A patient with an AICD (implanted cardioverter) that needs to be defibrillated should have the paddles/patches placed:
a) this patient should not be defibrillated - the AICD will do it
b) the paddles/patches should be placed on the apex and sternum
c) the paddles /patches should be placed anterior/posterior
d) the patient's chest should be opened for internal defibrillation
The answer is -------- ( a ) this patient should not be defibrillated --- the AICD will do it.
Explanation :
AICD ( Automatic Implantable Cardioverter Defibrillator ) is a device which monitors arrhythmias of heart . It not only senses the irregular heart rate and rhythm but also sends the shock waves to normalise the heart rate and rhythm. It is placed into the heart via wire through a small incision that is made near collar bone. It can be done under local anaesthesia but sometimes done under general anesthesia. Therefore, option a is correct answer and the other options are incorrect.
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