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NURSE RESPONSIBILITY: Checking the treshold parameters and assuring proper functioning.
Turning on or turning off the temporary pacemaker
Adjust the atrial or ventricular output to prevent the risk of competitive pacing as follows
Set Sensitivity to half (or less) the threshold value. This setting provides at least a 2:1 safety margin.
We will determine the ventricular sensing threshold in a patient who has an underlying rhythm of 50 beats per minute.
Next, slowly turn down the mA until 1:1 capture is lost.
The mA should be set two to three times higher than the stimulation treshold.
To determine atrial or ventricular stimulation thresholds, perform these steps
The PACE indicator flashes continuously; the SENSE indicator stops flashing. • This value is the stimulation threshold
DELIVERING THE BEATS.
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