Additional Settings for Temporary Pacemakers
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- čas přidán 8. 07. 2024
- In this lesson, we continue our discussion talking about temporary pacemaker settings, moving to some additional settings, which while not as essential to understand as the ones from the last lesson, are good to know about and how they work. After completing this lesson, you should have a good grasp of just about every setting available to us on these temporary pacemaker generators.
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0:00 Intro
1:22 Atrium vs Ventricle
3:17 Rate Dependent Parameters
9:35 Atrial Settings
11:56 Emergency
12:47 Conclusion
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✅ Hemodynamics: • Hemodynamic Principals
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6:35 that seems like a goof, at low pvarp there is a high chance of sensing atrial beats, if it’s made longer you can miss them
I see where you're thinking is, but when the PVARP is so short, you run the risk of the blanking period lasting longer than your interval set for PVARP.
We wouldn't consider it a "miss" if it came during the PVARP interval as we purposely are ignoring this time
Oh, I mean if it’s too high you can miss true atrial events, though as you said lower increases chance of sensing artifact
@@rogervanbommel1086 It is the atrial refractory period following a ventricular beat. Its the time that we ignore any atrial events from the time a ventricular beat happens.
hello.. I know it's not related.. but I'm here to search for answer..
patient diagnosed of acute pancreatitis had a laparotomy cholecystectomy 3 months ago..
problem presented loose bowel movements 6x for only 8 hours shift.. noted since yesterday experiencing LBM.
management by gastro team : to start DKA protocol (even pt is out of DKA) insulin infusion ordered(as subcutaneous isn't possible accordingly).. no management for loose bowel movement..
pain management ordered to start fentanyl infusion at 50mcg/hour. .NoTe: pt is fully conscious
ICU team ordered: to stopped DKA protocol cause blood gasses and no ketone in urine... electrolytes correction for magnesium calcium sodium and phosphate was low..
pain management paracetamol every 6 hours and fentanyl 50mcg iv every four hours/ prn..
sorry because I've never handled acute pancreatitis before.. pls I needed ur help.. I'm confused really I questioned gastro team order.. I search Google but no use...
For hypertriglyceridemic pancreatitis (HTGP), insulin infusion can help in the lowering of triglycerides and alleviating symptoms along with pain management. Plasmapheresis or lipid aphresis is becoming more popular as the treatment of choice, but insulin has been shown to help quickly lower triglycerides as well.
I haven't seen it run as a DKA protocol, but as a continuous infusion set rate along with dextrose infusion.
Hope that helps.
@@ICUAdvantage thank you so much.. it really helps!! so far pt is out of insulin infusion now..
as for DKA protocol== all I can say this hospital sucks!! poor management== overall!!
they didn't even checked triglycerides level..