Scribd Logo
Upload

Welcome to Scribd!

  • 161 views

    Atrial Fibrillation

    Uploaded by

    Rizia Emery Swedbergh
    Maintain cardiac output by starting an IV infusion of cardizem immediately for a person presenting with atrial fibrillation and a rapid ventricular response. Monitor the patient closely with a bedside cardiac monitor to manage the heart rate by titrating the infusion up or down as needed. Watch for trends in cardiac enzyme labs that could indicate heart damage requiring more aggressive treatment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Atrial Fibrillation

    Uploaded by

    Rizia Emery Swedbergh
    161 views1 page
    Maintain cardiac output by starting an IV infusion of cardizem immediately for a person presenting with atrial fibrillation and a rapid ventricular response. Monitor the patient closely with a bedside cardiac monitor to manage the heart rate by titrating the infusion up or down as needed. Watch for trends in cardiac enzyme labs that could indicate heart damage requiring more aggressive treatment.

    Original Description:

    Atrial Fibrillation Concept Map

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Maintain cardiac output by starting an IV infusion of cardizem immediately for a person presenting with atrial fibrillation and a rapid ventricular response. Monitor the patient closely with a bedside cardiac monitor to manage the heart rate by titrating the infusion up or down as needed. Watch for trends in cardiac enzyme labs that could indicate heart damage requiring more aggressive treatment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    161 views1 page

    Atrial Fibrillation

    Uploaded by

    Rizia Emery Swedbergh
    Maintain cardiac output by starting an IV infusion of cardizem immediately for a person presenting with atrial fibrillation and a rapid ventricular response. Monitor the patient closely with a bedside cardiac monitor to manage the heart rate by titrating the infusion up or down as needed. Watch for trends in cardiac enzyme labs that could indicate heart damage requiring more aggressive treatment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Nursing Care:

    Maintain cardiac output.


    Clinical Manifestations:
    When the person comes in with atrial fibrillation with rapid
    Palpitations, which are sensations of a
    Risk Factors: ventricular response, an IV infusion of cardizem is going up
    racing, uncomfortable, irregular heartbeat
    High blood pressure immediately.
    or a flip-flopping in your chest
    Heart attacks A cardiac monitor at bedside is essential to keep an eye on the
    Weakness
    Coronary artery disease rate. Titrate the infusion up or down depending on heart rate.
    Reduced ability to exercise
    Abnormal heart valves Watch labs like cardiac enzymes for trends indicating heart
    damage. This may indicate quicker or more aggressive action is Fatigue
    Heart defects you're born with (congenital)
    needed. Lightheadedness
    An overactive thyroid gland or other metabolic
    Dizziness
    imbalance
    Confusion
    Exposure to stimulants, such as medications,
    Shortness of breath
    caffeine or tobacco, or to alcohol
    Chest pain
    Sick sinus syndrome ? improper functioning of the
    heart's natural pacemaker
    Lung diseases Atrial Fibrillation:
    Previous heart surgery
    Atrial fibrillation is an irregular
    Viral infections and often rapid heart rate that
    Stress due to pneumonia, surgery or other illnesses occurs when the two upper
    Sleep apnea chambers of your heart (atria)
    experience chaotic electrical
    signals.

    Diagnostics:
    EKG
    Medical Procedures to Correct Holter Monitor
    Event Monitor
    Rhythm: Echocardiogram
    Medications:
    Cardioversion may stop the extra electrical Various Blood Tests
    Coumadin
    impulses and restore a normal rhythm. If Chest X-Ray
    Dofetilide (Tikosyn)
    Flecainide someone has been in a-fib.for an unknown
    Propafenone (Rythmol) time, cardioversion may not be an option due
    Amiodarone (Cordarone, Client Education: to the risk of moving clots from the heart.
    Pacerone) Eat heart healthy foods. Ablation can be used to either burn
    Digoxin Exercise regularly.
    (radiofrequency ablation) or freeze
    Beta blockers Quit smoking.
    Calcium Channel Blockers (cryoablation) abnormal electrical impulses.
    Maintain a healthy weight.
    Keep blood pressure and Maze surgery - a new maze of electricity is
    cholesterol levels under control. created for the heart.
    Drink alcohol in moderation. Catheter Ablasion. Goals of Care:
    Maintain follow-up care. Atrioventricular node ablasion. Control heart rate
    Maintain all medications and Restore normal sinus rhythm
    follow prescription. Prevent clots
    Educate about risk factors of
    A-Fib.

    You might also like