Pacemaker implant – post procedure instructions

After implant ,you may go home the same day , or may stay overnight, depending on your age and other medical conditions
A preventive antibiotic will be prescribed for the next 5 days.
You will be given an ID card that contains information about your pacemaker. You will receive instructions about remote monitoring of your pacemaker at the first visit .

How do I take care of my incision site?

• Keep area with dressing clean and dry for 3 days after your procedure (sponge bath ).
• After 3 days you may remove the dressing and shower. The steri strips may fall off ; if they don’t , you may peel them away when wet , during showering .
• Avoid spraying water directly on incision while showering in the first 4 weeks
• Pat the incision site dry with a clean towel.

What are my activities instructions?

  • Do not lift any objects weighing more than 15 pounds with your affected arm until the wound check in 7-10 days after your procedure..
  • Do not raise your arm on the incision side above shoulder level or stretch your arm behind your back for 4 weeks . This gives the leads a chance to secure the proper position and avoid pulling them off
  • No driving for 4 weeks . Avoid friction on the incision by the belt .

When you should call me

  • Hiccups that won’t stop
  • Redness, severe swelling, drainage, worsening pain, bleeding, or warmth at the incision site
  • If your pacemaker generator feels loose or wiggling in the pocket under the skin

Leaving a normal life with a pacemaker

It’s unlikely that your pacemaker would stop working properly because of electrical interference. Still, you’ll need to take a few precautions:
  • Cellphones. It’s safe to talk on a cellphone, but avoid placing your cellphone directly over your pacemaker implantation site .
  • Security systems. Passing through an airport metal detector won’t interfere with your pacemaker, although the metal in it may sound the alarm . To avoid potential problems, carry an ID card stating that you have a pacemaker.
  • Medical equipment. If a doctor is considering any medical procedure that involves intensive exposure to electromagnetic energy, tell him or her that you have a pacemaker. Such procedures include magnetic resonance imaging, therapeutic radiation for cancer treatment and shock wave lithotripsy, which uses shock waves to break up large kidney stones or gallstones.
  • If you’re having surgery, a procedure to control bleeding (electrocautery) also can interfere with pacemaker function.
  • Power-generating equipment. Stand at least 2 feet (60 centimeters) from welding equipment, high-voltage transformers or motor-generator systems.
  • Cellphones. It’s safe to talk on a cellphone, but avoid placing your cellphone directly over your pacemaker implantation site when the phone is turned on. Although unlikely, your pacemaker could misinterpret the cellphone signal as a heartbeat and withhold pacing.
  • Generally microwave ovens, computers, VCRs, and garage door openers are all safe to use.

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