NUR 2462C Chapter Notes - Chapter 1: Electrocardiography, Defibrillation, Perspiration

• School: St. Petersburg College
• Department: Nursing, Generic Undergraduate
• Course: NUR 2462C
• Professor: Seigel

Document Summary

Initial interventions: ensure abc"s, administer o2, via nasal cannula, non-rebreather mask, obtain baseline vital signs, including o2 sat, obtain 12-lead ekg. Ongoing monitoring: monitor vital signs, loc, o2. S/s: pale, cool skin, hypotension, weakness, angina, dizziness, syncope, confusion, disorientation, sob. S/s: excerise, fever, pain, hypotension,hypovolemia, anemia, hypoxia, hypoglycemia, myocardial ischemia, hf, Ekg: hr 150-220 regular to irregular rhythm, p- wave hidden usually in t- wave; if seen may have abnormal shape, pr interval maybe short or normal. Association: overexertion, emotional stress, deep inspiration, and stimulants. Electrical impulse starting anywhere above the bundle of his. Tx: vagal stimulation (coughing, valsalva), iv adenosine to convert svt- If persist to unstabel d/c drugs and cardiovert. Clinical significance: loss of atrial kick resulting in decreased. Stroke due to blood stasis in atria give coumadin. Associated: cad, hypertension, mitral valve disorders, pulmonary embolus, chronic lung disease, cor pulmonale, cardiomyopathy, hyperthyroidism. Recurring, regular, sawtoothed- shaped fllutter from a single ectopic point.