Physio Control LIFEPAK 15, Operating Instructions Manual

Page: 140 / 284

Synchronized Cardioversion Procedure
140
LIFEPAK 15 Monitor/Defibrillator Operating Instructions
OBSERVATION POSSIBLE CAUSE CORRECTIVE ACTION
Energy did not escalate
automatically per energy
protocol
ENERGY SELECT
pressed and
disabled automatic protocol
•
Continue to select energy
manually to treat patient. For
more information about
energy protocol, see
LIFEPAK 15 Monitor/Defibrill
ator Setup Options provided
with your device.
SYNC mode will not activate PACER is on. Pacing and Sync
are separate functions and are
not allowed at the same time.
•
Discontinue pacing, if
appropriate for the patient,
and press SYNC .
ECG electrodes not attached to
patient and standard paddles
connected to defibrillator
• Connect ECG electrodes to
patient.
Patient did not "jump" (no
muscle response) during
defibrillator discharge
Patient muscle response is
variable and depends on patient
condition. Lack of visible
response to defibrillation does
not necessarily mean the
discharge did not occur.
•
No action needed.
The Test Load is connected to
therapy cable
• Remove the Test Load and
connect therapy electrodes
to cable.
ABNORMAL ENERGY
DELIVERY
message appears
and Shock XJ Abnormal
annotated on printout
Open air discharge with
standard paddles
• Press paddles firmly on
patient’s chest when
discharging.
Standard paddles placed face-
to-face when (shock) button
pressed
• Perform test discharges per
Operator’s Checklist.
• See Manual Defibrillation
Warnings (on page 133).
Patient impedance is out of
range
• Increase energy or repeat
shocks as needed.
•
Consider replacing
disposable therapy
electrodes with new ones.
Internal fault occurred
• Repeat shock.
•
Perform CPR and obtain
another defibrillator, if
necessary.
CONNECT ELECTRODES
message appears
Therapy electrodes are not
connected to the therapy cable
• Check for electrode
connection.
Electrodes do not adhere
properly to the patient
•
Press electrodes firmly on
patient’s skin.
•
Clean, shave, and dry the
patient’s skin as
recommended.
• Apply new electrodes.
Electrodes are dry, damaged, or
out of date
• Apply new electrodes.