Arrhythmia in Nursing

Arrhythmia & EP

Introduction: Heart arrhythmia also called as irregular heartbeat or cardiac dysrhythmia is a group of conditions where the heartbeat is irregular, too slow, or too fast. Arrhythmias are broken down into:

Slow heartbeat: bradycardia.
Fast heartbeat: tachycardia.
Irregular heartbeat: flutter or fibrillation.
Early heartbeat: premature contraction.

Cardiac Electrophysiology (EP) is the study of electrical system of heart aiming at analysing, diagnosis and treating its electrical activities. The human heart pumps 4,300 gallons of blood each day through the body’s intricate vascular network and although displacement of blood is its principal function. The heart regulates electrical impulses to create the beats.

Causes of arrhythmia: Arrhythmia may be caused by any type of interruption to the electrical impulses. A number of factors can cause the heart to work incorrectly those are:

alcohol abuse, diabetes, drug abuse, excessive coffee consumption, congestive heart failure, hypertension, hyperthyroidism, mental stress, heart attack, smoking, dietary supplements, medications.

Diagnosis: The following test may involve under arrhythmia diagnosis:

Blood and urine test
Electrocardiogram
Holtermonitor- a device that records heart for 1 or 2 days.
Echocardiogram
Chest X-ray
Electro-physiologic testing
Heart catheterization

Treatment: Electrophysiology (EP) procedure:

The patient is applied with local anaesthesia a catheter is inserted into a blood vessel through a site in the neck and the catheter is guided by fluoroscope images of the catheter and the heart muscles.

Once the catheter reaches the heart, electrodes at its tip gather data and a variety of electrical measurements are made. This “electrical mapping” helps the cardiac arrhythmia specialist identify the location of the area disrupting the electrical flow.

The Electrophysiologist then administers different medications or electrical impulses to determine their ability to terminate the arrhythmia.

Nursing Topics

⯈ Child Nursing Help

⯈ Adult Nursing Help

Effects of abdominal massage in critically ill patients
Do whole grains in an adult's diet prevent cardiovascular diseases?
Mirror therapy for brain-injured or stroke patients with partial paralysis
The role of self-care management in sickle cell adult patients
The role of nurses in weight loss programs for adults
Cardiovascular risk scores in relation to age and gender

⯈ Elderly Care Nursing Help

Ways to identify an abused elderly patient
Clinical trials in older patients
Change in health care for the elderly in your country
Measures to take when the elderly refuse to eat
Alcohol use among elderly patients in nursing homes

⯈ Women’s Health Nursing Help

Acne prevention and treatment in women
Increased risk factors for osteoporosis in women
Factors that alter breast milk content
Ways to teach patients about menopause management options

⯈ Pain Management Nursing Help

Emerging ethical issues in pain management
Influence of patient’s race and gender on pain management decisions
Effects of cold therapy (a non-pharmacological method) for pain management
Effective end-of-life care interventions

⯈Primary Health Care Nursing

How well are nurses prepared for primary health care in your country?
Primary health care: comparing public health nursing models in different countries
Patient and family engagement in primary care

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