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Do you have a pacemaker?
Yes
No
Pacemakers finish first in Hoops for the Ages 3 on 3 tournament!
Heart attacks.
It would be interesting to read about a dystopian future pacemaker that — for whatever reason — needs music to keep a person’s heart beating.
There could be touching scenes with everyone coming together to save the character’s life with a dance party, and funny scenes when only that type of music is available, and even an epic battery heist!
Biology book: the pacemaker is located under the collarbone
Mine: *located under my heart near my stomach* (it’s quirky)
Navy air squadron
(George Silk. 1950)
Pacemakers nursing c.p.
Here is one(1) of six (6) pacemaker therapy nursing diagnosis and nursing care plans:
Also known as: what you're looking for, and how to help your patient with this issue
Ineffective Tissue Perfusion:Decreased in the oxygen resulting in the failure to nourish the tissues at the capillary level.
EVB:Decreased blood pressure,Decreased heart rate, Decreased cardiac output, stroke volume, Increased peripheral vascular resistance, Changes in level of consciousness, Mental changes, Cold clammy skin, Cardiopulmonary arrest, Inappropriate pacing or sensing
NI: what the nurse can do:
1. Monitor the ECG for any changes in rate and rhythm. Treat and or notify as necessary.
2. Obtain and go over rhythm strip at least every 4 hours. notify DR of abnormalities.
3. After surgery monitor vitals every 15 minutes then increase to 2 hours etc according to hospital policy you're checking for adequate perfusion and output.
4. Monitor for failure to sense.
5. Monitor for muscle twitching this may indicate a dislodgement.
6. Monitor for sudden heart pain. Listen to heart watch for muffled sounds and friction rubs.
7. Monitor for patient complains of weakness, edema, and dizziness. This could be a malfunction with the pacemaker causing decreased perfusion.
8. Teach and limit patient movement after surgery to decrease chance of disconnection.
Other things to watch for.....
Impaired Skin Integrity
Risk for Injury
Risk for Infection
Impaired Physical Mobility
Disturbed Body Image