![]() ![]() Hearing extra heartbeats or dropped beats helps identify dysrhythmias in the unmonitored patient.ģ. Specific dysrhythmias are more clearly detected audibly than by palpation. Auscultate heart sounds, noting rate, rhythm, presence of extra heartbeats, and dropped beats. Document the presence of pulsus alternans, bigeminal pulse, or pulse deficit.ĭifferences in pulse equality, rate, and regularity are indicative of the effect on the systemic or peripheral circulation of altered cardiac output.Ģ. Palpate pulses (radial, carotid, femoral, dorsalis pedis), noting rate, regularity, amplitude (full or thready), and symmetry. The client will participate in activities that reduce myocardial workload.ġ.The client will display reduced frequency/absence of dysrhythmia(s).The client will maintain/achieve an adequate cardiac output as evidenced by BP/pulse within normal range, adequate urinary output, palpable pulses of equal quality, and usual level of mentation.A risk diagnosis is not evidenced by signs and symptoms, as the problem has not occurred, and nursing interventions are directed at prevention. Effective management and treatment of cardiac dysrhythmias are essential for lowering the risk of decreased cardiac output and sustaining good cardiovascular health. ![]() Irregular heart rhythm can impair the heart’s ability to effectively pump blood, resulting in decreased oxygen and nutrient delivery to essential organs and decreased blood flow to the body. ![]() Listed below are three (3) nursing care plans for cardiac arrhythmias nursing care plans and nursing diagnosis: Nursing care planning for patients with cardiac arrhythmia due to digitalis toxicity includes prompt assessment of the patient’s condition, prompt treatment of symptoms, and investigation of the cause. Arrhythmias vary in severity, from those that are mild, asymptomatic, and require no treatment to catastrophic ventricular fibrillation, which necessitates immediate resuscitation. It can be the result of a primary cardiac disorder, a response to a systemic condition, the result of electrolyte imbalance, or drug toxicity.ĭysrhythmias vary in severity and in their effects on cardiac function, which are partially influenced by the site of origin (ventricular or supraventricular). Pacemakers do not reduce mortality, but they can decrease symptoms and improve quality of life.Cardiac arrhythmias, also known as cardiac dysrhythmias, are abnormal electrical conduction or automatic changes in heart rate and rhythm. Treatment of sick sinus syndrome includes removing extrinsic factors, when possible, and pacemaker placement. Electrophysiologic studies also may be used but are not routinely needed. If electrocardiography does not yield a diagnosis, inpatient telemetry monitoring, outpatient Holter monitoring, event monitoring, or loop monitoring may be used. Diagnosis may be challenging, and is ultimately made by electrocardiographic identification of the arrhythmia in conjunction with the presence of symptoms. Cerebral hypoperfusion is most common, with syncope or near-fainting occurring in about one-half of patients. They are commonly related to end-organ hypoperfusion. Signs and symptoms are often subtle early on and become more obvious as the disease progresses. Extrinsic factors can be pharmacologic, metabolic, or autonomic. Intrinsic causes include degenerative fibrosis, ion channel dysfunction, and remodeling of the sinoatrial node. Sick sinus syndrome results from intrinsic causes, or may be exacerbated or mimicked by extrinsic factors. At least 50 percent of patients with sick sinus syndrome develop alternating bradycardia and tachycardia, also known as tachybrady syndrome. Predominantly affecting older adults, sick sinus syndrome comprises various arrhythmias, including bradyarrhythmias with or without accompanying tachyarrhythmias. Sick sinus syndrome refers to a collection of disorders marked by the heart's inability to perform its pacemaking function. ![]()
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