How do you assess and manage potential complications related to patients with implanted cardioverter defibrillators (ICDs)?

Sample interview questions: How do you assess and manage potential complications related to patients with implanted cardioverter defibrillators (ICDs)?

Sample answer:

1. Assessment:

2. Monitor Device Function:

   • Regularly check the ICD’s function through telemetry or device interrogation.
   • Evaluate battery status, lead integrity, and appropriate sensing and pacing parameters.

3. Monitor for Signs and Symptoms of Complications:

   • Chest pain, shortness of breath, palpitations, dizziness, syncope.

4. Electrocardiogram (ECG) Monitoring:

   • Assess ECG tracings for arrhythmias, device-related artifacts, or lead malfunction.

5. Patient History and Symptoms:

   • Review patient history for underlying conditions, recent procedures, or medication changes.
   • Ask patients about any new or worsening symptoms.

6. Physical Examination:

   • Inspect device pocket for signs of infection, bleeding, or swelling.
   • Listen for abnormal heart sounds or murmurs.
   • Assess peripheral pulses and blood pressure.

7. Management:

8. Medication Management:

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