Operator's Manual Part 2
Table Of Contents
- 8 Alarm Control
- 9 Printing
- 10 Patient Data
- 11 ECG Monitoring
- 12 SpO2 Monitoring
- 13 NBP Monitoring
- A Message Glossary
- B Supplies
- C Abbreviations and Symbols
- D ApexPro FH Transceiver
- Index
Revision D ApexPro Telemetry System 11-35
2001989-134
ECG Monitoring: Pacemaker Troubleshooting
Pacemaker Troubleshooting
There are two general things that occur when the pace mode is activated
for pacemaker patients:
1. Beats that would otherwise be classified as ventricular are instead
classified as V-paced if a ventricular pacemaker event is detected.
2. Residual pacemaker energy that might otherwise appear in the ECG
is removed, and a “pacemaker enhancement spike” (shown in an
offset color from the ECG waveform) is artificially placed in the ECG.
Pace detection is indicated visually in the ECG parameter box. When
watching the ECG waveform, pace detection is indicated by uniform,
upright pacemaker enhancement spikes in the ECG data (both displayed
and graphed).
During telemetry monitoring, the pacemaker signal is acquired from lead
II or on II and V simultaneously when using the ApexPro CH
transmitter. Changing the displayed lead has no effect on pacemaker
detection.
NOTE
With all leads connected, pacemaker signal acquisition occurs on
lead II or on II and V simultaneously when using the ApexPro CH
transmitter. In a lead fail condition, signal acquisition occurs on any
available lead. When a 3-leadwire patient cable is used, single
channel acquisition occurs on the programmed lead.
To improve pacemaker detection, reposition the electrodes and assure a
good skin preparation to maximize R-wave detection.
Interface Connector Ports
Pace detection performance is optimized with proper lead application
and correct use of the serial interface connector ports. If you are
experiencing degraded pace detection performance, verify that all leads
are properly attached to the patient and verify that any connected serial
device(s) are in the appropriate serial interface connector ports.
The inside port, labeled 2 on the dust cover, is for use with episodic
monitoring serial devices, such as NBP.
The outside port, labeled 1 on the dust cover, is for use with
continuous monitoring serial devices, such as SpO2.