Question

In: Nursing

A client with dilated cardiomyopathy has new onset atrial fibrillation that has been unresponsive to drug...

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

Solutions

Expert Solution

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.


Related Solutions

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?
client education for atrial fibrillation
client education for atrial fibrillation
Lester is a 67-year-old male who is prescribed Warfarin for his new onset atrial fibrillation. He...
Lester is a 67-year-old male who is prescribed Warfarin for his new onset atrial fibrillation. He is concerned about starting this medication and admits he is forgetful about taking meds and doesn’t understand why he has to have follow-up blood tests. Discuss the patient education you would offer about Warfarin (include side effects). How would you address his concerns and questions? How can you ensure your patient education information is accurate and up to date?
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.
Diagnose and explain how a given ECG can indicate onset of atrial/ventricular fibrillation, 2nd/3rd degree blockade..
Diagnose and explain how a given ECG can indicate onset of atrial/ventricular fibrillation, 2nd/3rd degree blockade..
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?
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?
Mrs. C., an independent, 96-year-old woman, has a history of rehospitalization because of atrial fibrillation resulting...
Mrs. C., an independent, 96-year-old woman, has a history of rehospitalization because of atrial fibrillation resulting from CHF and hypertension. After her most recent hospitalization, Mrs. C. was treated and released into home care at an agency in Washington. A home telemonitoring system that tracks and transmits patients’ vital signs was placed in her home. The primary goal of placing this patient on the telemonitor was to provide daily monitoring of her condition, thereby avoiding unnecessary rehospitalizations. One morning, Mrs....
Antihypertensive drug A client has been prescribed antihypertensive therapy with captopril. During the course of the...
Antihypertensive drug A client has been prescribed antihypertensive therapy with captopril. During the course of the therapy , what assessments should the carry out? Vasodilating Drugs What drugs are used in the treatment of peripheral vascular disease?Select two vasodilators and describe the mechanism of action and adverse effects of each drugs selected ?
A new drug has been developed to treat a condition, and it is alleged to be...
A new drug has been developed to treat a condition, and it is alleged to be more effective than traditional treatment. An experiment will be conducted to test whether the claim is true. To perform the hypothesis test, a 99% confidence level is selected for the hypothesis test. The new drug will be administered to a sample of 200 individuals with the condition, selected at random. Another 300 individuals are randomly selected to receive the traditional treatment. Of the 200...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT