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  • Ecg Dysrythmias Nursing Responsibilitu Sinus Node 1.) Sinus Bradycardia

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    Nickha Lazo
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    1. Sinus bradycardia is a slow heart rate less than 60 bpm that is usually normal but can be caused by various medical conditions and medications. It presents with a regular rhythm and normal P waves preceding each QRS complex. Treatment focuses on addressing any underlying causes or providing supportive care if the patient is symptomatic. 2. Sinus tachycardia is a fast heart rate above 100 bpm that can have normal or pathological causes. It presents with a regular rhythm and normal P waves preceding each QRS complex. Treatment focuses on identifying and correcting any underlying cause through medications, treatment, or procedures depending on the stability and symptoms of the patient. 3. Nurses are responsible for assessing

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    1. Sinus bradycardia is a slow heart rate less than 60 bpm that is usually normal but can be caused by various medical conditions and medications. It presents with a regular rhythm and normal P waves preceding each QRS complex. Treatment focuses on addressing any underlying causes or providing supportive care if the patient is symptomatic. 2. Sinus tachycardia is a fast heart rate above 100 bpm that can have normal or pathological causes. It presents with a regular rhythm and normal P waves preceding each QRS complex. Treatment focuses on identifying and correcting any underlying cause through medications, treatment, or procedures depending on the stability and symptoms of the patient. 3. Nurses are responsible for assessing

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    © All Rights Reserved
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    13 vizualizări2 pagini

    Ecg Dysrythmias Nursing Responsibilitu Sinus Node 1.) Sinus Bradycardia

    Încărcat de

    Nickha Lazo
    1. Sinus bradycardia is a slow heart rate less than 60 bpm that is usually normal but can be caused by various medical conditions and medications. It presents with a regular rhythm and normal P waves preceding each QRS complex. Treatment focuses on addressing any underlying causes or providing supportive care if the patient is symptomatic. 2. Sinus tachycardia is a fast heart rate above 100 bpm that can have normal or pathological causes. It presents with a regular rhythm and normal P waves preceding each QRS complex. Treatment focuses on identifying and correcting any underlying cause through medications, treatment, or procedures depending on the stability and symptoms of the patient. 3. Nurses are responsible for assessing

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    din 2

    LAZO,NICKHA PALINE C.

    ECG DYSRYTHMIAS

    Nursing
    Dysrythmias Definition Causes Rhythm Management Responsibilitu
    SINUS NODE
    Sinus bradycardia is a regular but -Hypoglycemia -Regular atrial and - Atropine -Assess patient – Are they
    1.) Sinus unusually slow heart beat (less -Hypothermia ventricular rhythms. - Pacing if the patient is symptomatic?
    bradycardia than 60 bpm). Sinus bradycardia is -Hypothyroidism -Rate: < 60 bpm. hemodynamically -Give oxygen and monitor
    often seen as a normal variation in -Previous cardiac history -Normal P wave preceding compromised oxygen saturation
    athletes, during sleep, or in -Medications each QRS complex. -Treatment will be based -Monitor blood pressure
    response to a vagal maneuver. -Toxic exposure on whether patient is and heart rate
    -MI – Inferior wall symptomatic -Start IV if not already
    involving right coronary established
    artery -Notify Doctor
    -Increased intracranial
    pressure
    -increased vagal tone due to
    straining during defecation
    vomiting
    -intubation, mechanical
    ventilation

    2.) Sinus Sinus Tachycardia is a fast -Normal physiologic -Atrial and ventricular -Correction of
    Tachycardia heartbeat related to a rapid firing :response to fever, exercise, rhythms are regular. underlying cause. -Assess patient – Are they
    of the sinoatrial (SA) node. The anxiety, dehydration, or -Rate: > 100 bpm. -Beta-adrenergic symptomatic?
    clinical dysrhythmia depends on pain. -Normal P wave preceding blockers or calcium -Give oxygen and monitor
    the underlying cause. It may be -May accompany each QRS complex. channel blockers for oxygen saturation
    normal depending on the patient. shock,left-sided heart symptomatic patients. -Monitor bloodpressure
    failure, cardiac tamponade, and heart rate
    hyperthyroidism, and -Start IV if not already
    anemia. established
    -Atropine, epinephrine, -Notify Doctor
    quinidine, caffeine,
    nicotine, and alcohol use. ACLS Protocol Look for
    the cause of the tachycardia
    and treat it
    LAZO,NICKHA PALINE C.

    - Fever – give
    acetaminophen or
    ibuprofen
    - Stimulants – stop use
    (caffeine, OTC meds,
    herbs, illicit drugs)
    - Anxiety – give
    reassurance or ant-anxiety
    medication
    - Sepsis, Anemia,
    Hypotension, MI, Heart
    Failure, Hypoxia
    - Narrow QRS Complexes
    – consider vagal
    maneuvers, adenosine, beta
    blocker, calcium channel
    blocker, or synchronized
    cardioversion  Wide
    QRS Complexes – consider
    anti-arrhythmic such as
    procainamide, amiodarone,
    or sotalol

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