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A commoncause of arrhythmiasinclude:
(Margaret Eckman, 2010)
Congenitaldefects
Ischemiaormyocardial infarction
Organicheartdisease
Drug intoxication
Impulseconductiontissue degeneration
Connective tissue disorders
Electrolyteimbalance
Cellular hypoxia
Hypertrophyof the heart muscle
Acid-baseimbalance
Emotionalstress
Dyspnea
Hypotension
Dizziness, syncope, and weakness
Chest pain
Cool, clammy skin
Altered level of consciousness
Reduced urine output
Holter Monitoring
Event Recording
Electrophysiologic Testing
Radiofrequency Ablation
Antiarrhythmic Medications
Stroke
Heart failure
Angina
Heart attack
Sudden death
I
S
R
U
N
NG
C A RE
ASSESSMENT
Patient
identity
Physical assessment
Lifestyle and occupational history
General assessment
Review of System
REVIEW OF SYSTEM
B1 (Breathing)
Assess the chest form, breath sound and the symmetry of chest
movement. Examine presence or absence of breathing aids.
B2 (Blood)
Assess the pulse, blood pressure, heart sound, Capillary Refill Time
(CRT), tissue perfusion and the presence or absence of cyanosis.
B3 (Brain)
Assess the clients level of consciousness, Glasgows Coma Scale,
pupil, sclera, and convulsion.
B4 (Bladder)
Assess the presence or absence of urinary catheter or tools. Examine
urine output, color and smell of urine.
B5 (Bowel)
Assess the presence or absence of bowel sounds and flatulence,
plugging tool of eating (NGT). Assess the amount of bowel movement,
color, consistency and frequency.
B6 (Bone)
Assess movement joints, bones and skin.
NURSING DIAGNOSIS
INTERVEN
SI
EVALUATION
Subject
- Patient breathing with normal respiration, occur decrease of
activity intolerance or normal activity.
- Decreases of anxiety
Object
- Patient get some information about their ilness.
- Family of patient also get information about illness of patient.
Assessment
- Patient in suitable coping, can habits with their conditions.
Plan
- Patient can healthy like before and getting their normal
activity.