AACN essentials of critical care nursing : pocket handbook by Marianne Chulay

By Marianne Chulay

Essential facts serious Care Nurses needs to Know

Endorsed by means of the yankee organization of Critical-Care Nurses, this go-anywhere instruction manual beneficial properties tables and figures that encapsulate all of the info required to provide secure and potent care to severely sick patients.

Contents include: severe Care Drug Tables • general Values for Laboratory assessments and Physiologic Parameters • Lists of evaluation elements • Cardiac Rhythms: ECG features and therapy courses, together with pattern Rhythm Strips • 12-Lead ECG alterations in Acute Myocardial Ischemia and Infarct • Troubleshooting consultant for Hemodynamic tracking apparatus • symptoms for Mechanical air flow • Weaning review instrument • ACLS Algorithms.

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Gilmore SB, Woods SL. Electrocardiography and vectorcardiography. In: Woods SL, Froelicher ES, Motzer SU, eds. Cardiac Nursing 3rd ed. 10 ᭤ Evidence-Based Practice: Bedside Cardiac Monitoring for Arrhythmia Detection Electrode Application • Make sure skin is clean and dry before applying monitoring electrodes. • Place arm electrodes on shoulder (front, top, or back) as close as possible to where arm joins torso. • Place leg electrodes below the rib cage or on hips. • Place V1 electrode at the fourth intercostal space at right sternal border.

10 second in duration. May vary in morphology (size, shape) if they originate from more than one focus in the ventricles. • Conduction: Wide QRS complexes. Some PVCs may conduct retrograde into the atria, resulting in inverted P waves following the PVC. • Eliminate underlying cause. • Drug therapy is not usually used, but, if desired, lidocaine, amiodarone, procainamide, beta-blockers may be effective. 12 ᭤ Cardiac Rhythms, ECG Characteristics, and Treatment Guide (continued ) Rhythm ECG Characteristics Treatment Ventricular rhythm • Rate: Ͻ50 beats/min for ventricular rhythm and 50-100 beats/min for accelerated ventricular rhythm.

Drug therapy is not usually used, but, if desired, lidocaine, amiodarone, procainamide, beta-blockers may be effective. 12 ᭤ Cardiac Rhythms, ECG Characteristics, and Treatment Guide (continued ) Rhythm ECG Characteristics Treatment Ventricular rhythm • Rate: Ͻ50 beats/min for ventricular rhythm and 50-100 beats/min for accelerated ventricular rhythm. • Rhythm: Usually regular. • P waves: May be seen but at a slower rate than the ventricular focus, with dissociation from the QRS. • PR interval: Not measured.

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