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WorksheetsDHE 115 Week 10 Pacemakers
Total questions: 28
Worksheet time: 16mins
Pacemakers are often used for the treatment of cardiac arrhythmias or irregular heart rate.
True
False
The most common arrhythmia for which pacemakers are used is severe (a) (slow heart rate).
1. The pacemaker monitors heart rate. If the heart rate is normal, it does not send an impulse.
2. If it detects a slowing of the heart rate (bradycardia), it sends electrical impulses to the heart to speed up.
First statement true, second false
First statement false, second true
Both true
Both false
1. Internal cardioverter defibrillators (ICD) are used to treat harmful tachyarrhythmias such as ventricular tachycardia.
2. ICD monitors blood pressure. If it's rapid, it delivers an electrical shock (cardioversion / defibrillation).
First statement true, second false
First statement false, second true
Both true
Both false
The difference between a pacemaker and an ICD is that a pacemaker treats bradycardia and sends electrical impulses while an ICD treats tachycardia and sends an electrical shock.
True
False
Which of the following should not be used on patients with a pacemaker or ICD?
Dental handpieces
Pulp vitality tester
Magnetostrictive ultrasonic scaler
Dental radiographs
The most common use for an implantable cardioverter defibrillator is:
Tachyarrhythmia
Syncope
Severe hypertension
None of the above
The portion of the pacemaker that contains the electronic circuitry and powers the device is the:
Lead
Defibrillator
Copper stem
Generator
All of the following are symptoms of an individual suffering from a pacemaker malfunction except one. Which one is the exception?
Dizziness
Hiccoughing
Swelling of extremities
Wheezing
The most important vital sign to monitor on a patient suspected of having a pacemaker malfunction is the:
Pulse
Respiration
Blood pressure
Temperature
Local anesthetics with vasoconstrictors should be used with caution on patients with pacemakers and ICD's.
True
False
The factor that causes the greatest risk of malfunction with pacemakers or ICDs is:
Electromagnetic interference
Solar interference
Radiation interference
Sonar interference
The first step in the treatment of suspected pacemaker malfunction is to:
Remove the cause of the interference
Use the AED to regain appropriate heart rate
Administer one tablet of nitroglycerin sublingually
Contact the manufacturer of the pacemaker for advice
Select signs and symptoms of pacemaker malfunction.
Lightheadedness and dizziness
Dyspnea and muscular twitching
Bradycardia or tachycardia
Swelling in the extremities
Prolonged hiccoughing
Select the signs and symptoms of an ICD malfunction.
Inappropriate defibrillation
Chest pain
Twitching
Biting
Sudden movements
Dental procedures are considered low risk and most dental equipment is safe for pacemakers and ICD.
True
False
Select the unsafe procedures with older models of pacemakers or ICD's.
Magnetostrictive ultrasonic scalers (Cavitron)
Transcutaneous electrical nerve stimulators (TENS)
Ultrasonic baths
Sonic toothbrushes
Magnetic headrests
Radiographs, hand pieces (high speed / low speed), and curing lights are considered unsafe procedures with older models of pacemakers or ICD's.
True
False
This is an infection of heart’s lining and valves. Bacteria spreads throughout your bloodstream, and attaches to weakened areas in your heart.
(a)
This is the mixing up of bacteria in the mouth that can travel through the blood stream
Bacteremia
Infective endocarditis
Strep Mutans
A patient taking a premedication, should take it ________ before the appointment.
20-40 minutes
30-60 minutes
15-25 minutes
10-15 minutes
If a patient is allergic to penicillin, what is an alternative premedication.
Cephalexin
Amoxicillin
Clindamycin
Which is NOT a risk factor for taking a pre-medication?
Prosthetic cardiac value or prosthetic material used in value repair
History of previous endocarditis
Cardiac transplant with valve regurgitation
Congenital heart disease (Present from birth)
Chronic obstructive pulmonary disease
Which is NOT a risk factor for Infective Endocarditis.
Artificial heart valves
Congenital heart defects
Damaged heart valves
History of intravenous (IV) illegal drug use
Appendicitis
Bacteremia is less likely caused by frequent exposure to bacteria as opposed to a one time exposure
True
False
According to the ADA, the clinical recommendation for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.
True
False
When is it recommended to prescribe an antibiotic for a patient that has a prosthetic joint replacement?
Select all that apply.
Severely immunosuppressed
Lyme Disease
Uncontrolled diabetes who had a prosthetic joint replacement within the past year
Hypertension
There are potential harms of antibiotics including risk for anaphylaxis, antibiotic resistance, and opportunistic infections.
True
False
