This topic contains a solution. Click here to go to the answer

Author Question: The pacemaker insertion surgery places G.P. at risk for several serious complications List three ... (Read 77 times)

sarasara

  • Hero Member
  • *****
  • Posts: 521
The pacemaker insertion surgery places G.P. at risk for several serious complications
 
  List three potential problems that you will monitor for as you care for him.

Question 2

Within the hour, G.P. converts with intravenous diltiazem (Cardizem) to sick sinus syndrome with long sinus pauses that cause lightheadedness and hypotension.
 
  What risks does the new rhythm pose for G.P.? Explain the reasons for your answers.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

anoriega3

  • Sr. Member
  • ****
  • Posts: 323
Answer to Question 1

Infection: To prevent infection or irritation of the pacemaker site, use sterile technique with dressing
changes.
Pacemaker dysfunction: The pacemaker can fail to pace (initiate an electrical impulse), fail to sense
(be responsive to the patient's own cardiac activity), or fail to capture (stimulate a ventricular
contraction). All of these problems can result in dysrhythmias, ineffective cardiac function, and
symptoms for the patient.
Perforation of the endocardium: The result could be cardiac tamponade. He might experience sharp
chest pain on inspiration and excessive hiccups, increased heart rate, decreased blood pressure
(BP), and shortness of breath.
Hematoma at the incision site: You would see evidence of increased ecchymosis, swelling, and
tenderness at the incision site.
Pneumothorax: He would experience sudden, sharp chest pain and shortness of breath.

Answer to Question 2

 Syncope and falls because of the hypotension and lightheadedness
 Increased anginal episodes and more serious dysrhythmias because of decreased perfusion to the
heart
 Confusion, altered level of consciousness because of decreased perfusion to the brain
 Heart failure (HF) because of inadequate heart rate during bradycardia and inadequate ventricular
filling during tachycardia




sarasara

  • Member
  • Posts: 521
Reply 2 on: Jun 25, 2018
Wow, this really help


alvinum

  • Member
  • Posts: 317
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

A recent study has found that following a diet rich in berries may slow down the aging process of the brain. This diet apparently helps to keep dopamine levels much higher than are seen in normal individuals who do not eat berries as a regular part of their diet as they enter their later years.

Did you know?

Asthma attacks and symptoms usually get started by specific triggers (such as viruses, allergies, gases, and air particles). You should talk to your doctor about these triggers and find ways to avoid or get rid of them.

For a complete list of videos, visit our video library