Question

In: Nursing

How does atrial fibrillation contribute to the development of aCVA?

Expert Solution

AF (atrial fibrillation) is a complex arrhythmia characterised by both abnormal automatic firing and the presence of multiple re-entry circuits looping around the atria.

It's the most common arrhythmia and causes irregularly irregular pulse.

How does AF cause CVA ?

Fibrillation causes blood to

stagnate in the left atrial

appendage.(since there is no effective contraction,it causes stagnation of blood)

The stagnant blood creates an

environment for a thrombus or

blood clot to form

The clot dislodges from the

Left atrial appendage and travels through

arterial system

The clot lodges itself in the blood

vessels of the brain, restricting or blocking

blood flow and causing a stroke

There is a CHADSVAS score to predict risk of stroke in AF

C - Congestive cardiac failure -1

H-Hypertension

Age more then 75 -2

Stroke -2

Vascular events

Age 65 to 75 -1

Sex (female ) 1

A score more than 6 will have a 99% chance of stroke

Score 1 needs aspirin prophylaxis

Score 2 and above needs oral anticoagulant

Nightingale answered 2 years ago

client education for atrial fibrillation

How does a high or low granulocytes level relate to a patient that has atrial fibrillation...

How does a high or low granulocytes level relate to a patient that has atrial fibrillation and chronic kidney disease?

sometimes when atrial cells other than SA node trigger atrial contactions, atrial flutter or atrial fibrillation...

sometimes when atrial cells other than SA node trigger atrial contactions, atrial flutter or atrial fibrillation may occur. when tgese heart rhythms occur, the ventricles do not beat at the same rate as the atria . what part of the condition system prevents the ventricles from beating as fast as the atria and how does it occur?

What is pathophisiology for Atrial Fibrillation, causes, symptoms, and treatment

What does WBC test in the urinay analysis test for, if my patient has atrial fibrillation...

What does WBC test in the urinay analysis test for, if my patient has atrial fibrillation and kidney diease does it relate to that?

how to write an SBAR on a client who has atrial fibrillation? Identify the 3 priority...

how to write an SBAR on a client who has atrial fibrillation? Identify the 3 priority problems to address.

a patient is in the hospital with a new onset of rapid-rate atrial fibrillation. the nurse...

a patient is in the hospital with a new onset of rapid-rate atrial fibrillation. the nurse is going to add a continues infusion of diltiaziem at 5mg/hr , but first must give a bolus of 0.25mg/kg over minutes. the patient weighs 220 pound. the medication comes in a 25mg/5ml. how many mg will the patient receive for bolus dose? how many millilitres will the nurse draw up for this dose?

Atrial fibrillation is the most common dysrhythmia treated in the US. Warfarin, enoxaparin, and rivaroxaban are...

Atrial fibrillation is the most common dysrhythmia treated in the US. Warfarin, enoxaparin, and rivaroxaban are all used at-home care for patients who have or at risk of developing atrial fibrillation. A) Why are the most commonly used medications for treating patients with a-fib not antidysrhythmic drugs (i.e., they are not intended to alter the rhythmicity of the heart)? B) What are the notable differences in patient education a nurse should provide to patients discharged with prescriptions for warfarin, enoxaparin,...

During atrial fibrillation, what would be the result if all of the electrical impulses from the...

During atrial fibrillation, what would be the result if all of the electrical impulses from the atria were conducted through the AV node to the ventricles? How would it affect stroke volume? Cardiac output?

Case Study: Atrial Fibrillation and Oral Anticoagulation You are the nurse working in an anticoagulation clinic....

Case Study: Atrial Fibrillation and Oral Anticoagulation You are the nurse working in an anticoagulation clinic. One of your patients is K.N., who has a long-standing history of an irregularly irregular heartbeat (atrial fibrillation, or A-fib) for which he takes the oral anticoagulant warfarin (Coumadin). Recently, K.N. had his mitral heart valve replaced with a mechanical valve. How does atrial fibrillation differ from a normal heart rhythm? What is the purpose of the warfarin (Coumadin) in K.N.'s case? K. N....