Diagnostic Procedure

STUDENT NAME: PROCEDURE NAME _ defibrillation

Description of Procedure
Defibrillation is a direct shock delivered to the heart synchronized with the QRS complex. Defibrillation stops all electrical activity
which allows the SA node to take back control. Electrical current passed through the heart that causes the entire myocardium to
depolarize completely at the moment of shock. Produces a transient asystole and then allows the heart's SA node to gain
control.
Indications CONSIDERATIONS
Nursing Interventions (pre, intra, post)
-Pulseless Ventricular Tachycardia
-Determine the need for defibrillation (check for carotid pulse,
-Ventricular Fibrillation. apply conductive medium, use the quick look to evaluate rhythm)

-Asystole: if V-fib is considered. pre- Explain procedure, obtain consent, admin o2 ,

Interpretation of Findings
-Client should have a reestablished regular rhythm.
-Client has no burns/skin irritation under
electrodes
document procedure rhythm, have emergency equipment
available.
intra-Admin sedative, ensure proper lead placement,
monitor clients leads to ensure QRS complex is upright and
shockable, perform CPR, defibrillate immediately for v fib
post-Monitor VS, asses airway, document # of fibrillation
attempts, EKG, provide client & family education and
support.
Client Education
-Educate client and family on how to assess for pulse.
-Advise client to report palpitations or irregularities of heart
rate.

Potential Complications Nursing Interventions

-Offer emotional support to family.
-Decreased cardiac output
-Provide anticoagulation therapy.
-Heart Failure
-Monitor for signs of decrease cardiac output.
-Electrical burns under electrodes
-Provide medications to decrease workload and increase
-Failure of defibrillation
output.
-Embolism causing MI, CVA, & PE
-Asses burns & care for electrical burns