Pt states she has a history of irregular heart rate and was in the hospital two months for the same thing. nurse-led services - cardiovascular diseases - doi: 10.7748/ns.2018.e11077, This article has been subject to external double-blind peer review and checked for plagiarism using automated software, anticoagulants - If it has been over an hour and their heart rate is not consistently less than 120 and coming down (and your drip is maxed out), you will need to call for further orders. See if a coworker can grab an IV pump to prime your drip while you get your bolus or vice versa. The reason this is so concerning is that when the atria are merely quivering and not giving you this full contraction, blood pools in the atria. Some hospitals may have the information displayed in digital format, or use pre-made templates. You’re going to use your awesome nurse judgment and put them on an informal bed rest order for the time. Chapter 1 (HRS Patient Video), Atrial Fibrillation and Heart Care at UVA. Good job! “Controlled” afib is considered a heart rate of less than 100 BPM. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Pt states that she takes Cardizem 30mg PO Daily, Coreg 3.25mg PO BID, and Coumadin 2.5 mg PO Daily. That is a minimal freak-out situation. Now it would be a great time for some teamwork! When blood pools, it clots. Nurse tip! Otherwise, scroll down to view this completed care plan. This site uses Akismet to reduce spam. atrial fibrillation - Pt states she feels like her heart is going to pop out of her chest. The typical goal = conversion to normal sinus rhythm OR afib with a rate of less than 100. So if they’ve been on a Cardizem drip for two days and are doing fine, what are our plans to get off of the drip? Be proactive and think about the next step for the patient. Cardiac surgery is a major factor, as as many as 30% of post-op cardiac surgery patients will flip into this rhythm.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Nursing Standard. (No, don’t call the doctor for an order, just tell them they can’t get out of bed until their heart rate is better.). doi: 10.7748/ns.2018.e11077. Nursing management of atrial fibrillation is an important skill for bedside nursing to master when caring for hospitalized patients.
Guidelines for the Management of Atrial Fibrillation: ESC, The below includes the following conditions: Atrial Fibrillation, Decreased Cardiac Output, A-fib, Cardiac Arrhythmia, Dysrhythmia, Irregular Heart Rate, Cardiac Dysrhythmia, Risk For Stroke and Pulmonary Embolism.