Sample interview questions: How do you assess and manage potential complications related to patients with implanted automated implantable cardioverter defibrillators (AICDs)?
Sample answer:
Assessing Potential Complications Related to Patients with Implanted Automated Implantable Cardioverter Defibrillators (AICDs):
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Electrode Dislodgement or Failure:
- Assess for signs of lead dislodgement, such as chest pain, palpitations, or changes in device function.
- Perform periodic device checks to monitor lead integrity and function.
- Consider lead revision if dislodgement or failure is suspected.
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Device Malfunction:
- Be vigilant for signs of device malfunction, including inappropriate shocks, failure to deliver appropriate therapy, or battery depletion.
- Interrogate the device to assess its function and identify any potential problems.
- Coordinate with the device manufacturer or a cardiac electrophysiologist for device troubleshooting and management.
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Infections:
- Assess for signs of infection at the device pocket site, such as erythema, swelling, or drainage.
- Obtain cultures if infection is suspected.
- Administer antibiotics as prescribed and monitor for response.
- Consider device removal if infection persists or is severe.
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Inappropriate Shocks:
- Evaluate the patient’s symptoms and device interrogation data to determine the cause of inappropriate shocks.
- Adjust device programming or medications as needed to reduce the risk of future inappropriate shocks.
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Proarrhythmia:
- Monitor the patient for signs and symptoms of proarrhythmia, such as sustained ventricular tachycardia or fibrillation.
- Adjust device programming or medications as needed to reduce the risk of proarrhyt… Read full answer
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