Pacemaker Learning Package
Pacemaker Learning Package
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- Điều hướng trang này:
- Common settings Atrial
- General management
| Pacemaker Learning Package
LH_ICU2016_Learning_Package_Pacemaker_Learning_Package 37 | P a g e Management To commence pacing Insert lead pins Ensure correct polarity blue to blue red to red Tighten lead pins into locking device Connector pins on the wires must be fully inserted in the patient connector block Ensure correct chamber atrial wires on right of the sternum ventricular wires on the left side Check the battery indicator light is yellow and not red Set the Pacing rate (heart rate) Set the Sensitivity Set the Output/stimulation threshold Set the AV Delay Common settings Atrial DDD Rate 80- 100 Sensitivity 0.2ms Output 5.0V/10mA AV delay 150 ms Ventricular DDD Rate 80- 100 Sensitivity 2.0ms Output 5.0/10mA AV delay 150 ms Liverpool Hospital Intensive Care: Learning Packages Intensive Care Unit Pacemaker Learning Package LH_ICU2016_Learning_Package_Pacemaker_Learning_Package 38 | P a g e Battery AA alkaline battery Once low battery indicator light appears, will continue pacing for approx 24 hours. If battery needs to be replaced it will continue to pace for 30 secs once the battery is removed General management Full physical assessment Assess vital signs, skin colour, level of consciousness, and peripheral pulses to determine the effectiveness of the paced rhythm Monitor the ECG reading, noting capture, sensing, intrinsic beats, and competition of paced and intrinsic rhythms Check wires & leads are connected appropriately Check underlying rhythm, Daily ECG if patient not compromised If the pacemaker is sensing correctly, the sense indicator on the pulse generator should flash with each beat. Assess the patient for both electrical and mechanical capture. When you observe a pacer spike on the ECG followed by a complex, you have electrical capture Check thresholds each shift and document. Output thresholds are important as the threshold may change. If the threshold gradually increases and is approaching maximum output the patient may need a permanent pacemaker if there is a heart block Check pacing wire insertion site for signs of infection If pacing wires not in use should be wrapped in gauze & taped to patients chest |