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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
A patient is having elective synchronized cardioversion. Place the following steps of the procedure in the correct order.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Verify patency of IV access.
Choice 2. Administer sedative per physician prescription.
Choice 3. Set cardioverter to “synchronize” mode.
Choice 4. Place conductive pads on the patient’s chest.
Choice 5. Charge the cardioverter to the selected energy level. Remove oxygen.
Choice 6. Personnel step away from the bed prior to delivery of the electrical shock.
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Sunshine ☀ ☼

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wrote...
Valued Member
11 years ago Edited: 11 years ago, Kassie
Hmmm.... this is actually in order already. Ive read over it several times to ensure. Heres more in depth if needed --- or my version on it:

** you always want to access the patency of any equipment so if there is something wrong with it, you either resolve the possible danger or may need another one.

**You need to administer a sedative to the patient while he/she is conscious

**You turn on the ESC into the sync mode

**once everything is ensured to be safe after machine is on and the patient is sedated you place the pads over their chest. (depending on which ESC you use, one may also be placed in the back as well)

**choose the energy level

** deliver the shock, assess whether it was successful or not and document
wrote...
Valued Member
11 years ago
1,2,3,4,5,6 -- Rationale 1: IV access is necessary for emergency drug administration and should be verified before the procedure is begun.
Rationale 2: Patient comfort is maintained through administration of the prescribed sedation prior to the cardioversion.
Rationale 3: The correct function of the cardioverter is set to synchronize mode.
Rationale 4: Conductive pads are applied.
Rationale 5: The cardioverter is charged to the selected energy level. Oxygen is removed since an electrical shock could cause oxygen combustion.
Rationale 6: Personnel should not be touching the bed prior to and during delivery of the shock.
Global Rationale: IV access is necessary for emergency drug administration and should be verified before the procedure is begun. Patient comfort is maintained through administration of the prescribed sedation prior to the cardioversion. The correct function of the cardioverter is set to synchronize mode. Conductive pads are applied. The cardioverter is charged to the selected energy level. Oxygen is removed since an electrical shock could cause oxygen combustion. Personnel should not be touching the bed prior to and during delivery of the shock.
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