Physio-Control LIFEPAK 20e - Manual (Page 103)

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LIFEPAK 20e Defibrillator/Monitor Operating Instructions 5-5
©2006-2013 Physio-Control, Inc.
For pediatric patients, follow the procedures for ECG monitoring, manual defibrillation,
synchronized cardioversion, and pacing except for the following:
• Select the appropriate defibrillation energy for the weight of the pediatric patient according to
the American Heart Association (AHA) recommendations or local protocol. Using energy
levels of 100 joules or greater is likely to cause burns.
• When pacing, frequently inspect the patient’s skin under the heart electrode for signs of
burns.
Note: The amount of pacing current needed for capture is similar to the pacing current
needed for adults.
Replacing and Removing Electrodes
Replace QUIK-COMBO, QUIK-COMBO RTS, QUIK-COMBO REDI-PAK, or FAST-PATCH Plus
electrodes with new electrodes after 50 defibrillation shocks or 24 hours on the patient’s skin, or
after 8 hours of continuous pacing. Replace pediatric QUIK-COMBO electrodes after 25
defibrillation shocks or 24 hours on the patient’s skin, or after 8 hours of continuous pacing.
To remove QUIK-COMBO or FAST-PATCH electrodes from the patient:
1 Slowly peel back the electrode from the edge, supporting the skin as shown in Figure 5-5 .
Figure 5-5 Removing Therapy Electrodes from Skin
2 Clean and dry the patient’s skin.
3 When replacing electrodes, adjust the electrode positions slightly to help prevent skin burns.
4 Close the protective cover on the QUIK-COMBO therapy cable connector when the cable is
not in use.
To disconnect the defibrillation cable from the FAST-PATCH electrodes:
1 Press down around the electrode post.
2 Pinch the snap connector with the fingers of the other hand and pull straight up (refer to
Figure 5-6 ).
Figure 5-6 Disconnecting Defibrillation Cable from FAST-PATCH Electrodes
WARNING!
Possible cable damage and ineffective energy delivery or loss of monitoring.
Improper disconnection of the defibrillation cable may damage the cable wires. This can result in
failure to deliver energy or loss of ECG signal during patient care. Position the cable so that it
will not be pulled, snagged, or tripped over. Do not disconnect the defibrillation cable snap
connectors from electrode posts or posts on testing devices by pulling on the cable. Disconnect
the cable by pulling each cable connector straight out (refer to Figure 5-8).