CHAPTER 1 Cardiovascular System^61
TREATMENT
Treatment consists of establishing a regular rate and rhythm.
- Cardiopulmonary resuscitation if pulse is absent (refer to ACLS: pulseless
V tach requires defibrillation). - Advanced Cardiac Life Support if pulse is absent.
- Endotracheal intubation.
- Oxygen.
- Administer antiarrhythmics to control arrhythmia:
- lidocaine
- epinephrine
- bretylium
- procainamide
- amiodarone
- Synchronized cardioversion is an electrical discharge that is synchronized
with the R- or S-wave of the QRS complex to restore coordinated firing of
electrical impulses.
NURSING DIAGNOSES
- Impaired gas exchange
- Decreased cardiac output
- Ineffective tissue perfusion
NURSING INTERVENTION
- Begin CPR if pulse is absent.
- Prepare to administer medication per physician’s order or protocol.
- Explain to the patient the necessity of follow-up.
- Call the physician if the patient experiences dizziness.
- The importance of regular examinations.