Dysrhythmia Case Study Essay

2170 Words5 Pages
bulb-icon

Recommended: Pathophysiology of heart failure essay

Care of the Patient with Dysrhythmias and CHF Learning Objectives: 1. Identify priority nursing interventions, assessments, and teaching for the patient with dysrhythmias, CHF, and pacemaker insertion. 2. Analyze lab and diagnostic tests to determine condition and outcomes for the patient with dysrhythmias and CHF. 3. List appropriate nursing considerations pre- and post cardioversion and pacemaker insertion. 4. Demonstrate understanding of adverse effects of dysrhythmias. SCENARIO: Mr. Turner, a 72-year-old retired trucker, just arrived at the ED complaining of just not feeling right for the last 2 weeks but today is much worse. He has not been feeling well for about 2 weeks. He has noticed increasing dyspnea on exertion and has been having trouble …show more content…

What are the serious complications that can result from a dysrhythmia? Serious complications that can result from dysrhythmias are stroke, heart failure, or sudden cardiac arrest. Other organs throughout the body may also be harmed if they do not get the proper amount of oxygen. 4. What are 2 priority nursing diagnoses, 2 nursing interventions for each diagnosis? 1. Decreased cardiac output r/t altered heart rate as evidenced by ECG results, irregular HR, and HR of 165 beats per minute. a. Patient will be started on Cardizem per MD order to keep heart rate less than 100 bpm and SBP greater than 100. b. Monitoring patient’s cardiac status for irregularities in heart rate, rhythm, blood pressure, and chest pain per MD order to indicate impending cardiac failure or other complications. 2. Activity intolerance r/t compromised oxygen transport system secondary to dysrhythmias as evidenced by increasing dyspnea on exertion. a. Monitor client’s response to activity by taking resting pulse, blood pressure, and respirations. b. Monitor client’s response to activity by taking vital signs immediately after activity. 5. What measurement/assessment would best indicate overall adequate cardiac output for Mr.

Show More
Related

  • Submaximal Testing Essay

    1743 Words  | 4 Pages

    Both tests are very useful for assessing the pulmonary and cardiac system health of the individual being examined. This involves examining the individual’s response to the test by assessing their BP, HR, oxygen intake abilities, and using this information to infer whether they have some type of internal impairment. This includes

    Read More

  • Ekg Lab Report

    531 Words  | 2 Pages

    In this lab, I took two recordings of my heart using an electrocardiogram. An electrocardiogram, EKG pg. 628 Y and pg. 688 D, is a recording of the heart's electrical impulses, action potentials, going through the heart. The different phases of the EKG are referred to as waves; the P wave, QRS Complex, and the T wave. These waves each signify the different things that are occurring in the heart. For example, the P wave occurs when the sinoatrial (SA) node, aka the pacemaker, fires an action potential. This causes the atria, which is currently full of blood, to depolarize and to contract, aka atrial systole. The signal travels from the SA node to the atrioventricular (AV) node during the P-Q segment of the EKG. The AV node purposefully delays

    Read More

  • Determination of Maximal Oxygen Consumption Lab Report

    1278 Words  | 3 Pages

    In this lab, we explored the theory of maximal oxygen consumption. “Maximal oxygen uptake (VO2max) is defined as the highest rate at which oxygen can be taken up and utilized by the body during severe exercise” (Bassett and Howley, 2000). VO2max is measured in millimeters of O2 consumed per kilogram of body weight per min (ml/kg/min). It is commonly known as a good way to determine a subject’s cardio-respiratory endurance and aerobic fitness level. Two people whom are given the same aerobic task (can both be considered “fit”) however, the more fit individual can consume more oxygen to produce enough energy to sustain higher, intense work loads during exercise. The purpose of this lab experiment was performed to determine the VO2max results of a trained vs. an untrained participant to see who was more fit.

    Read More

  • Reducing 30-Day heart failure hospital readmission

    1509 Words  | 4 Pages

    ...y hired nurses on the heart failure floor since discharge education remains one of the responsibilities. I believe knowledge is an important factor to empower the patients about heart failure care and nurses spend nearly 24 hours a day with hospitalized patients; therefore, nurses can be patient advocates by reinforcing teaching. Most importantly, I believe that catering to the patient’s individual needs and establishing a good nurse-patient relationship enhances trust and learning which in the long run, is very beneficial to both nursing practice and the quality of life of the patient. Overall, what I discovered about heart failure is that there is no simple solution in preventing heart failure hospital readmission. Even with the recommended evidence-based practice suggestions, hospital readmission rates for HF still seem to remain high throughout the country.

    Read More

  • Essay On Muscular System

    926 Words  | 2 Pages

    ...ufficiently nourish the organs. This blood flow shortage causes severe damage to organs and tissue. Symptoms of cardiomyopathy include shortness of breath and other breathing difficulties, fatigue, swollen legs and feet, and irregular heartbeat. It can lead to heart failure.

    Read More

  • Myocardial Infarction Case Study

    4095 Words  | 9 Pages

    An electrocardiogram (ECG) is one of the primary assessments concluded on patients who are believed to be suffering from cardiac complications. It involves a series of leads attached to the patient which measure the electrical activity of the heart and can be used to detect abnormalities in the heart function. The ECG is virtually always permanently abnormal after an acute myocardial infarction (Julian, Cowan & Mclenachan, 2005). Julies ECG showed an ST segment elevation which is the earliest indication that a myocardial infarction had in fact taken place. The Resuscitation Council (2006) recommends that clinical staff use a systematic approach when assessing and treating an acutely ill patient. Therefore the ABCDE framework would be used to assess Julie. This stands for airways, breathing, circulation, disability and elimination. On admission to A&E staff introduced themselves to Julie and asked her a series of questions about what had happened to which she responded. As she was able to communicate effectively this indicates that her airways are patent. Julie looked extremely pale and short of breath and frequently complained about a feeling of heaviness which radiated from her chest to her left arm. The nurses sat Julie in an upright in order to assess her breathing. The rate of respiration will vary with age and gender. For a healthy adult, respiratory rate of 12-18 breaths per minute is considered to be normal (Blows, 2001). High rates, and especially increasing rates, are markers of illness and a warning that the patient may suddenly deteriorate. Julie’s respiratory rates were recorded to be 21 breaths per minute and regular which can be described as tachypnoea. Julies chest wall appeared to expand equally and symmetrical on each side with each breath taken. Julies SP02 levels which are an estimation of oxygen

    Read More

  • Nurse´s Patient Evaluation

    558 Words  | 2 Pages

    The purpose of the paper is to discuss the activities involved during the evaluation of a patient. Evaluation of a patient can be seen as the process of examining a patient critically. It comprises of gathering and analyzing data about a patient and the illness (Allan, 2012). The core reason is to make judgment about the disease one is suffering from. Such judgment will guarantee proper treatment and diagnosis. Typically, gathering of information from the patient is the role of nurses while making judgment and prescription is the doctor’s role (Jacques, 1988). In any case all practitioners are required to know how to evaluate a patient.

    Read More

  • Case Study Of Myocardial Infarction

    1061 Words  | 3 Pages

    759. Mr. Miller is likely presenting with an acute myocardial infarction. Based on his past medical history of hypertension, hyperlipidemia, obesity, and diabetes, along with his current symptoms of chest pain, shortness of breath, pale skin with beads of sweat on the forehead, as well as elevated lab 's­ Troponin, CK, and CK-MB, he is most likely presenting with an acute myocardial infarction.

    Read More

  • Heart Rate Lab Report

    1142 Words  | 3 Pages

    These results make sense because the heart beats faster in order to keep the body’s cells well equipped with oxygen. For one to continue exercising for long amounts of time, cells need to create ATP in order to use energy. Oxygen must be present for the process of creating ATP, which not only explains why higher respiratory rates occur during exercise but also faster heart rates. When the heart is beating rapidly, it is distributes oxygenated blood as fast as the body n...

    Read More

  • Essay On Cardiomyopathy

    1190 Words  | 3 Pages

    Most often the disease starts in the left ventricle, and then often spreads to both the atrium and right ventricle as well. Usually there will also be mitral and tricuspid regurgitation, due to the dilation of the annuli. This regurgitation will continue to make problems worse by adding excessive volume and pressure to the atria, which is what then causes them to dilate. Once the atria become dilated it often leads to atrial fibrillation. As the volume load increases the ventricles become more dilated and over time the myocytes become weakened and cannot contract as they should. As you might have guessed with the progressive myocyte degeneration, there is a reduction in cardiac output which then may present as signs of heart failure (Lily).

    Read More

  • Personal Statement: My Journey For Physician Assistant

    710 Words  | 2 Pages

    ...ts, electrocardiogram, sonogram and cardiac rehabilitation. As a clinical observer, I found an opportunity to create a solid foundation on patient diagnosis and treatment, and not to mention, long hours with charting and recording patients’ information.

    Read More

  • Arrhythmia

    485 Words  | 1 Pages

    Bradycardia can be very serious. Some of the symptoms are loss of consciousness, heart failure, or death. Slow heart rates are caused by heart block. The hearts natural pace-maker fails to be conducted to the ventricles, the hearts main pumping chambers.

    Read More

  • Atrial Fibrillation

    1143 Words  | 3 Pages

    Cardiac dysrhythmias come in different degrees of severity. There are heart conditions that you are able to live with and manage on a daily basis and those that require immediate attention. Atrial Fibrillation is one of the more frequently seen types of dysrhythmias (NIH, 2011). The best way to diagnosis a heart condition is by reading a cardiac strip (Ignatavicius &Workman, 2013). Cardiac strips play an chief part in the nursing world allowing the nurse and other trained medical professionals to interpret what the heart is doing. In a normal strip, one can clearly identify a P wave before every QRS complex, which is then followed by a T wave; in Atrial Fibrillation, the Sinoatrial node fires irregularly causing there to be no clear P wave and an irregular QRS complex (Ignatavicius & Workman, 2013). Basically, it means that the atria, the upper chambers of the heart, are contracting too quickly and no clear P wave is identified because of this ‘fibrillation’ (Ignatavicius & Workman, 2013).

    Read More

  • Nursing Care Plan

    10498 Words  | 21 Pages

    Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.

    Read More

  • Vital Signs Reflection

    1577 Words  | 4 Pages

    This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.

    Read More

More about Dysrhythmia Case Study Essay

Open Document