46 patients before and after pacemaker installed Nursing.docVIP

 PAGE \* MERGEFORMAT 7 46 patients before and after pacemaker installed Nursing [Keywords:] pacemaker, nursing Installation of artificial cardiac pacemaker has become the treatment of severe arrhythmias and rescue an important means of critically ill patients, especially in severe bradycardia, atrioventricular block and cardiac arrest and other critically ill patients to play an important role in the rescue [ 1], a pacemaker installed in the protection of an important means of life for patients. permanent pacemaker patients will be accompanied by life, so in pacemaker installed preoperative and postoperative care and related quality of life of patients notes even life has important implications. now installed in our hospital 46 cases of permanent cardiac pacemaker patient care experience reported below. 1 Clinical data Our hospital from January 2005 to October 2009 a total of 46 cases of pacemaker placement, 21 males and 25 females, aged 44 to 71 years, average 58.4 years old. In which 16 patients with sick sinus syndrome, complete 14 cases of atrioventricular block (third degree AVB 8 cases of second degree AVB 6 cases, 9 cases of sinus bradycardia, conduction bundle fibrosis in 4 cases, 3 cases of sinus arrest. arrhythmia in 45 patients after operation symptom relief, improved quality of life, 1 case of atrial flutter, the heart rate returned to normal after drug treatment, 1 case occurred around the wound hematoma, 2 cases of heavy psychological burden, the patient improved after grooming. 2 Care 2.1 preoperative preparation and nursing 2.1.1 preoperative preparation Preoperative skin preparation to do, such as susceptibility test preparation, 3 days before surgery to disable aspirin, heparin and other anticoagulant drugs to prevent postoperative bleeding. Establishment of intravenous access, to ensure that when unexpected surgery timely drug treatment. because after 3 days should be supine in bed, so patients eat supine position befo