A 74-yr old womn is admitted to the telemetry unit for placement of a permanent pacemaker because of sinus bradycardia. A priority goal for the client within 24 hours after insertion of a permanent pacemaker would be to
maintain cardiac conduction stability;
to prevent dysrhythmias; should have ECG until proper functioning is verified.
Characteristics of atrial fibrillation
irregular QRS interval, no definite P waves before QRS, and ventricular rate greater than 100 bpm
proper hand placement for chest compression during CPR is essential to reduce the risk of..
rib fracture; which may lead to pneumothorax and other internal injuries; (vomiting may be just due to distention of stomach)
Cardioversion: key points to do (3)
use a conducting agent between skin and paddles
call clear before discharging electrical current
record delivered energy and resulting rhythm
A client who has been given CPT is transported by ambulance to emergency department. One of the most often recommended for determining effectiveness of CPR is noting:
best indication of whether oxygenated blood has reached the brain:
pupils that remain widely dilated and don't react to light probably indicate that serious brain damage has occured
Use of epinepehrine during resuscitation in the ED, primarily administered because of ability to