Cardiac Rhythms
A type of irregular heartbeat where the heart upper chambers twitch erratically instead of contracting properly
What is atrial fibrillation?
High blood pressure (HTN), coronary artery disease (CAD), congenital heart defects, heart failure (HF), Diabetes Mellitus (DM), Aging, Infections
What are causes and risk factors?
a fast acting anticoagulant medication used to prevent and treat blood clots.
What is heparin?
medical, surgical, family and social history
What is patient history?
Amiodarone
What is a prescription medication:
1used to convert your abnormal rhythm back into a normal rhythm
2take the medication same time everyday
3do not stop abruptly
4missed doses take as soon as possible, do not double up on dose
5avoid grape fruit
6photosensitivity
7avoid driving and operating heavy machinery: as it can cause dizziness and drowsiness
8not recommend during pregnancy use reliable birth control and talk with your pphysician
the electrical pattern of the heart, originating in the sinoatrial node
What is sinus rhythm?
Stroke and Heart Failure
What are complications?
class III antiarrythmic agent that works by blocking certain electrical signals in the heart including potassium, sodium, and calcium channels, to stabilize the heart rhythm.
What is amiodarone?
(Dronedarone Sotalol Dofetillide Ibutilide)
a systematic questioning about the different body systems to uncover related symptoms, subjective information
What is Review of Systems?
Atrial Fibrillation
1can put you at a higher risk for blood clots, stroke and heart failure
2may experience palpitations, shortness of breath, fatigue, dizziness, chest pain
3lifestyle changes: heart healthy diet, exercise, weight management, smoking cessation,
4medication management
5work with physician
An extra heartbeat that can originate in the upper or lower chambers of the heart
What is premature contractions?
(PVC and PAC)
Paroxysmal, persistent and long-standing persistent
What are types of atrial fibrillation?
widely used to treat various and circulatory conditions such as hypertension (HTN), angina, heart attack, heart failure, irregular heartbeat by blocking beta-1 receptors
What is beta blocker?
metoprolol, atenolol, propanolol, and sotalol
a head to toe or focused examination using techniques like inspection, auscultation, palpation and percussion, along with vital signs.
What is a physical examination?
Transthoracic Echocardiogram
1wear comfortable close avoid lotions, oils, powder and perfumes
2continue to taking regular medications
3eat a light meal no fasting
4noninvasive ultrasound of the heart structure and function
a common heart rhythm disorder where the atria beats too quickly in an organized pattern due to faulty electrical circuit.
What is atrial flutter?
racing heartbeat, shortness of breath and fatigue
What are common symptoms?
a class of drugs that works by blocking the factor Xa, directly binding to and inhibiting thrombin
What is non vitamin K oral anticoagulants?
assessment, diagnosis, planning, implementation and evaluation
What is the nursing process?
Syncopal Episode
What the medical term for fainting?
temporary loss of consciousness and muscle control can be cause by vasovagal, postural and cardiac problems
a mild form of arrhythmia where the electrical signals from the upper chambers to the lower chambers are delayed as they pass through the atrioventricular node
What is first degree heart block?
Key lifestyle changes include maintaining a healthy weight, eating a heart healthy diet, exercising regularly, limiting alcohol and caffeine, quitting smoking and managing stress
What is preventions?
Protamine Sulfate
What is the antidote for heparin?
electrocardiogram, BMP, pro-BNP, echocardiogram
What are diagnostic tests?
Cardioversion
Before:
fast for 8 hours
avoid lotions on chest and back
During:
medications and intravenous fluids
sedation process
After:
No driving or operating heavy machinery for 24 hours
Soreness is expected
Start with a liquid diet and advance as tolerated (anesthesia can cause nausea vomiting)
Monitor your pulse and blood pressure
When to contact 911