When applying AED pads to a patient with a medication patch, what should you do?

The correct approach when encountering a medication patch on a patient's chest while preparing to use an AED is to remove the medication patch, wipe away any residue, and then apply the AED pads. This action is essential because many medication patches, such as those for nitroglycerin or fentanyl, can interfere with the electrical conductivity of the AED pads and may also pose a risk of skin burns or other adverse effects.

By removing the patch and ensuring that the area is free of any adhesive residue, you create a clean, effective surface for the AED pads, maximizing their efficacy in delivering a shock if needed. This process ensures that the pads have optimal contact with the skin, which is crucial for both rhythm analysis and shock delivery.

Other options might seem viable but do not adequately address the safety concerns associated with medication patches during defibrillation. For instance, simply moving the patch without removing it can still leave residue that could disrupt the AED's function. Placing the pads at least an inch away does not eliminate the risk of interference or burns, while continuing CPR to identify the medication is not a practical or effective action in this immediate context where defibrillation may be necessary.