Question

The nurse is admitting the client with a new diagnosis of atrial fibrillation with rapid ventricular response. The client has been in atrial fibrillation for more than 2 days and has had no previous cardiac problems. Which initial interventions should the nurse anticipate? Select all that apply.

	Ablation of the AV node
	Immediate cardioversion
	Oxygen 2 liters per nasal cannula
	Heparin intravenous (IV) infusion
	Amiodarone IV infusion
	Diltiazem IV infusion

Answer 1

Medication will be the first line of treatment like administration of blood thinners like heparin to prevent any clots.

Calcium channel blockers like diltiazem can reduce irregular heart beat

Amiodorone can slow the conduction of electrical activity

When the medical intervention fails the patient will be sedated to give an electrical shock or cardioversion to regularize the heart beat

AV nose ablation is the last method when other options fails

Oxygen will be administered in all cardiac conditions, here atrial fibrillation can sometimes lead to hypoxia, in order to prevent complications oxygen can be administered

Ans:Heparin intravenous (IV)infusion

Diltiazem IV infusion

Amiodorone IV infusion

Oxygen 2L per nasal cannula