Question

Atrial fibrillation (AFIB)

-stat test-->CT angiogram of chest & V/Q scan
-initiate/maintain bleeding precautions
-priority NANDA--> ineffective protection r/t anticoag therapy for PE/CVA prevention
-monitor PT, INR, PTT (assess for PE)
-no P wave, QRS is narrow
-most common & mostly in old ppl
-biggest RF is uncontrolled HTN
-assess for CVA, HF, shock
-start coumadin &/or heparin
-cardioversion may be attempted
-give: Ca channel blockers, cordarone

Answer 1

Atrial fibrillation (AFIB) is a condition characterized by a wild and uncontrolled heartbeat in the atria. It is commonly seen in older people and is often associated with uncontrolled hypertension. Diagnosis involves various tests, and treatment may involve anticoagulation therapy, cardioversion, and medications.

Step-by-step explanation:

Atrial fibrillation (AFIB) is a condition where the heart beats in a wild and uncontrolled manner, affecting the atria. It is typically seen in older people, and the biggest risk factor is uncontrolled hypertension. To diagnose AFIB, tests like CT angiogram of the chest and V/Q scan may be done. Bleeding precautions should be taken due to the anticoagulation therapy used for prevention of pulmonary embolism (PE) and cerebrovascular accidents (CVA). The patient's protection may be ineffective, so monitoring of PT, INR, and PTT levels is necessary. In AFIB, there is no P wave on the ECG, and the QRS complex is narrow. The patient should also be assessed for conditions like CVA, heart failure, and shock. Coumadin or heparin may be started, and cardioversion can be attempted. Medications like calcium channel blockers and Cordarone may be used as treatment.