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CLINICAL PAPAERWORK ASSIGNMENTS
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Atrial fibrillation DESCRIPTION: “It is characterized by a total disorganization of atrial electrical activity because of multiple ectopic foci. It results in loss of effective atrial contraction The dysrhythmia may be paroxysmal (i.e., beginning and ending spontaneously) or persistent (lasting more than 7 days). Atrial fibrillation is the most common, clinically significant dysrhythmia with respect to morbidity and mortality rates and economic impact. Its prevalence increases with age.8” (Lewis 2019 p763)
Feelings of a fast, fluttering or pounding heartbeat, called palpitations. Chest pain. Dizziness. Fatigue. Lightheadedness. Reduced ability to exercise. Shortness of breath. Weakness. COMPLICATIONS: Atrial fibrillation results in a decrease in CO because of ineffective atrial contractions (loss of atrial kick) and/or a rapid ventricular response (RVR). Thrombi may form in the atria because of blood stasis. An embolized clot may move through arteries to the brain, causing a stroke. Atrial fibrillation accounts for as many as 20% of all strokes.
calcium channel blockers (diltiazem) Beta blockers (metoprolol), amiodarone, digoxin warfarin SURGICAL MANAGEMENT: AV nodal ablation, the destruction of the AV node. Maze Procedure- intervention that stops atrial fibrillation by interrupting the ectopic foci that are causing the dysrhythmia. Incisions are made in both atria, and cryoablation (cold therapy) is used to stop the formation and conduction of ectopic signals and restore normal sinus rhythm. permanent ventricular pacemaker. NURSING MANAGEMENT Concept
Concept Activity Intolerance r/t Condition of circulatory problems (dizziness, presyncope, or syncopal episodes Concept Ineffective Tissue Perfusion r/t decreased cardiac output NURSING INTERVENTIONS: NURSING INTERVENTIONS: NURSING INTERVENTIONS: