Mfrdmanager: /* 9.30 TRANSCUTANEOUS PACING PROCEDURE */

2020-11-16T15:34:20Z

‎9.30 TRANSCUTANEOUS PACING PROCEDURE

Mfrdmanager: Protected "Transcutaneous Pacing Procedure" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T18:56:33Z

Protected "Transcutaneous Pacing Procedure" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Procedure Guidelines== ===9.30 TRANSCUTANEOUS PACING PROCEDURE=== '''INDICATIONS:''' * Asystole Practice Parameter 4.02 * Supraventricular Bradycardia and AV..."

2018-02-10T18:55:19Z

Created page with "==Procedure Guidelines== ===9.30 TRANSCUTANEOUS PACING PROCEDURE=== '''INDICATIONS:''' * Asystole Practice Parameter 4.02 * Supraventricular Bradycardia and AV..."

New page

==Procedure Guidelines==
===9.30 TRANSCUTANEOUS PACING PROCEDURE===

'''INDICATIONS:'''
* [[Asystole|Asystole Practice Parameter]] 4.02
* [[Supraventricular Bradycardia and AV Blocks|Supraventricular Bradycardia and A.V. Blocks Practice Parameter]] 4.09
* [[Pulseless Electrical Activity (PEA)|PEA with Absolute Bradycardia Parameter]] 4.04
'''PROCEDURE:'''
* Apply monitor and determine rhythm.
* Stop CPR, (if applicable).
* Place electrodes in proper position.
** Place the negative pad and negative pacer wire on left anterior chest, halfway between the xiphoid process and the left nipple, with the upper edge of the electrode below the nipple line.
** Place the positive pad and positive pacer wire on left posterior chest beneath the scapula and lateral to the spine.
* Turn the pacer on:
** Precautions: Pacemaker output may cause excessive pain/distress in the conscious patient. Consider administration of [[Sedative Hypnotics|Diazepam]] 2 -10 mg slow IVP.
* Set the rate at 70 beats per minute.
* Slowly increase milliamps until electrical and mechanical capture is achieved or maximum output is reached.
* Keep checking for a carotid or femoral pulse to determine the response to the pacing, (mechanical capture).
* If no response to maximum pacing output, interrupt pacing and proceed with appropriate protocol. Continue CPR, (if applicable).
* Leave pacing electrodes in place during drug therapy and check every 5 - 10 minutes for capture in maximum output setting if not successful initially.
* If capture present and patient remains hypotensive, increase rate of pacing, (do not exceed 80 BPM).

'''STANDBY PACING:'''
* Turn the pacer on.
''
'''Precautions: Pacemaker output may cause excessive pain/distress in the conscious patient. Consider administration of [[Sedative Hypnotics|MIDAZOLAM]] 1 -5 mg slow IVP to desired effect.'''''
* Set rate at 70 BPM.
* Set milliamps at 70.
* If patient becomes unstable, slowly increase milliamps until electrical and mechanical capture is achieved or maximum output is reached.

[[Category:Procedure Guidelines|0930]]

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 ==Procedure Guidelines==
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 '''INDICATIONS:'''

← Older revision	Revision as of 18:56, 10 February 2018
(No difference)

Transcutaneous Pacing Procedure - Revision history

Mfrdmanager: /* 9.30 TRANSCUTANEOUS PACING PROCEDURE */

Mfrdmanager: Protected "Transcutaneous Pacing Procedure" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Procedure Guidelines== ===9.30 TRANSCUTANEOUS PACING PROCEDURE=== '''INDICATIONS:''' * Asystole Practice Parameter 4.02 * Supraventricular Bradycardia and AV..."