Dysrhythmias VII: Nursing Management of Dysrhythmias

The nursing management of dysrhythmias begins with a subjective assessment, where the patient reports symptoms like dizziness and palpitations.

The objective assessment includes observing signs such as jugular venous distention, cool and pale skin, and checking abnormalities in serum electrolyte levels.

Based on these assessments, the nursing diagnoses are formulated, such as decreased cardiac output related to altered electrical conduction and reduced myocardial contractility, as evidenced by palpitations.

The primary goals are to reduce arrhythmia episodes, maintain cardiac output, and alleviate anxiety.

The nurse implements interventions, including positioning the patient in a semi-Fowler's position to ease breathing, monitoring vital signs, performing an ECG, and administering antiarrhythmic medications like amiodarone, considering potential side effects.

Supplemental oxygen is administered if oxygen saturation is below 90%.

Additionally, the patient is educated on medication adherence, lifestyle changes, and recognizing worsening symptoms.

Finally, the care plan is evaluated and adjusted based on the patient's response to treatment.