Primary Nursing Diagnosis

Altered tissue perfusion (cardiopulmonary, cerebral, renal, peripheral) related to rapid heart rates or the loss of the atrial kick

OUTCOMES. Circulation status; cardiac pump effectiveness; Tissue perfusion: Cardiopulmonary; Cerebral, Renal, Peripheral; Vital sign status

INTERVENTIONS. Circulatory care; Dysrhythmia management; Emergency care; Vital signs monitoring; Cardiac care; Cardiac precautions; Oxygen therapy; Fluid/electrolyte management; Fluid monitoring; Shock management: Volume; Medication administration; Resuscitation; Surveillance

H PLANNING AND IMPLEMENTATION Collaborative

The dysrhythmia needs to be identified and appropriate treatment started (Table 10). Trials of various medications or combinations of medications may be used to control the dysrhythmia if the patient is symptomatic. Low-flow oxygen by nasal cannula or mask is often prescribed for patients during tachycardic rhythms. Some patients may require cardioversion, a synchronized countershock for atrial dysrhythmias that are resistant to medical therapy.

• TABLE 10 Treatment of Atrial Dysrhythmias
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