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Nursing CS Treatment-Of-Atrial-Dysrhythmias 02

This document discusses the treatment of atrial dysrhythmias such as atrial fibrillation and atrial flutter. It outlines that these conditions are usually benign and can be controlled by avoiding triggers, but may require medication therapy if persistent or symptomatic. Beta blockers are first-line medication therapy, while electrical cardioversion, catheter ablation, or pacemaker placement may be used for refractory cases or those with complications. It also discusses assessing hemodynamics, use of rate control medications, rhythm control medications, anticoagulation based on stroke risk, and treating paroxysmal supraventricular tachycardia.

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163 views1 page

Nursing CS Treatment-Of-Atrial-Dysrhythmias 02

This document discusses the treatment of atrial dysrhythmias such as atrial fibrillation and atrial flutter. It outlines that these conditions are usually benign and can be controlled by avoiding triggers, but may require medication therapy if persistent or symptomatic. Beta blockers are first-line medication therapy, while electrical cardioversion, catheter ablation, or pacemaker placement may be used for refractory cases or those with complications. It also discusses assessing hemodynamics, use of rate control medications, rhythm control medications, anticoagulation based on stroke risk, and treating paroxysmal supraventricular tachycardia.

Uploaded by

frankshro156
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TREATMENT OF ATRIAL DYSRHYTHMIAS

Treatment of Atrial Dysrhythmias


Usually benign and can be controlled by avoiding triggers such as stimulant use and stress.
If persistent and/or symptomatic: In cases refractory to medication therapy and those associated with
PACs

Beta blockers are first-line medication cardiomyopathy, heart failure or conversion to A-fib:
therapy. • Atrial pacing • Catheter ablation
Acute management Long-term treatment options

Assess hemodynamics Pharmacologic rate/


rhythm control
Unstable Stable

Non-urgent electrical
Cardioversion Rate control cardioversion
Atrial fibrillation & atrial flutter

Cardioversion • Beta blockers


pads Cardioversion • Calcium channel blockers
machine • Digoxin (caution:
side effects & toxicity) Catheter ablation

Rhythm control
Left atrial appendage
(pharmacological cardioversion) occlusion
• Amiodarone
• Class IA (procainamide, quinidine)
• Class IC (flecainide, propafenone)
Pacemaker placement

Anticoagulation
Anticoagulation
Based on stroke risk stratification
for stroke prevention
using a scoring system such as Anticoagulation
CHADS2-Vasc

Hemodynamics Maintenance medications:


• Beta blockers
Unstable Stable • Calcium channel blockers

Override pacing
PSVT

→ Attempt valsalva maneuver Pacing heart at faster rate than native rhythm
If SVT persists: may help discontinue SVT.
Cardioversion → Adenosine rapid IV push
Momentarily stops heart.
Catheter ablation
May allow it to restart in NSR.

NOTES

www.lecturio.com/nursing Watch Video

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