16 Jul MICRONESIA THERAPY IN ARTERIAL FIBRILLATION IN A CARDIAC PATIENT
Interventions associated with Micronesia therapy in Arterial fibrillation in a cardiac patient
Project description
PLEASE: )( only 2000 words)))(( based on paitent in critical care unit))))
My essay should start about case report:: Mr patel( please mention name changed for confidentiality), a 67-years old male patient who came from theatre to intensive care unit after uncomplicated CABG x 3 . Past history of the paitent : T2DM ,HTN,Hypercholestrolaemia.
Paitent is paced AAI100bpm ,Underlying Rhythem checked , shows ectopics , ECG done off pacing shows Aterial fibrillation . First day after the surgery and Bp is unstable,on inotropic support, sedated, ventilated , PICCO inserted , Good CO , Good CI , ABG is normal but potassium was 4.3 which I replaced it with 20mmol of KCL , magnesium in lab result was 0.98 which I replaced with 10mmol of magnesium .( write about the importancy of normal electrolyte ,k & mg in cardiac function please.)
TOE done to role out blood clot but we find out heart muscle edematous so Cardioversion not done.
Then commence to give Amiodarone 300mg loading dose followed by 900mg maintenance . Paitent back to SR the day after.
In my essay , I should focus on amiodarone as a rate control drug in AF treatment and nursing observation and intervention should be discussed.
Please use NICE guidelines for Aterial fibrillation and also a book called Critical care nursing , learning from practice edited by Suzanne bench and Kate Brown
Also,in my essay in conclusion is good to say : recommendation for practice or strategy for improvement
also,,,
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