Elderly after abdominal surgery complicated by atrial fibrillation nursing.docVIP

 PAGE \* MERGEFORMAT 5 Elderly after abdominal surgery complicated by atrial fibrillation nursing [Abstract] Atrial fibrillation (AF) is clinically significant effect on hemodynamics and cardiac function in a common arrhythmia, and increased with age, the older surgical patients, the nurse should step up inspections, abnormal, in time . to minimize harm to patients with atrial fibrillation. [Keywords:] elderly after abdominal surgery, atrial fibrillation, nursing 1 Clinical data 2005-2010, 401 cases were treated in our department elderly patients with abdominal surgery, patients were 72h of continuous ECG, atrial fibrillation occurred in 12 cases, about 3%. Among them, 8 males and 4 females. Age 60 to 70 years, mean age 66 years. 5 cases of gastric cancer, colorectal cancer in 4 cases, 3 cases of bile duct stones. After 1-2 days of treatment and care, patients lost atrial fibrillation, heart rate returned to normal. now nursing summarized as follows: 2 Care 2.1 Posture care: patients had atrial fibrillation, to assist semi-recumbent position to take, try to avoid taking the left lateral position of the left lateral position allows the patient to feel the heart beat and increased discomfort [1]. 2.2 Psychological care: elderly patients with diseases and surgery often the patient prone to mental stress, resulting in fear, combined with postoperative wound pain, often of anxiety, irritability, anxiety, psychological nurse to take the initiative to communicate concerns were answered patiently and carefully, to maintain a calm attitude, eliminating ideological concerns of patients and enhance treatment of confidence. 2.3 Oxygen Inhalation: with respiratory difficulties, cyanosis, hypoxia and other performance, to give high flow oxygen inhalation. 2.4 ECG: Nurses should be familiar with the various performance monitor settings, vital signs alarm range, the monitoring can identify a variety of arrhythmias, but also a comprehens