Atrial fibrillation represents the single essay

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Excerpt from Essay:

Echocardiogram is yet another important non-invasive diagnostic device for AF. This check uses appear waves to produces an image of the cardiovascular and helps the cardiologist take notice of the different parts of the center and examine their efficiency. [NIH]

Treatment for AF involves different approaches and could also be decided by the cardiologist depending on the characteristics of the AF. Paroxysmal AF, which lasts for a short period (maximum handful of days) is usually treated with drugs that aim to control the nose arrhythmia whilst cases of persistent AF maybe treated either for tempo control or ventricular charge control. Medicines such as digoxin, (increases contraction and reduces rate) beta-blockers such as atenolol, metoprolol and calcium funnel blockers including verapamil are a couple of the avilable medications that try to increase the atrial refractory period to manage AF. [Josephson, 2003]

Repair of heart failure rhythm by way of electrical cardioversion is the most prevalent intervention pertaining to patients. As thromboembolism is one of the high risk elements in an AF episode, anticoagulation therapy is portion of the treatment. In the case opf patients offering with AF episode enduring more than 12 hours or in whom the duration of arrhythmia is unknown it is advisable to dispense anticoagulation therapy for 15 days before cardioversion. In cases of urgent, transoesophageal echocardiography prior to cardioversion is a common method to check for almost any thrombi creation in the vorhof des herzens. A span of anticoagulation therapy should be ongoing after cardioversion to eliminate the risk of stroke. [Vias Markides, 2003]

In patients with prolonged AF and sick nose node the electro cardiologist may suggest radio consistency AV client ablation accompanied by permanent pacemaker implantation. [Josephson, 2003] In the nursing point of view it is essential to screen the people heart rate, pressure and his responses to particular drugs. The nurse must also inform the sufferer about potential toxic effects of some of the medications so the patient may statement such instances promptly. Healthcare professionals have to properly monitor the anticoagulation remedy. Further, nurses have the responsibility to educate the individual about classification tests including EKG and echo cardiogram. Also, in the case opf ablated patients, nurses need to perform neurovascular checks within the region of catheter degradation to ensure simply no infections develop. As the principal care givers, nurses need to provide equally physiological and psychosocial support to the individual. [Joan Della, 2007]

Bibliography

1) Maurits a. Allessie, MD, PhD Penelope a. Boyden ou. al (2001), ‘Pathophysiology and Prevention of Atrial Fibrillation’, Circulation. 2001; 103: 769, Available Online by, http://www.circ.ahajournals.org/cgi/content/full/103/5/769

2) NIH, ‘Atrial Fibrillation’, recovered Sept 10th 2009, from http://www.nhlbi.nih.gov/health/dci/Diseases/af/af_what.html

3) Vias Markides Richard J. Schilling, (2003), ‘Atrial Fibrillation, Classification, Pathophysiology, Mechanisms and Drug Treatment’, Heart. 2003 August; 89(8): 939 – 943

4) Josephson Linda McMullen Maureen, (2003), ‘Atrial Fibrillation: Over and above Irregularly irregular’, Nursing 2003, Available online in, http://findarticles.com/p/articles/mi_qa3689/is_200301/ai_n9182958/

5) Joan Della Rocco, ‘Responding to Atrial Fibrillation’, Nursing jobs April 3 years ago, Available Online by, http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=707110

6)Lawrence Rosenthal David D. McManus MD, ‘Atrial Fibrillation’, Retrieved Sept 2009, from http://emedicine.medscape.com/article/151066-overview