Diet pills decongestants o Maintain healthy lifestyle Cessation of tobacco use

Diet pills decongestants o maintain healthy lifestyle

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Diet pills, decongestants o Maintain healthy lifestyle Cessation of tobacco use Proper diet Normal blood pressure/cholesterol o Verbalize understanding use of prescribed medications Nitroglycerin Beta-blockers
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ASA Dysrhythmias Dysrhythmias - Disorders of formation or conduction (or both) of electrical impulses within heart - Can cause disturbances of o Rate o Rhythm o Both rate and rhythm - Potentially can alter blood flow and cause hemodynamic changes - Diagnosed by analysis of electrographic waveform - Nursing care o Assessment Causes of dysrhythmia, contributing factors Assess indicators of cardiac output and oxygenation Health history: include presence of coexisting conditions, indications of previous occurrence All medications (prescribed, OTC, herbals, supplements) Psychosocial assessment: patient’s “perception” of dysrhythmia, anxiety when you are hypoxic- you are anxious and restless o Physical assessment include Skin (pale and cool) Signs of fluid retention (JVD, lung crackles/wheezes) Signs of decreased CO (altered LOC) Rate, rhythm of apical, peripheral pulses, pulse deficit- lack of diffusion clots in the atrium Heart sounds Blood pressure, pulse pressure murmur- doors are not closing completely not enough calcium to allow doors to close - Nursing Diagnosis o Decrease cardiac output o Anxiety o Deficient knowledge - Collaborative Problems and Potential Complications o Cardiac arrest o Heart failure o Thromboembolic event, especially with atrial fibrillation - Planning o Goals Eradicating or decreasing occurrence of dysrhythmia to maintain cardiac output Minimizing anxiety
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Acquiring knowledge about dysrhythmia and its treatment - Focus on Interventions o Monitor and manage the dysrhythmia o Minimize anxiety o Promote home- and community-based cared o Educate the patient o Continuing care - Nursing Interventions: Monitor and Manage the Dysrhythmia o Assess vital signs on an ongoing basis o Assess for lightheadedness, dizziness, fainting o If hospitalized: Obtain 12-lead ECG Continuous monitoring Monitor rhythm strips periodically o Antiarrhythmic medications “6-minute walk test” - Nursing Intervention: Minimize Anxiety o Stay with patient o Maintain safety and security o Discuss emotional response to dysrhythmia o Help patient develop a system to identify factors that contribute to episodes of the dysrhythmia o Maximize the patient’s control - Nursing Intervention: Promote Home and Community-Based Cared o Educate the patient Treatment options Therapeutic medication levels How to take pulse before medication administration How to recognize symptoms of the dysrhythmia Measures to decrease recurrence Plan of action in case of an emergency CPR (family) - Nursing intervention: Continuing Care o Referral for home are Hemodynamically unstable with signs of decreased CO Significant comorbidities Socioeconomic issues Limited self-management skills Electronic device recently implanted - Evaluation o Maintain cardiac output Stable VS, no signs of dysrhythmia o Experience decreased anxiety Positive attitude, confidence in ability to act if an emergency occurs
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  • Spring '16
  • Kim McCarron

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