Electrical cardioversion on patient care.docVIP

 PAGE \* MERGEFORMAT 6 Electrical cardioversion on patient care Study: Korean Red Dingxue Ping Lan Sun Jianli [Abstract] Objective cardioversion (cardioversion) is the application of high-energy pulse current moment the same time of myocardial depolarization, ectopic tachyarrhythmias, so turn to sinus rhythm method. If used to eliminate ventricular fibrillation, is called cardiac defibrillation (defib rillation). ventricular fibrillation cardiac cycle when no longer can be discharged at any time. but different from the electrical cardioversion defibrillation, as long as any ectopic tachycardia cardiac cycle on ECG there will be R wave, the discharge is required on the ECG R wave synchronization and to avoid the ventricular vulnerable period. [Keywords:] cardioversion patient care practices 1. Preparation before cardioversion (1) patient preparation 1) Select the non-synchronized electrical cardioversion, such as ventricular fibrillation, when patients have lost consciousness, need emergency cardiopulmonary resuscitation, cardioversion rescue, no detailed account of the family immediately defibrillation. 2) elective cardioversion for patients, should patients and family members the purpose of electrical cardioversion, the advantages and disadvantages for the patients, the operation process and how to meet, thereby eliminating the concerns of the patient’s thinking. 3) sinus rhythm in 1 to 2 days before the doctor’s advice to disable digitalis drugs, giving application of quinidine, amiodarone and other antiarrhythmic drugs to prevent recurrence after cardioversion, and the need to observe the cardiac rhythm, heart rate, blood pressure and heart rate against abnormal drug response. 4) review the preoperative electrocardiogram, QRS wave duration and the observed QT interval changes. 5) history of atrial fibrillation with embolization, or left atrial thrombosis, anticoagulation therapy preoperatively for 2 weeks befo