ATI Ch. 29 Active Learning Template: System Disorder Pacemakers: Appropriate Intervention for Third-Degree Heart Block Alterations...

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ATI Ch. 29

Active Learning Template: System Disorder

Pacemakers: Appropriate Intervention for Third-Degree Heart Block

Alterations in Health (Diagnosis)

Patho related to problem

health promotion & disease prevention

risk factors

expected findings

safety considerations

laboratory test

diagnostic procedure

nursing care

therapeutic procedures

medications

client education

interprofessional care

complications

science nursing

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Answer 1

Answer #1

Third degree heart block is also called as complete heart block. This occurs when there is a defect in the cardiac conduction system with no atrioventricular node conduction. It shows an abnormality in the heart rhythm leading to complete dissociation of the atria and ventricles.

It is usually characterized by

a) regular P-P interval

b) regular R-R interval

c) lack of Coordination between P waves and QRS complexes

d) More P waves than QRS complexes.

It has decreased perfusion and underlying disease problems.

The symptoms usually includes a) shortness of breath b) palpitations c) dizziness and d) nausea.

The pathophysiology begins in the heart which activates the normal impulse in SA node. The wave then travels through the atrium and shows the P wave.

The lab investigation includes CK-NAC, CK MB, Troponin I.

The risk factors include: a) ventricular standstill and sudden death.

The treatment plan of complete heart block includes a) electrical transcutaneous pacing those who are unstable (used in conscious patient) and b) Pacemaker.

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Answer 2

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