A-Fib Case Study

Aging heart, is characterized by myocardial fibrosis and atrial dilation, which is a proper soil for AF to flourish. Atrial Fibrillation creates electrical and structural remodeling in the atria by shortening, mismatching, and lengthening the effective refractory period (increase of dispersion), depressing the intra-atrial conduction, and depriving its contractile function (Karamichalakis,& Letsas). Because A-Fib cases increase with age and women generally live longer than men, more women than men experience AFib as Center for Disease Control (CDC) shows in her Fact sheet.
In other words, the patient age may lead change in patient’s heart that adversely contributes with Atrial fibrillation. In another hand with have Urinary Tract infection
. I expect that following 8 hours shift the patient or caregiver will explain actions and precautions to take for orthostatic hypotension. The patient will not sustain fall during 8 hours shift. I anticipate that the patient and her caregiver will implement strategies to increase safety and prevent falls at home. I predict that the pain is will be reduced/ and lost the spasms will be controlled at the end of 8 hours shift . I presume that the patient will report decrease of urgency with urination within 3days. Also, I anticipate a decreasing occurrence of the dyshrthmia ( by decreasing contributory factors) to maintain cardiac output during my 8 hours shift and at the same time I assume minimize anxiety acquiring knowledge of dysrhytmia incorporing coping mechanism at home
Interventions will incorporate close monitoring of vital signs during activity, as increased heart rate can decrease myocardial perfusion and lead to recurrence of arrhythmias. Administration of antihypertensive and diuretic medications will also be completed, as these medications promote myocardial perfusion and decrease preload (Gulanick & Myers,