Nursing pacemaker implantation.doc

 PAGE \* MERGEFORMAT 7 Nursing pacemaker implantation [Keywords:] heart disease and cardiac pacemaker implantation care With the rapid intervention of arrhythmia carried out the clinical application of cardiac pacemakers increasingly widespread, the treatment of cardiac pacemakers home irreversible cardiac conduction dysfunction safe and effective method, especially the treatment for “sinus node disease” and “The heart conduction system disease” caused by severe arrhythmia [1]. our hospital in October 2006 ~ October 2008 settlement pacemaker for the treatment of chronic complete atrioventricular block and sick sinus syndrome A total of 32 cases of patients, results were satisfactory, the report will now experience the following. 1 Clinical data The group of 32 patients, 17 patients were male and 15 women, age maximum 83 years old, minimum 62 years. Which 27 patients with sick sinus syndrome, chronic complete atrioventricular block in 5 cases. Temporary pacemaker 6 cases, 26 cases of permanent pacemaker. 2 Care 2.1 Preoperative Care Preoperative preparation: placement of a pacemaker should be measurement of body temperature prior to check blood, the clotting time, liver and kidney function checked, to grasp the patient general condition, with or without infection and blood system diseases and so on. If the patient heart function is poor, severe heart failure, not supine, should be treated with drugs, to be heart failure after surgical control. For the individual cardiac stress is high, patients prone to arrhythmia, preoperative antiarrhythmic should be given to effective drug treatment to avoid stimulating catheter technique in the chambers of the heart and accidents. deactivated anticoagulant drugs, especially aspirin, preferably 1 week before surgery or stop taking. preoperative patients should help clean the chest, groin skin incision to prevent infection, with particular attention to good night before surgery care, such as reducing acces