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DEFIBRILLATOR TYPES OF DYSRHYTMIA

- A MACHINE THAT SEND A BRIEF HIGH TACHYCARDIA


ELECTRIC SHOCK TO THE HEART
- ANALYZES AN ABNORMAL ACTIVITY OF IS A HEART RATE THAT EXCEEDS THE
THE HEART NORMAL RESTING RATE. IN GENERAL, A
RESTING HEART RATE OVER 100 BEATS PER
TYPES OF DEFIBRILLATOR MINUTE

A.) EXTERNAL MANUAL DEFIBRILLATOR


B.) INTERNAL MANUAL DEFIBRILLATOR
C.) AUTOMATED EXTERNAL
DEFIBRILLATOR (AED)
D.) IMPLANTABLE CARDIOVERTER
DEFIBRILLATOR

SHORT HISTORY

- 1899 – DEFIBRILLATOR WAS FIRST A.) SUPRAVENTRICULAR


DEMONSTRATED BY JEAN-LOUIS
PREVOST AND FREDERIC BATELLI. IS AN ABNORMALLY FAST HEART RHYTHM
- 1933 – DR. ALBERT HYMAN LOOKS FOR ARISING FROM IMPROPER ELECTRICAL
AN ALTERNATIVE FOR INJECTING ACTIVITY IN THE UPPER PART OF THE HEART.
POWERFUL DRUGS. (HYMAN OTOR)
B.) VENTRICULAR
- 1930 – WILLIAM KOUWENHOVEN
INVENTED THE EXTERNAL IS A PULSE OF MORE THAN 100 BEATS PER
DEFIBRILLATOR. MINUTE WITH AT LEAST THREE IRREGULAR
- 1947 – FIRST USED ON HUMAN BY HEARTBEATS IN A ROW.
CLAUDE BECK
- 1965 – PROFESSOR FRANK PANTRIDGE BRADYCARDIA
INVENTS PORTABLE DEFIBRILLATOR
USING HUGE LEAD-ACID CAR ABNORMALLY SLOW HEART ACTION.
BATTERY.

DEFIBRILLATION

- IT IS DONE IF THE DEFIBRILLATOR


SENSES ABNORMAL HEART ACTIVITY
- DEFIBRILLATION IS NON
SYNCHRONIZED RANDOM
ADMINISTRATION OF SHOCK DURING A PARTS OF DEFIBRILLATOR
CARDIAC CYCLE.

TYPES OF DEFIBRILLATION

- MONOPHASIC DEFIBRILLATION
-CURRENT PASSES IN ONE DIRECTION.
- BIPHASIC DEFIBRILLATION
-CURRENT PASSES FROM ONE
DIRECTION AND THEN GO BACK.

TREATED ILLNESS/DISEASE

CARDIAC ARRESTS

- SUDDEN STOP OF BEATING OF THE


HEART

FIBRILLATION

- AN ABNORMAL PATTERN ON THE


ELECTRICAL SIGNALS THAT
COMMANDS THE HEART

CARDIAC DYSRHYTHMIA

- A CARDIAC DYSRHYTHMIA IS AN
ABNORMAL HEART BEAT: THE
RHYTHM MAY BE IRREGULAR IN ITS 1.) CONTROL SYSTEM
PACING OR THE HEART RATE MAY BE 2.) ELECTRODES/PADDLES/ADHESIVE
LOW OR HIGH. 3.) MEMORY STORAGE
4.) PAD CONNECTORS
5.) POWER SOURCE
HOW DOES IT WORK? 2. SUPERFICIAL ARCING OF THE CURRENT
ALONG THE CHEST WALL CAN OCCUR AS A
A BUILT-IN COMPUTER CHECKS A VICTIM’S CONSEQUENCE OF THE PRESENCE OF
HEART RHYTHM THROUGH ADHESIVE CONDUCTIVE PASTE OR GEL BETWEEN THE
ELECTRODES. THE COMPUTER CALCULATES PADDLES.
WHETHER DEFIBRILLATION IS NEEDED. IF IT
IS, A RECORDED VOICE PROMPTS THE 3. MALFUNCTION OF PERMANENT
RESCUER TO PRESS THE SHOCK BUTTON ON PACEMAKERS CAN RESULT FROM PLACING
THE AED. THIS SHOCK MOMENTARILY STUNS DEFIBRILLATOR PADS OR PADDLESNEAR THE
THE HEART AND STOPS ALL ACTIVITY. IT PACEMAKER.
GIVES THE HEART THE CHANCE TO RESUME
BEATING EFFECTIVELY. AUDIBLE PROMPTS 4. SHOULD BE DONE BY A WELL TRAINED
GUIDE THE USER THROUGH THE PROCESS. MEDICAL PERSONNEL.
AEDS ADVISE A SHOCK ONLY FOR
5. THE AREA SHOULD BE CLEARED FROM ANY
VENTRICULAR FIBRILLATION OR ANOTHER CONDUCTORS.
LIFE-THREATENING CONDITION CALLED
PULSELESS VENTRICULAR TACHYCARDIA. 6. THE PATIENTS HEARTBEAT SHOULD BE
MONITORED AT ALL TIMES.

7. CARDIOPULMONARY RESUSCITATION IS
NECESSARY AFTER EACH DEFIBRILLATION.

8. THE PATIENT SHOULD BE INJECTED BY IV


AFTER 3 ATTEMPTS OF DEFIBRILLATION AND
CPR.

SCHEMATIC DIAGRAM/BLOCK DIAGRAM

PROPER POSITION OF PADDLES

DEFIBRILLATION PADS ARE PLACED ON THE


PATIENTS BARE CHEST. THEY GO ON THE
FRONT (ANTERIOR) OF THE CHEST, ONE
ABOVE THE RIGHT NIPPLE, AND THE OTHER
ON THE LEFT SIDE OF THE CHEST BELOW THE
LEFT BREAST AREA.

COMPLICATIONS:

FACTORS TO BE CONSIDERED 1.) MINOR SKIN BURNS


2.) ABNORMAL HEART RHYTHMS
1. AEDS MAY BE HAZARDOUS IN PATIENTS 3.) INJURY TO THE HEART MUSCLES
WEIGHING 90 LB OR LESS. 4.) ELECTROCUTION OF BYSTANDERS
5.) SKELETAL MUSCLE INJURY

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