Defibrillator examination process dictation is as follows:
Electrical defibrillation procedure:
(1) Expose the patient's chest wall, the electrode plate is coated with a conductive paste or padded with saline wet gauze in the site of the electric shock.
(2) The electrode plates were placed on the right edge of the sternum at the 2nd-3rd intercostal space and the apical region, respectively.
(3) The asynchronous discharge button was selected.
(4) Press the charging button to charge (360 J for monophasic wave defibrillation and 150-200 J for biphasic wave defibrillation).
(5) Make it clear that no one is in contact with the patient or the bed.
(6) Simultaneously press the discharge buttons of both electrode plates (orally).
(7) Immediately after discharge (after the patient's trunk and limbs twitch), auscultate the heart and observe the cardiac monitor to see if the patient's rhythm shifts to sinus (dictate).
(8) Inform the patient's family of the results of the resuscitation and the next step in the treatment after the operation.
Defibrillator
It is a medical device that uses a stronger pulse current through the heart to eliminate arrhythmia and restore sinus rhythm, and it is a necessary first-aid equipment in all hospital departments. For performing CPR, defibrillation is one of the very important steps.
Cardiac defibrillation resuscitation is an instantaneous high-energy pulse that acts on the heart, generally with a duration of 4-10ms and an electrical energy of 40-400J (joules). The device used to defibrillate the heart with an electric shock is called a defibrillator, and it accomplishes the shock resuscitation, or defibrillation.
When a patient develops a severe tachyarrhythmia, such as atrial flutter, atrial fibrillation, supraventricular or ventricular tachycardia, it often results in varying degrees of hemodynamic impairment. Especially when the patient has ventricular fibrillation, due to the ventricle has no overall contraction ability, the heart ejection and blood circulation termination, if not timely rescue, often cause the patient due to the brain hypoxia time is too long and death.
If a defibrillator is used to control a certain amount of energy current through the heart, it can eliminate certain arrhythmias and return the heart rhythm to normal, thus enabling patients with the above heart diseases to be rescued and treated.