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  • Nursing role in the acute care setting - Atrial Fibrillation

Nursing role in the acute care setting - Atrial Fibrillation

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS Atrial Fibrillation REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention Rhythm disturbance of the atria. Chaotic and rapid discharges occurs from numerous ectopic foci in the atria. Stop sr Physical activity Reduction in weight if overweight ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings - Advance age - Hypertension - Heart failure - Diabetes CAD - Rheumatic heart disease Alcohol and drug abuse Irregular pulse - Possible tachycardia - Hypotension - Elevated jugular venous pressure - Ascites - Signs of heart failure Laboratory Tests Diagnostic Procedures D-Dimer test Blood clotting factors - Thyroid function Electrocardiography - Holter monitor PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education - Transient ischemic attack Stroke - Heart failure Administer prescribed medication - Assess heart rate and rhythm and auscultate lung sounds for any changes - Obtain and monitor blood coagulation studies if patient is receiving anticoagulant therapy Warfarin Educate signs and symptoms of reoccurring arrhythmia Statins - Educate any new prescribed calcium medication channel - advise smoking cessation blockers -antiarrhythmics Interprofessional Care Thromboembolisi m - Bleeding with anticoagulation Therapeutic Procedures radiofrequency or cryothermal catherter ablation Cardiologist - Dietitian - Care manager ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE