b. excessive chest hair. b. position of the electrodes. 1. The first phase of VF is the c. pleural effusion. c. a history of hypertension. a. metabolic phase. 8. Transthoracic impedance is 15. Complications of simultaneous b. circulatory phase. increased when energy is delivered cardioversion with two defibrillators c. electrical phase. a. using the anteroposterior pad position. reported by Alaeddini et al. (2005) 2. The circulatory phase of VF lasts b. as “stacked” shocks. included between c. at full inspiration. a. congestive heart failure. a. 0and 3min. 9. Impedance is decreased with b. transient sinus bradycardia. b. 5 and 15 min. a. an increase in the number of shocks delivered. c. thromboembolic events. c. 20 and 25 min. b. greater distance between electrodes. 16. After simultaneous cardioversion 3. Biphasic defibrillators deliver c. self-adhesive electrodes. with two defibrillators, Kabukcu et al. a. unidirectional energy flow from one paddle to 10. Factors that increase the (2004) reported that a few patients another. defibrillation threshold include all of had b. simultaneous bidirectional energy flow from the following except a. multifocal premature ventricular contractions. one paddle to the opposite paddle. a. chronic lung disease. b. third-degree atrioventricular block. c. energy from one paddle to the other and then b. low body mass index. c. transient ST elevation. the energy flow is reversed. c. cardiac ischemia. 17. Patient reports of skin burns after 4. A low-energy biphasic defibrillator 11. The 1990 study by Lerman and simultaneous cardioversion in the can deliver a maximum of Deale revealed approximately how Saliba et al. (1999) study were a. 150 J. much transthoracic current delivered a. less significant than those observed with stan- b. 200 J. reaches the heart? dard cardioversion. c. 360 J. a. 4% b. worse than those observed with standard car- 5. Transthoracic impedance is b. 40% dioversion. described as c. 80% c. similar to those observed with standard car- a. a measure of opposition to electric current. 12. Results from the 2007 study by Jones dioversion. b. the level at which shock strength is delivered and Lode suggest that a lethal dose 18. As noted in the article, indicators for to defibrillate the heart. simultaneous defibrillation with two of energy for 50% of the population c. the direction of energy flow across the my- would be about defibrillators for refractory VF include ocardium. a. 1,000 J. a(n) b. 3,000 J. a. patient history of aortic aneurysm. c. 33,000 J. b. cerebral thromboembolic event. c. electrolyte imbalance. E1

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Jan 1, 2015

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