Nursing Tending Invention For Cardiac Arrhythmias

Nursing Care Plan for Cardiac Arrhythmias Nursing Care Plan for Cardiac ArrhythmiasHeart beat disorder or arrhythmia is a frequent complication inwards myocardial infarction. Arrhythmias or dysrhythmias is the alter inwards frequency together with midpoint beat caused past times abnormal conduction of the electrolyte or automatic (Doenges, 1999).

Arrhythmias arise from changes inwards myocardial prison theater cellphone electrophysiology. Electrophysiological changes are manifest equally changes inwards the course of written report of an activity potential is a graph recording the electrical activity of cells (Price, 1994). Heart beat disorders are non only express to midpoint charge per unit of measurement irregularities, but besides including the charge per unit of measurement together with conduction disturbances (Hanafi, 1996).


Etiology

Etiology of cardiac arrhythmias inwards the outline tin move caused by:
  1. Inflammation of the heart, such equally rheumatic fever, myocardial inflammation (myocarditis due to infection)
  2. Interruption of coronary circulation (coronary atherosclerosis or coronary artery spasm), such equally myocardial ischemia, myocardial infarction.
  3. Because the drug (intoxication), alongside others, past times digitalis, quinidin together with anti-arrhythmia drugs other.
  4. Electrolyte imbalance (hyperkalemia, hypokalemia)
  5. Disorders of the autonomic nervous organisation settings that touching the run together with the beat of the heart.
  6. Psychoneurotic disorders together with key nervous system.
  7. Metabolic disorders (acidosis, alkalosis)
  8. Endocrine disorders (hyperthyroidism, hypothyroidism)
  9. Arrhythmia due to cardiomyopathy or midpoint tumor
  10. Heart beat disturbances due to degeneration illness (fibrosis of the cardiac conduction system)

Clinical Manifestations
  1. Changes inwards BP (hypertension or hypotension); pulse may move irregular; pulse deficit; sounds irregular midpoint rhythm, extra sounds, beats down; pale skin, cyanosis, sweating; edema; decreased urine output when cardiac output decreased weight.
  2. Syncope, dizziness, throbbing, headache, disorientation, confusion, lethargy, pupillary changes.
  3. Mild to severe breast pain, may move lost or non with anti-angina drugs, anxiety
  4. Shortness of breath, cough, alter inwards velocity / depth of breathing; additional breath sounds (crackles, wheezing) may accept showed respiratory complications such equally left midpoint failure (pulmonary edema) or pulmonary tromboembolitik phenomenon; hemoptysis.
  5. Fever; pare redness (drug reactions); inflammation, erythema, edema (siperfisial thrombosis); loss of musculus musical note / strength

Physical Assessment
  1. Activities: full general fatigue
  2. Circulation: changes inwards BP (hypertension or hypotension); pulse may move irregular; pulse deficit; audio of irregular midpoint rhythm, extra sounds, beats down; pare colouring together with wet changes such equally pallor, cyanosis, sweating; edema; decreased urine output when cardiac output decreased weight.
  3. Ego Integrity : feeling nervous, feeling threatened, anxious, frightened, refused, angry, anxious, crying.
  4. Food / fluid: loss of appetite, anorexia, nutrient intolerance, nausea, vomiting, weight peryubahan, changes inwards pare moisture
  5. Neuro-sensory: dizziness, throbbing, headache, disorientation, confusion, lethargy, pupillary changes.
  6. Pain / discomfort: mild to severe breast pain, may move lost or non with anti-angina drugs, anxiety
  7. Respiratory: chronic lung disease, shortness of breath, cough, alter inwards velocity / depth of breathing; additional breath sounds (krekels, crackles, wheezing) may accept showed respiratory complications such equally left midpoint failure (pulmonary edema) or pulmonary tromboembolitik phenomenon; hemoptysis.
  8. Security: fever; pare redness (drug reactions); inflammation, erythema, edema (siperfisial thrombosis); loss of musculus musical note / strength.

Sumber http://nanda-nursinginterventions.blogspot.com/
Post a Comment (0)
Previous Post Next Post