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badconfused

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  1. ICD off but not pacer

    badconfused posted a topic in Cardiac
    Pt is 77 years old, CHF, COPD, Vascular Dementia, multiple TIAs and a laundry list of other things. Was put on hospice 4 weeks ago. Pt is declining. BP is dropping daily and the ICD has had a magnet placed over it in the home until they can get him to a dr. office to have it d/c'd. Question... he has a pacer component with the device and it is set at 60. Pulse is maintaining at 60 as BP is dropping. Will the pacer portion have to be cut off separately - magnet won't do it? He is a DNR as of New Years day per his choice. Pt has a long heart history with quad bypass, multiple stents and ablatia. Wondering for the family about the pacer portion and is it holding him here and he is suffering. Will it eventually stop or quit or what will happen. It's like being on a machine isn't it?

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