About
Regular, slow rhythm with heart rate below 60 beats per minute.
Assess
< 60 bpm; blood pressure, syncope, lightheadedness, orthostatic changes, weakness, pulse oximetry, dyspnea
Complications
Syncope, injury, fainting, loss of consciousness, decreased cardiac output
Diagnosis
- Decreased cardiac output related to abnormal heart rate or rhythm
- Activity intolerance related to oxygen supply/ demand imbalances
Goals
- The client will remain free from injury.
- The client will remain free from complications of arrhythmia.
- The client's apical pulse will return to between 60 and 100 beats per minute.
- The client will identify components of treatment plan and when to seek follow-up.
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 ( atropine, etc.) as indicated.
- Administer oxygen and monitor pulse oximetry.
- Prepare for procedures ( transdermal pacing, pacemaker) as indicated.
- Teach client about treatments, medications, and s/s to report to health care provider immediately.
- Implement safety precautions to prevent injury.
- Monitor for signs/ symptoms of complications.
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