Care Plan for Pacemaker Management

Category / Primary Body System

• Cardiovascular System

Problem

• Patient is at risk for complications due to pacemaker use.

Goal

• Patient’s pacemaker will function properly and the patient will remain free of complications for 90 days.

Plan/Approach

1. Pacemaker Management

   • Identify the type of pacemaker (e.g., single-chamber, dual-chamber, biventricular)
   • Conduct pacemaker checks as ordered

2. Monitoring and Assessment

   • Check vital signs as needed and notify MD/RNP of any abnormalities
   • Monitor the patient for chest pain and report any incidents immediately
   • Conduct regular electrocardiograms (ECGs) as ordered to monitor pacemaker function

3. Medication and Laboratory Management

   • Administer medications as ordered
   • Monitor laboratory results as ordered

Rationale

1. Pacemaker Management

   • Identifying the specific type of pacemaker ensures appropriate monitoring and care.
   • Regular pacemaker checks help detect any issues with the device’s function, allowing for timely interventions.

2. Monitoring and Assessment

   • Frequent monitoring of vital signs helps identify any early signs of complications.
   • Immediate reporting and assessment of chest pain can prevent serious cardiac events.
   • Regular ECGs provide detailed information on pacemaker performance and cardiac rhythm.

3. Medication and Laboratory Management

   • Administering medications as prescribed helps manage underlying cardiac conditions and prevent complications.
   • Regular lab monitoring ensures that medication levels and other relevant health indicators are within the desired range.

Actions

1. Pacemaker Management

   • Document the type of pacemaker and any specific manufacturer recommendations for care.
   • Schedule and perform pacemaker checks as per the physician’s orders, using appropriate diagnostic tools and techniques.

2. Monitoring and Assessment

   • Check the patient’s vital signs (blood pressure, heart rate, respiratory rate, and temperature) regularly and document findings.
   • Monitor for any signs of chest pain or discomfort, noting the duration, intensity, and triggers, and report immediately to the MD/RNP.
   • Perform regular ECGs as ordered to monitor cardiac rhythms and pacemaker function, documenting any abnormalities and reporting them promptly.

3. Medication and Laboratory Management

   • Administer medications according to the prescribed schedule, ensuring adherence to dosages and timing.
   • Monitor lab results for any deviations from normal ranges and adjust the care plan as needed in consultation with the MD/RNP.