The nurse caring for a patient who requires a temporary transvenous pacemaker. Which statement indicates that the patient understands the nurse's teaching?
a. "I may experience uncomfortable muscle contractions."
b. "The procedure will use general anesthe-sia."
c. "I will be given a sedative after the pro-cedure."
d. "This device may be left in place for 6 weeks."
A
A temporary transvenous pacemaker is placed if a transient rhythm such as heart block develops after a myocardial infarction or drug toxicity. It is important that the patient understands the un-comfortable muscle contractions are normal. Transvenous pacemakers are inserted by fluoroscopy with local anesthesia, and the leads are attached to an external power source. Patient consent is required, and a sedative is given to the patient before the procedure. Epicardial pacemaker wires are often placed during cardiac surgery for quick use should the patient need to be "paced" in the postoperative period. The wires are brought through the chest wall and are attached to an external power source. When the need for the wires is past, the surgeon will pull them out. The device is a short-term solution and is only used until the problem resolved or a permanent device is inserted.
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