Physio Control LIFEPAK 15, Руководство по эксплуатации

Страница: 147 / 284

Chapter 5 | Therapy
©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions
147
OBSERVATION POSSIBLE CAUSE CORRECTIVE ACTION
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
.
Defibrillator will not turn off Pacemaker is on •
Turn off PACER and then
press and hold
ON
for at
least 2 seconds.
For general troubleshooting tips, see General Troubleshooting Tips (on page 214).
Pediatric ECG Monitoring and Manual Mode
Therapy Procedures
Possible Patient Skin Burns
Do not use pediatric QUIK-COMBO electrodes on
adults or larger children. Delivery of defibrillation
energies equal to or greater than 100 joules (typically
used on adults) through these smaller electrodes
increases the possibility of skin burns.
Possible Pediatric Patient Skin Burns
Noninvasive pacing may cause patient skin irritation and
burns, especially with higher pacing current levels.
Inspect underlying skin of the

electrode frequently
after 30 minutes of continuous pacing. Discontinue
noninvasive pacing if skin burn develops and another
method of pacing is available. On cessation of pacing,
immediately remove or replace electrodes with new
ones.
For pediatric patients, follow the procedures for ECG monitoring, manual defibrillation,
synchronized cardioversion, and pacing except for the following:
• Use the appropriate paddle accessory based on the weight of the child.
•
Select the appropriate defibrillation energy for the weight of the child according to the
American Heart Association (AHA) recommendations or local protocol. Using energy levels
of 100 joules or greater is likely to cause burns.
• When pacing, inspect the patient’s skin under the heart electrode frequently for signs of
burns.
Note:
The amount of pacing current needed for capture is similar to the pacing current needed
for adults. For more information about pediatric paddles and electrodes, see Paddle Accessory
Options (on page 149).