Nursing care after artificial cardiac pacemaker.doc

Nursing care after artificial cardiac pacemaker [Keywords:] artificial heart pacemaker; care; discharge guidance Today in the growing pacemaker, artificial cardiac pacemaker has also been accepted by more and more people, so pacing post-operative care is very important. Artificial heart pacemaker pulse generator and electrode is composed of release certain frequency pulse generator electrical impulses to the heart through the electrodes to stimulate contraction of the heart. is the treatment of various causes irreversible cardiac pacing and conduction disorders since the main method of .2005 pacemaker implantation in our department of 137 cases of the implementation of , now nursing reported as follows. 1 Clinical data Since May 2005 our department has placed a total of 137 patients with permanent cardiac pacemaker, male 86, female 51 cases; age of 41 to 89 years of age, preoperative by ECG, Holter diagnosed as sick sinus syndrome 67 cases. AV block with bundle branch block more than 42 cases, 28 cases had history of syncope episode and different degrees of dizziness, chest tightness, fatigue and other symptoms, respectively, to the catheter line of permanent cardiac pacemaker implantation chamber postoperative back to the ward observed no postoperative infection, electrode displacement, pacemaker sensing and pacing function well were cured. 2 Care 2.1 Preoperative Care 2.1.1 The psychological care given to psychological counseling and explaining the need for pacemaker therapy, meaning, operation safety, the basic process and how the surgery with, to ensure adequate sleep, necessary to give sedatives. To help patients to eliminate fear, tension, Anxiety make it to the best state of mind with the surgery. 2.1.2 carry out all preoperative tests such as blood, coagulation, liver and kidney function, hepatitis B surface antigen, electrocardiogram, echocardiography, Holter and so on. And do the antibiotic skin test. 2.1.3 Skin Preparation f