Dysrhythmia Case Study Essay

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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.

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