nyenaceyg
Dołączył: 13 Gru 2010
Posty: 522
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Skąd: England
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 Wysłany: Śro 22:37, 02 Mar 2011 Temat postu: Permanent pacemaker installed after nursing care _ |
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Permanent pacemaker installed after nursing care
Risk factors for arrhythmia in particular the existence of the AF patients were followed up, grasp the oscilloscope by ECG, pulse, heart rate, heart rate analysis method for pacing: pacing signals have inadvertently increased pacing threshold signal prompt, sometimes pacing signal or completely disappear without a fixed negative electrode tips, shift, some broken or damaged insulation, battery depletion, appeared without a fixed rate demand pacing consider the perception of poor pacing, pulse and heart rate may be lower than the intrinsic pacing pacing failure, pulse,[link widoczny dla zalogowanych], cardiac arrhythmia should be considered the absolute AF, further examination should be timely. 3 pacemaker discharge performance under the guidance of 3.1 to enhance psychotherapy change because patients will face problems such as battery and electrodes, so in a timely manner to give patients emotional support, while many patients worry that pacemaker will suddenly stop working, so necessary to explain the key is to remove the psychological pressure. 3.2 Church Church of patients were related to knowledge of pacemaker pacemaker installation time, models,[link widoczny dla zalogowanych], work, heart rate, living arrangements, self-pulse method can not be lower than the pacing heart rate per minute and heart rate. Out Note: Patients should be carried out and patient medical information related to the individual circumstances of the card for emergency use. 3.3 to prevent the impact of social environment 3.3.1 pacemaker interference from the hospital environment, expert consultation should be performed to radiation as far as possible without linear accelerator. Radiation therapy are guaranteed in any way pacemakers in the light field, at the same time ECG monitoring, pacemaker after radiotherapy to do performance testing. Best to use when must defibrillation electrode chest back, away from the pacemaker electrode> 10cm, with the pacemaker discharge perpendicular to the direction should be as much as possible using low energy discharge, postoperative care and measured pacing threshold value. Must be applied when using the electric knife on a permanent magnet on the skin to pacemaker implanted pacemakers in magnetic reed switch is pull the conversion into non-synchronous type to reduce the current interference. Sun Yafang reported 3 cases of patients with pacemakers when electrocautery surgical method has been applied effectively protect normal pacemaker performance. 3.3.2 interfere with family life work environment must be properly grounded electrical appliances used to prohibit leakage, attention and high-voltage and security equipment to maintain> 167cm safe distance. Application for the prevention of interference from mobile phones analog phones,[link widoczny dla zalogowanych], to avoid the most disruptive global communication (GSM), do not open the phone near the pacemaker implant site, separated by at least 10cm, avoid the phone near the pacemaker installed on pocket. Do not take phone antenna jack at the front of pacemakers from the best> 20cm, and in the contralateral ear using a telephone, in a restricted environment,[link widoczny dla zalogowanych], such as elevators, buses were not near the phone, pacemaker dependent patients with phone should be detected and remain sober-minded, in the event of interference with cell phone away in time. 3.4 followed up followed up the need for positive publicity, so that patients were followed up for enhanced awareness, the author of 1 case each of pacemaker patients require 2 to 3 months 3 1 Department of Cardiology clinic. 3 months to 1 year, 1 to 2 months for each check 1, check every 3 months after the 1, to be to shorten the life of pacemakers were followed up for limited time. If the palpitations, chest tightness, amaurosis,[link widoczny dla zalogowanych], pulse frequency or lower than the natural pacing rhythm arrhythmia should seek medical attention immediately. 4 Summary In today's rapid development of pacing technology, patient guidance and postoperative care and rehabilitation is very important, which requires care nurses constantly updated ideas, explore new methods of care and guidance so that patients with early recovery and improve their lives quality.
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