What adjustment should be made for CPR on a patient with an implanted pacemaker?

When performing CPR on a patient with an implanted pacemaker, it is crucial to avoid placing the defibrillation pads directly over the pacemaker device. Positioning the pads over the pacemaker could interfere with its function and potentially cause damage to the device or ineffective pacing of the heart. The preferred placement for the pads is typically in the standard positions (anterior-posterior or anterior-lateral), ensuring they do not overlap with the device.

This procedure protects the integrity of the pacemaker while allowing for effective defibrillation if indicated. Additionally, maintaining proper pad placement ensures that electric shocks can be delivered safely and effectively without posing a risk to the device or the patient’s underlying cardiac rhythm. This careful attention to detail is critical in emergency settings where pacemaker function is vital for maintaining adequate heart rhythm.