Symptoms Caused by Abnormal Heart Rhythm Essay Discussion Paper

Question

After experiencing symptoms caused by an abnormal heart rhythm, a client is placed on a temporary pacemaker. When the client expresses concern and fear of the pacemaker, how should the nurse respond?

a) use simple terms to describe how the pacemaker functions

b) offer reassurance that the staff will monitor the pacemaker

c) reinforce that the pacemaker is a temporary measure

d) encourage discussion about the concerns and fears

Step 1/4

A). Pacemakers only function when necessary. The pacemaker gives electrical instructions to your heart to adjust the beat if it beats too slowly (bradycardia).

Explanation:

Some more recent pacemakers also feature sensors that notice changes in breathing or body motion and send signals to the devices to raise heart rate during exercise as necessary.

Step 2/4

B). Interrogation is the process of examining your pacemaker’s settings. The pacemaker can be configured to determine the strength, duration, and rate of the impulse sent to the heart muscle. If necessary, your doctor might change the pacemaker programming.

Explanation:

Although it is optional, current treatment recommendations advise remote monitoring for the majority of patients with cardiac devices.

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Step 3/4

C). Electrical cardiac stimulation is used in temporary cardiac pacing to treat bradyarrhythmia or tachyarrhythmias until they go away or until long-term therapy can be started.

Explanation:

Temporary pacing’s goal is to restore normal hemodynamics to patients whose hemodynamics have been severely impaired by either a slow or fast heart rate.

Step 4/4

D). Patients who depend on pacemakers may experience severe symptoms or cardiac collapse if the pacemaker is stopped because they have an inadequate or nonexistent intrinsic rhythm.

Explanation:

The risk of problems is often quite low while having a pacemaker put. The primary worry is that the pacemaker will no longer be able to regulate the heartbeat due to a malfunction or a wire that has moved out of place.

Final answer

A). Pacemakers only function when necessary. The pacemaker gives electrical instructions to your heart to adjust the beat if it beats too slowly (bradycardia). Some more recent pacemakers also feature sensors that notice changes in breathing or body motion and send signals to the devices to raise heart rate during exercise as necessary.

Although it is optional, current treatment recommendations advise remote monitoring for the majority of patients with cardiac devices.

C). Electrical cardiac stimulation is used in temporary cardiac pacing to treat brady arrhythmias or tachy arrhythmias until they go away or until long-term therapy can be started.

Temporary pacing’s goal is to restore normal hemodynamics to patients whose hemodynamics have been severely impaired by either a slow or fast heart rate.

D). Patients who depend on pacemakers may experience severe symptoms or cardiac collapse if the pacemaker is stopped because they have an inadequate or nonexistent intrinsic rhythm.