Question

The cardiologist determines they want to attempt electrical cardioversion at 50 joules. What safety measures will the nurse implement with the cardioversion?

Answer 1

• get the consent from the patient ( if consciuos) and from the relatives
• fluid administration and oxygen supply by face mask is mandatory
• patient should be connected to ECG monitor before applying CV
• paddles should be placed anterior to posterior (lubricant jelly should be applied)and should not be contact with other leads
• patient should be sedated
• Joules should selected as ordered by doctor
• emergency medications should be loaded and kept in place inorder to prevent emergency situation
• jewels should be removed before attempting and should be handed over to relatives    and finally the nurse should say loudly CLEAR before implementing CV as a precaution to avoid shock on others