Pacemaker

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 for 90 days.

Plan/Approach

1. Pacemaker Type Identification

   • Document the type of pacemaker to ensure appropriate care and monitoring.

2. Regular Pacemaker Checks

   • Perform pacemaker checks as ordered to ensure proper functioning.

3. Vital Signs Monitoring

   • Check vital signs regularly and notify MD/RNP if there are any significant changes.

4. Chest Pain Monitoring

   • Monitor for chest pain and notify MD/RNP if any occurs.

5. Medication Management

   • Administer medications as ordered to support cardiovascular health and manage any related conditions.

6. Laboratory Monitoring

   • Monitor labs as ordered to track electrolytes, renal function, and other relevant parameters.

Rationale

1. Pacemaker Type Identification

   • Knowing the type of pacemaker is essential for appropriate care and troubleshooting any issues.

2. Regular Pacemaker Checks

   • Regular checks ensure the pacemaker is functioning correctly and can detect issues early.

3. Vital Signs Monitoring

   • Monitoring vital signs helps in early detection of complications and ensures timely intervention.

4. Chest Pain Monitoring

   • Chest pain can indicate pacemaker issues or other cardiac events that need immediate attention.

5. Medication Management

   • Proper medication management helps in maintaining cardiovascular health and preventing complications.

6. Laboratory Monitoring

   • Lab tests help monitor the patient’s overall health and detect any issues that might affect pacemaker function.

Actions

1. Pacemaker Type Identification

   • Document and review the type of pacemaker the patient has.

2. Regular Pacemaker Checks

   • Schedule and perform pacemaker checks as per medical orders and document the findings.

3. Vital Signs Monitoring

   • Check and document vital signs regularly, including heart rate, blood pressure, and oxygen saturation. Notify MD/RNP if there are significant changes.

4. Chest Pain Monitoring

   • Ask the patient about chest pain at each visit and monitor for signs of distress. Notify MD/RNP if chest pain is reported.

5. Medication Management

   • Administer medications as prescribed and monitor for side effects and effectiveness. Adjust as needed with MD/RNP guidance.

6. Laboratory Monitoring

   • Draw and review labs as ordered, including electrolytes and renal function tests. Report abnormal findings to MD/RNP.