Cross-training across acuity levels.
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Biomedical subjects
Publications and source records attributed to S J Moungey.
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Sinus node dysfunction and AV block constitute the underlying pathology for the majority of patients receiving permanent pacemakers. The predominate arrhythmia is bradycardia, and although rarely life threatening, patients may present with severe symptoms such as syncope or acute heart failure. In these situations, patients are admitted to the critical care or telemetry unit for monitoring and treatment. It is the responsibility of the critical care nurse to have an understanding of the clinical manifestations of sinus node dysfunction and AV block and to initiate appropriate interventions for symptomatic arrhythmias.
The use of temporary A-V sequential cardiac pacing has become increasingly popular in acute care settings today. This physiologic mode of pacing can greatly improve the patient's hemodynamic status and is often an essential adjunct in patient management. The complexity of this pacing system, however, has created new challenges in the nursing management of these patients. This article outlines the technical aspects of the temporary A-V sequential pacing system necessary for understanding the guidelines for its programming and troubleshooting.