Heart Block and Epicawlial Pacemdker A patient underwent an aortic valve replacement yesterday. He has been extubated, he has a mediastinal chest tube, and two ventricular epicardial pacing leads arc...

Heart Block and Epicawlial Pacemdker

A patient underwent an aortic valve replacement yesterday. He has been extubated, he has a mediastinal chest tube, and two ventricular epicardial pacing leads arc in place and coiled under a dressing. He is in sinus rhythm at a rate in the 80s, BP is 146/80, RR is 16, and he is breathing comfortably. The monitor alarm sounds and when you enter the room be is pale and complaining of dimness but no cheat pain. The monitor shows the following rhythm:

What 11 hit rhythm?

He is dizzy and his BP is 92/60.

What can you do to treat this dysrhythmia?

DcKribe how to initiate epicanlial. Vcntricular pacing.

You connect the pacing leads to a temporary pulse generator and set the rate at 70 beats/min.

This is the rhythm:

What i1 this rhythm?