V TACH CARE PLAN HELP

[Keysnurse2008]

I AM A LPN IN MY FIRST YEAR OF AN ADN PROGRAM.I HAVE TO DO A CARE PLAN ON A SUPRAVENTRICULLAR TACHY PT.74 Y/O WITH MULTIPLE CARDIAC DX AND WAS RECENTLY DX WITH COPD.HELP!I NEED INTERVENTIONS.I HAVE 1TELEMETRY.2.ASSESS APICAL PULSE,HTN,PERIPHEREAL,S/S EDEMA,CAPILLARY REFILL,RESPIRATORY DISTRESS,NA+DIET.WHAT CAN I DO OTHER THAN COMFORT TO HELP THIS DYSRYTHYMIA.PLEASE ANY SUGGESTIONS

[Zee_RN, BSN, RN]

How about assessing his medications? Omitting meds, overmedicating, etc., may lead to dyrhythmias. Check lab values (drug levels, lytes, cardiac enzymes). Assess for medication toxicities (digoxin is a big one here!). Important to note if patient is symptomatic with the dysrhythmia. Pt is most likely to be hypotensive so would also institute protective measures. G'luck.

[brooklynn]

Months and months of being seen by numerous doctors I was finally diagnosed with Paroxysmal supraventricular tachycardia. I haven't had many episodes, but when I do there pretty scary. When I have an episode I always do the valsalva maneuver. This consists of holding the breath and straining or coughing while sitting with the upper body bent forward. Splashing ice water on the face has been reported by some people as helpful. Avoid excessive alcohol,smoking, and caffenine. There are a lot more things you can do...but these are just the basics. Do a search on the web there is ton's of info about it! Hope this helps

[NCNocRN]

Is the SVT wide complex or narrow? Very important to distinguish, as treatments are very different and what is appropriate for one may be LETHAL for another. Also, look at NEW ACLS algorithms, for standards of care (treatment guides).

[sharann, BSN, RN]

I always start at the top 3...

Airway

Breathing

Circulation.

Then, look at causes, and is it occasional SVT or continual? Treatments vary. Also treating the pt not the monitoe is essential! Is the guy up and talking to you etc...

Good luck!!!