除颤仪的操作程序（Defibrillator operation procedure）.docVIP

除颤仪的操作程序（Defibrillator operation procedure） Procedures for the operation of an defibrillator Indications 1, ventricular fibrillation (VF) are absolute indications. Asynchronous electrical cardioversion is used immediately. 2 、 atrial fibrillation (AF) is the main indication of cardioversion: 1, the duration of atrial fibrillation in less than a year, namely to sinus rhythm is not less than 60 times / min 2 3~6 months after AF surgery, atrial fibrillation does not disappear. 3. Atrial fibrillation remains unchanged after the treatment of hyperthyroidism 4 fast atrial fibrillation affects heart function; 3. Atrial flutter. 4, ventricular tachycardia, drug treatment invalid. 5, supraventricular tachycardia, first with carotid sinus method or drug treatment, invalid electric cardioversion. Contraindications 1. Various arrhythmias caused by digitalis intoxication. 2, hypokalemia patients 3 、 allergic or intolerant to quinidine and amiodarone 4, heart enlargement, combined valve lesions. 5, chronic atrial fibrillation, medical history more than 5 years. 6 、 atrioventricular node with high atrioventricular block and sick sinus syndrome. 7, heart failure, uncontrolled, rheumatic activity. 8, too old, weak physique, severe deformation of the lungs, can not lay the electrode board Instrument evaluation 1 、 the power switch is normal. 2, clean instrument, no dirt. 3, all parts complete, without defects. Preparation before operation 1. Connect the power. 2, ready to conductive paste or cotton mattress two pieces of normal saline. 3, electrode paste three. 4, medical staff and their families away from the patient bed unit. 5. Expose the patients chest skin. Operation procedure 1. Turn the knob to MONITOR (monitor). 2, select the lead, press LEAD (lead). 3, paste good electrode paste. 4. The electrode plates are coated with conductive paste respectively. 5, the two electrode plates were placed in the heart and apex of the patients respectively. Bottom of my heart (STERNUM): the p