Preparing for Synchronized Cardioversion

Preparing for Synchronized Cardioversion

In preparation for synchronized cardioversion:

1.Apply multifunction defib electrode pads as directed on the package. Use either the anterior-anterior or anterior-posterior placement, as appropriate.

2.Connect the pads to the patient cable. (See Figure 6-2.)

3.Apply monitoring electrodes, if desired. (See “Applying Monitoring Elec- trodes” on page 4-2.)

4.If needed, insert a Data Card (as described in “Using a Data Card” on 2- 11).

5.Press On.

6.Enable Manual Mode. (See “Enabling Manual Mode” on page 6-2.)

7. Use

/($'

to select the best lead that displays a large QRS complex. (See

 

6(/(&7

 

“Selecting the Lead” on page 4-5.)

Delivering a Synchronized Shock

To perform synchronized cardioversion:

1. Press Sync to enable Sync Mode. The green LED next to Sync lights up and the message 6<1& appears on the display.

2.Use the gain control, , to adjust the ECG size so that the marker dot appears only once with each R-wave.

3.If necessary, change the energy setting (the default setting is 150 joules),

by pressing (1(5*<6(/(&7 repeatedly until the desired energy level is displayed. The choices are 5, 10, 25, 50, 70, 100, 150, or 200 joules.

4.Press &+$5*( . Wait until the current charge has reached the energy level selected and you hear a continuous charge done tone.

7-2

Performing Synchronized Cardioversion

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Philips M3500B manual Preparing for Synchronized Cardioversion, Delivering a Synchronized Shock