What nursing care should be given to a patient with a permanent pacemaker?

What nursing care should be given to a patient with a permanent pacemaker?

Maintain bedrest for 12 hours. Restrict movement of the affected arm for 12-24 hours. After 24 hours, assist with gentle ROM exercises 3 times daily, to restore normal movement and prevent stiffness. Do not give aspirin or heparin for 48 hours.

How do you take care of a patient with a pacemaker?

Some general guidelines are:

  1. Avoid strenuous activity, especially lifting and other activities that use your upper body.
  2. Avoid rough contact that could result in a blow to your implant site.
  3. Limit certain arm movements if your doctor tells you to.
  4. Avoid lifting heavy objects until your doctor tells you it is OK.

What do you monitor after pacemaker?

You should avoid strenuous activities for around 4 to 6 weeks after having your pacemaker fitted. After this, you should be able to do most activities and sports. But if you play contact sports such as football or rugby, it’s important to avoid collisions. You may want to wear a protective pad.

What are the complications of pacemaker?

Pacemaker complications include malfunction due to mechanical factors such as pneumothorax, pericarditis, infection, skin erosion, hematoma, lead dislodgment, and venous thrombosis. Treatment depends on the etiology. Pneumothoraces may require medical observation, needle aspiration, or even chest tube placement.

How do you prepare for a pacemaker?

8 Tips to Prepare for a Pacemaker Insertion

  1. Learn how a pacemaker works.
  2. Talk to your doctor about your overall health.
  3. Ask for details about the day of surgery.
  4. Visit the hospital or surgery center.
  5. Relax the night before your procedure.
  6. Plan to spend a night in the hospital.

What is a care plan in heart failure?

Nursing care plan goals for patients with heart failure include support to improve heart pump function by various nursing interventions, prevention and identification of complications, and providing a teaching plan for lifestyle modifications.

What are the side effects after pacemaker insertion?


  • Infection near the site in the heart where the device is implanted.
  • Swelling, bruising or bleeding at the pacemaker site, especially if you take blood thinners.
  • Blood clots (thromboembolism) near the pacemaker site.
  • Damage to blood vessels or nerves near the pacemaker.
  • Collapsed lung (pneumothorax)

What are the most common problems with a pacemaker?

As with any medical or surgical procedure, pacemaker implantation has risks as well as benefits.

  • Blood clots. A blood clot can develop in one of the veins in the arm on the side of the body where the pacemaker was fitted.
  • Pacemaker infection.
  • Air leak.
  • Problems with the pacemaker.
  • Twiddler’s syndrome.

What should you avoid with a pacemaker?

What precautions should I take with my pacemaker or ICD?

  1. It is generally safe to go through airport or other security detectors.
  2. Avoid magnetic resonance imaging (MRI) machines or other large magnetic fields.
  3. Avoid diathermy.
  4. Turn off large motors, such as cars or boats, when working on them.

What is the process of having a pacemaker put in?

Once the anesthetic has taken effect, the physician will make a small incision at the insertion site. A sheath, or introducer, is inserted into a blood vessel, usually under the collarbone. The sheath is a plastic tube through which the pacer lead wire will be inserted into the blood vessel and advanced into the heart.