엔클렉스_성인간호_심혈관계_EKG위주_NCLEX합격자료__미국간호사시험

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"엔클렉스_미국간호사시험_성인간호_심혈관계_EKG위주_NCLEX합격자료"에 대한 내용입니다.

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본문내용

SVT, supreventricular tachycardia

1) Stable clients with SVT are initially treat:
vagal maneuvers (eg, coughing, bearing down as if having a bowel movement).
-> 흉강내 압력을 높이고 미주신경을 자극하여 방실 전도를 늦추게 함
2) if vagal maneuvers are unsuccessful시 Adenosine (항부정맥제) 투여 -> 0.9% NS flush
-> Transient asystole is common. 빠른 약물 작용으로 인함
3) if treatment with vagal maneuvers and adenosine is unsuccessful시
Beta blockers (eg, metoprolol) or calcium channel blockers (eg, diltiazem) 투여

Synchronized cardioversion is a procedure used to convert tachydysrhythmias (eg, supraventricular tachycardia) with a pulse to stable cardiac rhythms via transcutaneous electrical shock.

The nurse must ensure that the synchronizer switch is turned on during cardioversion.

sinus bradycardia

Symptomatic SB is first treated with atropine.
If atropine is ineffective, transcutaneous pacing or an infusion of dopamine or epinephrine is considered; a permanent pacemaker may also be needed.

참고자료

· http:www.uworld.com