Pathophysiology
Clinical meaning
Temporary transvenous pacing supports the heart during high-grade AV block, brady arrest risk, or bridge to permanent device. Nurses maintain connector integrity, threshold checks per policy, dressing and insertion site care, spike capture on monitor, and prevent dislodgement by securing cables and educating about movement limits. Connect Temporary Pacemakers: Bedside Safety and Troubleshooting to bedside cues you will reassess first: vitals trends, work of breathing, perfusion, mentation, and pain or ischemic equivalents when relevant. Boards reward recognizing when subtle instability outweighs reassurance, then selecting nursing actions that protect airway, circulation, and neurologic status before routine tasks.
