Transcutaneous Pacing Procedure - Revision history

Treloars at 13:59, 24 April 2020

2020-04-24T13:59:28Z

← Older revision		Revision as of 13:59, 24 April 2020
Line 25:		Line 25:
	* Turn the pacer on.		* Turn the pacer on.
	''		''
	'''Precautions: Pacemaker output may cause excessive pain/distress in the conscious patient. Consider administration of [[VERSED]] 1 -5 mg slow IVP to desired effect.'''''		'''Precautions: Pacemaker output may cause excessive pain/distress in the conscious patient. Consider administration of [[Versed\|VERSED]] 1 -5 mg slow IVP to desired effect.'''''
	* Set rate at 60 BPM.		* Set rate at 60 BPM.
	* Set milliamps at 0.		* Set milliamps at 0.

Treloars at 13:59, 24 April 2020

2020-04-24T13:59:11Z

← Older revision		Revision as of 13:59, 24 April 2020
Line 25:		Line 25:
	* Turn the pacer on.		* Turn the pacer on.
	''		''
	'''Precautions: Pacemaker output may cause excessive pain/distress in the conscious patient. Consider administration of [[~~Versed\|~~VERSED]] 1 -5 mg slow IVP to desired effect.'''''		'''Precautions: Pacemaker output may cause excessive pain/distress in the conscious patient. Consider administration of [[VERSED]] 1 -5 mg slow IVP to desired effect.'''''
	* Set rate at 60 BPM.		* Set rate at 60 BPM.
	* Set milliamps at 0.		* Set milliamps at 0.

Treloars at 13:58, 24 April 2020

2020-04-24T13:58:54Z

← Older revision		Revision as of 13:58, 24 April 2020
Line 13:		Line 13:
	** Place the positive pad and positive pacer wire on left posterior chest beneath the scapula and lateral to the spine.		** Place the positive pad and positive pacer wire on left posterior chest beneath the scapula and lateral to the spine.
	* Turn the pacer on:		* 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.		** Precautions: Pacemaker output may cause excessive pain/distress in the conscious patient. Consider administration of [[Valium\|VALIUM]] 2 -10 mg slow IVP.
	* Set the rate at 60 beats per minute.		* Set the rate at 60 beats per minute.
	* Slowly increase milliamps until electrical and mechanical capture is achieved or maximum output is reached.		* Slowly increase milliamps until electrical and mechanical capture is achieved or maximum output is reached.
Line 25:		Line 25:
	* Turn the pacer on.		* 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.'''''		'''Precautions: Pacemaker output may cause excessive pain/distress in the conscious patient. Consider administration of [[Versed\|VERSED]] 1 -5 mg slow IVP to desired effect.'''''
	* Set rate at 60 BPM.		* Set rate at 60 BPM.
	* Set milliamps at 0.		* Set milliamps at 0.

Treloars at 17:47, 1 February 2018

2018-02-01T17:47:08Z

← Older revision		Revision as of 17:47, 1 February 2018
Line 29:		Line 29:
	* Set milliamps at 0.		* Set milliamps at 0.
	* If patient becomes unstable, slowly increase milliamps until electrical and mechanical capture is achieved or maximum output is reached.		* If patient becomes unstable, slowly increase milliamps until electrical and mechanical capture is achieved or maximum output is reached.

			[[Category:Procedure Guidelines\|0930]]

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

2012-02-01T21:10:28Z

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 60 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 60 BPM.
* Set milliamps at 0.
* If patient becomes unstable, slowly increase milliamps until electrical and mechanical capture is achieved or maximum output is reached.