Pacemakers

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  1. This is a discussion on Pacemakers in CCU Nursing / Coronary / Cardiac, part of Critical Care Nursing ... When weaning an epicardial pacer and looking at intrinsic rate. Do you turn the rate down to look...

    When weaning an epicardial pacer and looking at intrinsic rate. Do you turn the rate down to look at intrinsic or just pause. Reason i ask bc cv surgeon told us not to pause pacer bc it can make pt asystole and lose the pt but instead to turn to rate down to 40 and if theres no intrinsic rate greater than then to turn back up to 80-90 and reassess later.
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  3. I turn the rate down gradually for that reason (that if there is no underlying rhythm the pt could be asystolic). So I agree with the surgeon.

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