About
Arrhythmia characterized by multiple atrial contractions per ventricular contraction.
Assess
Fatigue, dizziness, palpitations, weakness, shortness of breath, activity intolerance, chest pressure or pain, hypotension, vital signs, pulse oximetry
Complications
Pulmonary embolism, MI, stroke, decreased cardiac output
Diagnosis
- Decreased cardiac output related to abnormal heart rate or rhythm
- Ineffective tissue perfusion related to altered blood flow through the heart
Goals
The client will remain free from complications of arrhythmia.
Interventions
- Monitor vital signs, electrolytes, fluid balance, intakes and outputs, telemetry, and coagulation studies.
- Monitor for dizziness, syncope, chest pain.
- Monitor neurological status frequently.
- Administer medications ( anticoagulants, antiplatelets, antidysrhythmics, etc.) as indicated.
- Administer oxygen and monitor pulse oximetry.
- Prepare for procedures ( cardioversion, ablation) as indicated.
- Teach client about treatments, medications, and s/s to report to health care provider immediately.
- Monitor for signs/ symptoms of complications.
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