Published Jun 16, 2010
LouisVRN, RN
672 Posts
So for an assignment (CE) we have to identify cardiac rhythms and nursing interventions. If a pt has an asymptomatic Second degree AV block Type I what kind of interventions am I going to provide? Other than document and continue to monitor, educate the patient regarding possible s/s. Any ideas?
Penelope_Pitstop, BSN, RN
2,368 Posts
Ooh, Wenckebach! It's my favorite rhythm, but I have only seen it a few times in my career as a MedSurg nurse.
It's fairly benign. And if there are no symptoms, I would just keep an eye out for syncope and whatnot.
I'll take that over Type II any day!
kwantiko
28 Posts
If they are asymptomatic, not much, obtain v/s compare w/ baseline, notify md if new onset
netglow, ASN, RN
4,412 Posts
My ACLS review says..
treat the underlying cause (CAD, Dig tox, use of beta-adrenergic blockers, calcium channel blockers, quinidine, or procainamide as potential causes...) so, do a med review.
watch for hypotension or sycope
if symptomatic bradycardia - transcutaneous pacer
Mike A. Fungin RN
457 Posts
Fairly benign... it's the type II and 3rd degree you gotta look out for.