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LIVING WITH UNCONTROLLABLE ATRIAL FIBRILLATION (NURSING INTERVENTIONS FOR…
LIVING WITH UNCONTROLLABLE ATRIAL FIBRILLATION
NURSING DIAGNOSIS
Marriott, S. (2014).
Activities Intollerance
Shortness of breath
High blood peressure
Decreased tissue perfusion
MEDICAL DIAGNOSIS
Marriott, S. (2014).
Physical Examination
Heart rhythm and rate
EKG
Fluttering
No identifiable p wave
*Decreased cardiac output
ECG
Holster monitoring
NURSING ASSESSME Lewis et al. (2014) **
OBJECTIVE
Irregular heart beat
Irregular pulse
Palpitation
PATIENT'S MEDICAL HISTORY
Lewis et al. (2014)
Other cardiovascular diseases
Physical examination
symptoms
past and recent surgeries
SUBJECTIVE Lewis et al. (2014)
Syncope
Chest pain
Dyspnea
Irregular Heart rate
Fatigue
PATHOPHYSIOLOGY
ATRIAL FIBRILLATION IS A VENTRICULAR TACHY ARRHYTHMIA CHARACTERIZED BY DISORGANIZED ATRIAL ELECTRICAL ACTIVITIES AND PROGRESSIVE DETERIORATION OF ATIRAL-ELECTRO-MECHANICAL FUNCTION
**
Gupta, Tiruvoipati, & Green, (2015).
text
TREATMENT OPTIONS Desai, El-Chami, Leon, & Merchant, (2017).
NURSING INTERVENTIONS OF DIGNOSIS
Elliott, K. (2014).
monitor stability
Education about diagnosis
monitor pt., ptt and INR
Educate family members about diagnosis
Monitor vital signs
Medication
Beta blocker
Anticoagulant
Calcium channel blocker
verapamil
Diltiazem
NURSING INTERVENTIONS FOR TREATMENT Desai, El-Chami, Leon, & Merchant, (2017).
Frequent assessment
monitor aanxiety level
emotional support
stroke awareness
monitor stress level
involve patient's family and social support
caution use of herbal medication
Educate patienst and family about synchronized cardioversion and other treatment options and possible side effects
pain management
Analgesic
warm compresses
repositioning
evaluate effect of intervention
**RISK FACTORS ASSOCIATED WITH ATRIAL FIBRILLATION Lewis et al. (2014)
Myocardial infarction
Untreted Atrial flutter
Coronary artery disease
Congested heart failure
hypertension
Diabetes melitus
Age
NURSING INTERVENTIONS FOR RISK FACTORS Lewis et al. (2014)
patient/family education
promote healthy lifestyle
Anticoagulant
TREATMENT OPTIONS
Medication
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Cardioversion
Synchronized electrical cardioversion
Catheterablation
Surgery
maze procedure
NURSING INTERVENTION FOR SURGERY
monitor site
assess heart rhythm
vital signs
monitor pain status
monitor level of consciousness