Question

A client with dilated cardiomyopathy has new onset atrial fibrillation that has been unresponsive to drug therapy for several days. Teaching for this client would include information about which anticipated intervention? choices:

IV adenosine

Anticoagulant therapy

Emergency cardioversion huh?

Permanent pacemakers

Answer 1

IV adenosine

IV adenosin can be  dangerous if given to atrial fibrillation patient. This medicine will slow abnormal rhythm but not eliminate aftrail fibrillation or atrial flutter. So, this medicine is not a good choice of this patient.

Anti- coagulant therapy

Anti- coagulant therapy usually given to cardiomyopathy patient if he or she have atrial fibrillation. In your case you experienced afrial fibrillation but your body is unresponsive to drug therapy for seven days. So obviously this treatment is not best for you.

Emergency cardioversion

If patient is not responded to pharmacotherapy, emergency cardioversion is next management to control abnormal rhythmes and angina and maintain blood pressure within normal range. It also help to prevent from heart failure. So, this treatment is suitable for you.

Permanant pacemaker

This small device prompt the heart to beat at a normal rate. If all medical management become fail then choose permanant pacemaker.