There will be a general overview of the arrhythmias followed by more specific with treatment guidelines. Supporting research will be investigated in an effort to determine credible practice guidelines.
The narrow complex tachycardias include sinus tachycardia (ST), atrioventricular nodal reentrant tachycardia (AVNRT), atrioventricular reentrant tachycardia (AVRT), atrial tachycardia (AT), inappropriate sinus tachycardia (IST), sinoatrial nodal reentrant tachycardia (SNRT), junctional ectopic tachycardia (JET), nonparoxysmal junctional tachycardia (NPJT), atrial fibrillation (AF), atrial flutter (AFI), and multifocal atrial tachycardia (MAT). Symptomology that may occur with these tachyarrhythmia’s are hypotension, heart failure, or pulmonary congestion, shortness of breath, renal failure, shock, decreased consciousness, angina or acute MI (Podrid, 2008). If these symptoms are occurring cardioversion is recommended. The state of stability of the patient who is pre-hospital is of course the focus of care. Determining the nature of narrow QRS tachyarrhythmia is necessary and an EKG is of great importance at this point.
When we consider pathogenesis, reentry is the most common cause of QRS complex tachycardia. The mechanism of reentry requires two distinct pathways or tissues in the heart that have different electrophysiological properties that are linked proximally and distally, forming a circuit that is anatomic or functional (Ansdorf & Ganz, 2009). You will note the following diagrams.
AVNRT as shown above is characterized by two pathways within the AV node. AVRT also shown above is characterized by an extranodal accessory pathway connecting the atrium and ventricle. Wolf-Parkinson White syndrome would fall into this category. SNRT and reentrant tachycardia do not involve the AV node (Arnsdorf, 2009).
There are also other mechanisms that lead to narrow QRS complex tachycardia. Those include automaticity
Narrow complex tachycardia or a tachycardia with a QRS complex less than 120 msec, reflects a rapid activation of the ventricles by way of the normal His-Purkinje system, which means that the tachycardia originated either within or above the AV node. That could be the sinus…
To evaluate a patient who has blunt abdominal trauma poses a challenge to many hospital surgeons and or doctors. There are various modalities that doctors use especially when they are in this condition. These are diagnostic peritoneal lavage (DPL), computerized tomography (CT) and also (FAST) Focused Assessment with Sonography in Trauma which is not available in all countries (Krausz 2001).
Persons that are sick are administered for drugs and they are given medical and surgical care so that they can receive treatment from injuries that arise either from accidents or through any other form of occurrence.
The hospital is located in tropical rural areas and therefore it does not have the facilities needed to serve its customers in the right way.
It spans all the departments of the hospital. The department looks at providing patients with optimal healthcare. The department is a part of the healthcare network that coordinates health care delivery and transportation. It also includes medical social work.
of Health (UK), 2007). These figures are on an increase. The research carried out recently by the Department of Transport of UK under the banner of 'ThinkRoadSafety', concluded that 3,201 people were killed in road accidents in 2005, nearly 28,954 were seriously injured and 238,862 were slightly injured (ThinkRoadSafety.gov, 10/06).
Different treatment approaches of disorders become possible because the causes of disorders are different, like behavior oriented or psycho-social dependant or a personality disorder in the concerned individual
cheal intubation – also known as endoscopic procedures in case the patients need to be provided with mechanical ventilation before being transfered to the nearest hospital (NHS, 2008a).
For more than 20 years, the use of intubation has been considered the standard treatment
This paper was a prospective study conducted in a 10-month period in an urban Emergency Medical Services system with paramedics working with standing orders before physician radio contact (Furlong, et.al., 1995, p. 383). Patients who already had a
ts, it can be ascertained that the successful completion of a new hotel construction project does require the fulfilment of varied infrastructure related within the area of planning. The provided project plan will mainly elaborate about how to establish a new hotel in Oman with
The author states that in certain points, the transmission of the pain in the nervous system can be stopped through practicing relaxation process as pain is sensory and cognitive experience. He examines Fakhar’s method of Jaw relaxation technique in reducing pain from several study to ensure its reliability as pilot study.
The main focus of the ABC Hospital risk management plan is to provide an ongoing, comprehensive, and systematic approach to reducing risk exposures. Thus, risk management activities of identification, investigation, analysis, and evaluation of risks are the most appropriate methods for improvement of all activities within ABC Hospital.
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