Cardioversion

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    Perioperative Management of the Elderly Patient with a Fractured Hip The perioperative management of an elderly patient has received increased scrutiny as they undergo a variety of surgeries. Geriatric patients respond to anesthesia and stress of surgery to a lesser extent when compared to the younger patients that cause an increase in morbidity and mortality in the elderly patients (Singh and Antogini, 2010). It is challenging to provide continuous, consistent quality care with associated complex

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    Cardiac arrhythmia is defined as, “a condition in which the heart’s normal rhythm is disrupted” (Scholarpedia). A heart usually beats anywhere from 60 to 100 times a minute. If there is a palpation or a fluttering rarely, the person should usually be fine. If these occur more often or on a frequent manner, this cardiac arrhythmia could be very severe (Hopkinsmedicine). The hearts electrical system is what controls the speed and pace of the heartbeat (NHLBI,NIH). Sinoatrial node or SA node is

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    When one begins to discuss issues that arise with an intrinsic organ, things get serious. Unfortunately, vital organs like the heart and liver that are causing problems can’t be removed like the appendix or the kidney and “cure” people of issues such as Appendicitis or constant dealings with gallstones. This is true when things begin to go awry within the heart and conditions begin to arise. Atrial Fibrillation (A-fib) is the most common type of arrhythmia, or issue with the heart rate or rhythm

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    Running head: Cardiac Arrest Cardiac Arrest Dylan Noble Utah Valley University Captain Steve Allred Paramedic 3110   Intro “Each year, 326,200 people in the U.S. experience EMS-assessed out-of-hospital non-traumatic sudden cardiac arrest, and nine out of ten victims die.” (www.sca-aware.org 1) This number may seem quite low, but in the end one out of ten lives saved is still better than none. This paper will be going over a scenario involving a real patient and what things could have been

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    Delta Waves Case Study

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    delta waves (Choice E), and QRS waves are not wide (Choice D). For Step 2 purposes, knowing the diagnosis based on application of one’s basic knowledge to the clinical scenario would be enough. The next best step in this case would be synchronized cardioversion since he is tachycardic and hemodynamically unstable. If the QRS was > 0.12/second and the patient is still hemodynamically unstable, then one would consider an anti-arrhythmic antiarrhythmic drug; the choice depending on the actual morphology

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    Postoperatively, he had transient atrial fibrillation but 1 month later atrial fibrillation was again identified and cardioversion performed. He was felt to be a poor candidate for Coumadin and 2 days later had a cerebral vascular accident. After transfer to ___ [PLACE], he was found to be in recurrent atrial fibrillation. Echocardiogram showed ejection fraction of 25%

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    It's known that atrial fibrillation (AF) is the most common sustained cardiac arrhythmia representing abnormal rapid and irregular ventricular rates with deterioration of atrial mechanical function resulted by disorganized atrial electrical activity classified as acute, chronic, paroxysmal, intermittent, constant, persistent, or permanent and when a patient has 2 or more episodes, AF is considered recurrent(1). During the last decade, it accounted for approximately one third of hospital admissions

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    fibrillation usually lasts longer than a week and sometimes it doesn’t stop by itself. During this type of AF, heart rate changes may change from slow to fast and back again in small period of time. Medications or low–voltage electrical shock called cardioversion is used to cure the persistent atrial fibrillation. In Permanent or chronic AFib, normal heart rhythm can’t be restored with any kind of treatment. This type of atrial fibrillation needs long-term medication to regulate the heart rate and reduce

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    Arrhythmias

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    An arrhythmia is an irregular heartbeat. The muscle either beats too quickly (called a tachycardia) or too slowly (bradycardia). When the disorder is mild, it usually poses few problems. When it is severe, it can be fatal. Arrhythmias are categorized based on whether they affect the atria (two top chambers) or ventricles (two bottom chambers), and whether they quicken or slow the patient's heartbeat. These circumstances occur due to a disruption in the heart's electrical system. Normally, electrical

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    Medicine to make your heart beat more slowly. Medicine to keep the condition from coming back. A procedure to keep the condition under control. Some procedures to do this include: Cardioversion. During this procedure medicines or an electrical shock are given to make the heart beat normally. Ablation. During this procedure the heart tissue causing the problem is destroyed. This procedure may be done if atrial flutter lasts a long

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