Nursing care plan sinus tachycardia
Nursing interventions for low heart rate
Fluid shifts and use of diuretics can alter electrolytes especially potassium and chloride , which affect cardiac rhythm and contractility. Teach patient the pathophysiology of disease, medications Provides the patient with needed information for management of disease and for compliance. Adult advanced life support. So, for example, if a patient has a fever, you probably want to give Motrin or Tylenol. Xray may provide information on pulmonary edema, pleural effusions, or enlarged cardiac silhouette found in dilated cardiomyopathy or large pericardial effusion. Getting out of bed to use a commode or urinal does not stress the heart any more than staying in bed to toilet. This promotes cooperation of patient in his or her own medical situation. Specific causes guide treatment. Place patient in supine position For hypovolemia , supine positioning increases venous return and promotes diuresis. An alteration in oxygen saturation is one of the earliest signs of reduced cardiac output. Cardiac imaging Imaging of the heart may be performed to determine if structural abnormalities are affecting blood flow and contributing to tachycardia.
Decreased cerebral perfusion and hypoxia are reflected in irritability, restlessness, and difficulty concentrating. Check if medication has recently been administered that might cause tachycardia; If necessary, take steps to relieve pain and monitor the effects of interventions such as analgesia and repositioning as appropriate; Lie patients flat if they are hypotensive or feeling lightheaded.
They are used to terminate ventricular fibrillation and other life-threatening ventricular dysrhythmias or sustained ventricular tachyarrhythmias, especially when lidocaine and procainamide are not effective.
Beta Blockers: They block beta 1 receptors from being stimulated. Flecainide increases the risk of drug-induced dysrhythmias post MI.
In an exercise stress test, electrodes are placed on your chest to monitor heart function while you exercise, usually by walking on a treadmill.
Nanda approved nursing diagnosis for dysrhythmias
Useful in determining effectiveness of therapeutic interventions and response to activity. May indicate inadequate cerebral perfusion secondary to decreased cardiac output. Document presence of pulsus alternans, bigeminal pulse, or pulse deficit. Note: Contraindicated in patients with second- or third-degree heart block or those with sick sinus syndrome who do not have a functioning pacemaker. Note changes in sensorium: lethargy, confusion , disorientation, anxiety , and depression. ACE inhibitors represent first-line therapy to control heart failure by decreasing ventricular filling pressures and SVR while increasing cardiac output with little or no change in BP and heart rate. Prepare for insertion and maintenance of pacemaker , if indicated. So those are some symptoms. Differential diagnosis of underlying cause may be required to formulate appropriate treatment plan. Stress, anxiety, or fear can really do that. Identify whether the pulse is regular or irregular: an irregular pulse may indicate atrial fibrillation. Tachycardia consultation at Mayo Clinic A thorough physical exam, medical history and testing is required to diagnose tachycardia. Your doctor observes how your heart and nervous system respond to these changes in position.
Assess beta-type natriuretic peptide BNP. Myocardial depressant effects may be potentiated when class Ia drugs are used in conjunction with any drugs possessing similar properties.
So bradycardia or brady is less than 60, tachycardia is greater than Concomitant heart failure therapy to aid favorable remodeling is recommended. Success rates are high. Prepare for invasive diagnostic procedures and surgery as indicated.
based on 23 review