جهاز تنظيم ضربات القلب أو جهاز تنظيم ضربات القلب هو نظام الكتروني يهدف إلى تكملة أو استبدال وظيفة التوصيل الكهربائي الأذيني البطيني عندما فشل هذا الأخير.

 
definition
indications
Cons -indications
risks
nursing
interventional suites


definition

    The pacemaker or pacemaker is an electronic system that is intended to supplement or replace the function of atrioventricular electrical conduction when the latter fails.

    It consists of a housing and two probes which feed cavities concerned .


indications

Disorders of atrioventricular conduction.
Complete asystole ; myocardial infarction, drug intoxication .
Bradycardia , atrial fibrillation , ventricular tachycardia .

Cons -indications

Disorder of hemostasis.
Hyperthermia.

risks

early risk

Poor positioning of the probe.
Rejection of the foreign body .
Bleeding and / or hematoma.
Pneumothorax , air embolism .
Pain.
late risk

Infection .
Thromboembolic risk embolitique .
Housing displacement .
Breakdown, failure or anomaly detection or simulation.

nursing

Nursing preoperative period

Patient Preparation :
Psychological: allay fears and explain . Awareness resumption of normal life.
Blood tests : coagulation test , blood heparin , electrolytes , glucose .
Physics : fasting , skin preparation : shaving , antiseptic, blouse block , not dentures.
Nursing intraoperative

The patient is supine on a table. Pose drape . Local anesthesia. 's ECG and blood pressure taken continuously.
Venipuncture and introduction of the probe. 7 cm incision to place the box. Function test.
Nursing postoperative

Stretched position for 24 hours .
Chest X-ray .
Monitoring of non appearance of pectoral contractions or hiccups.
Handling with care: do not pull the left arm.
Monitoring signs of thrombosis , edema , redness, heat , pain, bleeding , bruising, dyspnea, cyanosis , chest pain , malaise, facies.
Dressing change every 48 hours.
Electrocardiogram (ECG) .

interventional suites

Hygiene of life

Do not carry heavy objects .
Battery protection in the face of objects of daily life : radio, microwave , electric appliance , hearing aid, avoid touching the hood of a car.
Prohibit the MRI scanner, TV relay , cell phone on the left , anti-theft system , magnet.
Progressive physical activity recovery.
Always have the card holder pacemaker itself.
Patient monitoring

Appointment with a cardiologist after a month, then every six months .
Teach him to take his pulse .
Monitoring the location area .
Hospitalization to change the housing ( after 10 years).
Inform port of the stack to doctors and dentists