4/5/2023 0 Comments Pauses on telemetry![]() Frequent unexplained episodes of sudden collapse.Patients/Families unable/unwilling to follow nursing instructions to stay on the ward.Unwell patients at risk of life threatening arrhythmia (VF, SVT, VT, atrial flutter).Patients with any life threatening arrhythmia in the previous 24 hours.Post-operative patients still under post-operative observations.Exclusion criteria for telemetry, in consultation with cardiac team Monitor until cause has been identified, treated and/or the patient is at nil further riskįor every patient on telemetry – There should be both a daily medical and nursing assessment on the need for continuous cardiac monitoring and this should be documented daily. Unexplained sudden collapse or other neurological signs/symptoms that might be due to cardiac arrhythmias Pharmacotherapy of pro-arrhythmic drugs causing actual or potential QT prolongation or ventricular dysrhythmias e.g commencement of risperidone Monitor until reversible cause is rectified Sinus bradycardia without haemodynamic compromise Stable patients diagnosed with (and not limited to) cardiomyopathy, pericarditis, endocarditis, pericardial effusion or other conditions that may cause arrhythmiaĬontinue to monitor throughout treatment, until the risk of arrhythmia has been cleared. Post electrophysiology study and catheter ablation Non-life threatening arrhythmia without haemodynamic compromise Indications for telemetry include, in consultation with cardiology team, but not limited to Indication for Telemetry The algorithm is not strong enough to support infants and neonates (as directed by Philips). The size of the electrodes are generally too big for patients this age, and this can cause incorrect readings and problems with skin integrity. Patients aged 2 years and less are not recommended for telemetry. The AUM will be involved in all aspects of care, from patient assessment and daily reviews for appropriateness of telemetry. Acutely unwell patients at risk of life-threatening arrhythmias should be on strict bed rest and continuously monitored on the bedside monitor and close to emergency equipment. Patients should be assessed daily for the appropriateness of cardiac telemetry. Collapse – For the purpose of this guideline – collapse refers to circulatory/hemodynamic collapse.This can occur through transcutaneous pacing or external wires coming from the atrium/ventricle ![]()
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