NUR 4227 Study Guide - Midterm Guide: Rheumatic Fever, Cryoablation, Thrombolysis
Document Summary
Study guide module: dysrhythmia interpretation and common monitoring techniques. Interpretation/management: rate/rhythm, sinus, tachydysrhythmias, sinus tachycardia, discharge rate from the sinus node is increased as a result of vagal inhibition and is >100 bpm, follows normal conduction pattern, p wave uniform with one in front of every. Qrs complex: pri: . 12-. 20 second, qrs < . 12 second, clinical associations, occurs in response to, carotid sinus massage, hypothermia, ocular pressure. Increased vagal tone: administration of certain drugs i. e. -adrenergic blockers, calcium channel blockers, occurs in disease states, hypothyroidism. Inferior wall mi: clinical significance, hypotension, pale, cool skin, weakness, angina, dizziness or syncope, confusion or disorientation, shortness of breath, treatment, atropine (anticholinergic, 0. 5 mg ivp, pacemaker may be required, apply in anticipation of client deteriorating*** Iv -adrenergic blockers (beta or calcium channel blockers, amniodarone. If vagal maneuvers and/or drug therapy is ineffective and/or patient becomes hemodynamically unstable, use dc cardioversion (administer sedative if able) If patient has been in atrial fibrillation for.
