Atrial fibrillation

Question 1

SA Node is what wave and what does it stand for what does it measure?

Answer 1

Sinoatrial Node

P Wave
Rate of atria

Question 2

AV node determines what? what interval is it? what does it allow?

Answer 2

Atrioventricular junction
PR Interval
Atrial kick:20-25% of CO

Question 3

Ventricles in conduction

Answer 3

QRS

Question 4

What three things make the heart work?

Answer 4

electrical conduction
connection to muscles
good coronary

Question 5

what is happening during atrial fibrillation?

Answer 5

the atrial is “twitching” low CO and O2

Question 6

What are the risk of Atrial fibrillation?

Answer 6

Clots MI, PE, CVA, DVT

Question 7

What causes Atrial fibrillation ?

Answer 7

OHS, Pulmonary HTN, HTN, Alcohol

Question 8

What are S/S of Atrial Fib?

Answer 8

COLLAPSED
Chest pain, Oxygen (low) Lethargy, Anxiety, Palpitation, SOB, Elevated ventricular rate, Dizzy

Question 9

Pt Goal for pt. with Atrial fibrillation?

Answer 9

decrease HR, restore normal electrical conduction in SA node, Effective pump in atria, Prevents Clots

Question 10

Nurse intervention and treatment for A FIB?

Answer 10

ABCDE
Anticoagulant
Betablocker
Cardiac ablation
Digoxin
Echo cardioversion

Question 11

What are anticoagulant meds?

Answer 11

Heparin, Eliquis, coumadin

Question 12

What should you monitor when taking anticoagulant ?

Answer 12

INR 2.5-3.5

Question 13

What is a maze procedure?

Answer 13

channels electrical signals to proper pathway

Question 14

What is the reversal to heparin and coumadin ?

Answer 14

Heparin: protamine
Coumadin: Vit k

Question 15

what test should nurse do for heparin and coumadin levels?

Answer 15

PTT/PT INR