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Asked by: Wieslawa Gruart
medical health heart and cardiovascular diseasesWhere do pacer pads go?
During transcutaneous pacing, pads are placed on the patient's chest, either in the anterior/lateral position or the anterior/posterior position. The anterior/posterior position is preferred as it minimizes transthoracic electrical impedance by "sandwiching" the heart between the two pads.
Also asked, how do you put a pacer pad on?
METHOD OF INSERTION AND/OR USE
- place pads in AP position (black on anterior chest, red on posterior chest)
- connect ECG leads.
- set pacemaker to demand.
- turn pacing rate to > 30bpm above patients intrinsic rhythm.
- set mA to 70.
- start pacing and increase mA until pacing rate captured on monitor.
- hemodynamically unstable bradycardias that are unresponsive to atropine.
- bradycardia with symptomatic escape rhythms that don't respond to medication.
- cardiac arrest with profound bradycardia (if used early)
- pulseless electrical activity due to drug overdose, acidosis, or electrolyte abnormalities.
Correspondingly, can you touch a patient while pacing?
You can still touch the patient, and even perform CPR, as the electricity delivered during pacing is not enough to harm the provider. However, it is still electricity, and providers should use common sense.
- Your nurse or doctor will place an IV (intravenous line) in your arm and give you medicine (sedative) to make you sleepy.
- Your doctor will deliver an electrical shock through two paddles.
- Your doctor will check to see if your heartbeat is regular.