10-7
power.
Defib/Pacer Solutions
Problem Possible Causes Action/Solution
Defibrillator will not charge
(beeps intermittently) when
CHARGE key is pressed.
Defibrillator cable is either
disconnected or defective.
Ensure that defibrillator cable
is properly connected to the
defibrillator behind the Prism
monitor. If problem persists,
replace defibrillator cable.
Defibrillator beeps intermittently
when attempting to charge the
internal paddles.
Internal paddle cable is either
disconnected or defective.
Energy selected exceeds 50 joules.
Ensure that internal paddle
cable is properly connected to
defibrillator behind the Prism
monitor. If problem persists,
replace internal paddle cable.
Ensure that energy selected is
not more than 50 joules (max.
setting for internal paddles).
Patient’s skin burns during
pacing.
Improper electrode to skin adhesion
or use of dry or otherwise defective
electrodes.
Pacing current may be set too high.
Ensure that disposable
defibrillator/ pace electrodes
are not outdated.
Replace electrodes that are
dry or defective.
If possible, reduce pacing
current.
Insufficient ECG waveform
during defibrillation or pacing.
Incorrect ECG electrode placement.
Defibrillator ECG source is set to
PADDLES.
Patient and/or paddle motion.
Apply standard 3-lead ECG
cable with proper electrodes
to obtain ECG waveform.
Set defibrillator ECG source
to LEADS with ECG
SOURCE key. Then connect
a standard 3-lead ECG cable
with proper electrodes.
If possible, reduce patient
and/or paddle motion.
Discomfort or pain during pacing. Excessive pacing current. If possible, reduce pacing
current. If high pacing current
is warranted for capture,
sedation with analgesic may
be required.
Unable to obtain ventricular
capture.
External pacer is either not in
DEMAND mode or the pace rate is
too low.
Ensure that pacer is set to
DEMAND mode and pace
rate is higher than that of the
patient. Also ensure that
sufficient pacing current is
being delivered to patient.
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