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Cardiac - Synchronized Cardioversion

Clinical Indications: &= nbsp; &nbs= p; &= nbsp; &nbs= p;

= ______ 1. Unst= able patient with a tachydysrhythmia (rapid atrial fibrillation, supraventricula= r

tachycardia, ventricular tachycardia.)

Procedure:

= ______ 1.      Ensu= re the monitor in use has defibrillation / cardioversion capabilities and is corre= ctly applied and working properly.

= ______ 2.      Have= all equipment ready for unsynchronized cardioversion (defibrillation) if the patient fails to respond or condition worsens.

= ______ 3.      Cons= ider the use of pain or sedation medications.

= ______ 4.      Expl= ain the procedure to the patient and/or family members.

= ______ 5.      Set = the energy selection to 50 joules.

= ______ 6.      Set = the monitor to the synchronized cardioversion mode.

= ______ 7.      Veri= fy that the machine is synching by visualization of the complexes.<= /span>

= ______ 8.      Make certain that all personnel are clear.

= ______ 9.      Pres= s the button to cardiovert and hold down. Stay clear of the patient until you are sure that the energy has been delivered. (It may take a short period of time between the activation of the button and the delivery of the energy to the patient.)

= ______ 10. Note= the patient’s response and be able to immediately deliver a defibrillatio= n if the patient’s condition deteriorates to that of a pulseless ventricul= ar tachycardia or a ventricular fibrillation.

= ______ 11. If t= he patient’s condition is unchanged after the initial cardioversion, rep= eat steps above but increase joules to 100, 200, then 300 successively. Reassesses betw= een each deliver of cardioversion.

= ______ 12. If t= he patient has not improved with the cardioversion, contact medical control.

= ______ 13. Note= the procedure, response, and time in the electronic PCR.

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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