GE Medical Systems marquette Dash 2000, Руководство оператора, Страница: 161 / 272

Revision C Dash 2000 Patient Monitor 8-21
2005873-001
Monitoring Dash
Responder Paced Patients
For successful monitoring of pacemaker patients follow these suggestions:
•
Use recommended electrode placement. (Refer to the Electrode
Placement section in this chapter.)
•
Brady, Pause, and Low Heart Rate are additional alarms available for
use when monitoring pacemaker patients.
•
Problems you may experience are:
•
heart rate double counting;
•
inaccurate alarms for low heart rate or asystole;
•
pacemaker spikes not recognized by the software.
•
Possible solutions to above problems are:
•
relearn arrhythmia;
•
try an alternate electrode placement;
•
try single-lead analysis;
•
try switching to the other pace detection mode.
•
Pacemaker mode:
In most cases, Pace 2 mode will effectively monitor a pacemaker
patient. However, if you are experiencing problems, select the Pace 1
mode as an option, and observe all cautions as described for the Pace 1
mode of operation.
Here are some additional guidelines for successful monitoring of pacemaker
patients:
•
When using the 10-leadwire patient cable with all electrodes attached,
pace detection occurs on any V lead selected for the top trace position.
•
For more information refer to Troubleshooting in this chapter.
When using the Dash Responder transcutaneous pacer, a specific pace
detection mode is automatically used.
The DETECT PACE option indicates OFF and automatically turns back to
the previous setting, after the Dash Responder pacer is switched off.
WARNING
Arrhythmia processing is suspended during external pacing.
Closely monitor alternate parameters, especially Heart Rate in
patients being externally paced. "ARR OFF" is displayed in the
ECG parameter box during all external pacing applications.
Arrhythmia processing is resumed automatically when
external pacing is discontinued.