Operator's Manual Part 2

Revision D ApexPro Telemetry System 11-17
2001989-134
ECG Monitoring: ECG Tab Sheet
Detect Pace
Safety Considerations
Be aware of the following when monitoring a patient with a pacemaker.
WARNINGS
FALSE CALLS—False low heart rate indicators or false
asystole calls may result with certain pacemakers
because of electrical overshoot.
MONITORING PACEMAKER PATIENTS—Monitoring
of pacemaker patients can only occur with the pace
program activated.
PACEMAKER SPIKE—An artificial pacemaker spike is
displayed in place of the actual pacemaker spike. All
pacemaker spikes appear uniform. Do not diagnostically
interpret pacemaker spike size and shape.
PATIENT HAZARD—A pacemaker pulse can be counted
as a QRS during asystole in either pace mode. Keep
pacemaker patients under close observation.
RATE METERS—Keep pacemaker patients under close
observation. Rate meters may continue to count the
pacemaker rate during cardiac arrest and some
arrhythmias. Therefore, do not rely entirely on rate
meter alarms.