Atrial Fibrillation with Rapid Ventricular Response (Afib RVR)

Atrial Fibrillation with Rapid Ventricular Response (Afib RVR) - EMERGENCY NURSING

Рет қаралды 21,862

Күн бұрын

In this video, we cover atrial fibrillation with a rapid ventricular response. We quickly go over what it is, signs and symptoms, ecg characteristics, then we spend more time talking about the different treatment methods available, and what is typically used in the ER❗❗
✅Emergency Nursing Basics Book: www.amazon.com/dp/B0BP4N1LF2
✅ER Nursing Charting Book: www.amazon.com/dp/B0CPJY4S72
✅ER Nurse Report and Brain Sheets: www.amazon.com/dp/B0CLCGQGH1
⚡Help Support⚡: www.redbubble.com/people/Emer...
⚡Team Work Makes the Dream Work!
⚡Proactive Not Reactive!
⚡Take a Deep breath, you got this!
💥-Be Proactive Not Reactive! Be prepared ahead of time for anything! Ensure that your rooms are stocked and ready for business. Suction? Oxygen? Ambu Bags? Pulse oximetry? Cardiac monitor leads? Bp cuff? Do you know where your IV supplies are? Is the crash cart readily available? Is your glucometer ready for business?
💥-Team Work Makes the Dream Work! The Emergency Department is dynamic, if you don't work as a team, you will not succeed. Help each other and have fun at the same time. Remember, its One Team.
💥-You will not know everything, EVER, and that's ok! This specifically applies to new grads! Ask questions, lots of them! If everyone is super busy, wait until patients are stabilized, then ask away! The more you know, the more confident you'll be, and at the same time you'll realize how much you actually don't know. So, ask more questions.
💥-Charting is extremely important! HOWEVER, patient care ALWAYS comes before charting! Take notes on a piece of paper as the what is happening with times, then when you do get a chance to sit down, chart away. But don't forget, patient care comes above anything else.
❗ATTENTION❗: The information provided in this video lecture is purely educational, please follow your hospitals or organizations guidelines and policies. The information provided is also not meant to substitute the guidance and care provided by your primary care provider.
❗ATTENTION❗: The links listed above are affiliate links. If a product is purchased through these links I may be receiving a small percentage of the price. Note that it is at no additional cost to you!
✅Answer to the question of the day✅
SBP below 140. Cardene(Nicardipine) drip. Labetalol IVP. Hydralazine IVP. Vasotec (Enalapril) IVP

Пікірлер: 26

@emergencychaos 2 жыл бұрын

✅Emergency Nursing Basics Book: www.amazon.com/dp/B0BP4N1LF2 ✅ER Nursing Charting Book: www.amazon.com/dp/B0CPJY4S72 ✅ER Nurse Report and Brain Sheets: www.amazon.com/dp/B0CLCGQGH1

@vickiphilo1243 3 ай бұрын

Went to ER with heart rate at 229. After two shots, converted back to sinus rhythm. Then for some reason my heart rate dropped to 30-40s. Last year my electrophysiologist put in a loop recorder. Im in the 30s almost every night while sleeping. I have had three episodes of SVT in the last four months. And while im awake im in the 40-50s. I was never told directly, was on paperwork, that i was diagnosed with SSS. Lisinopril and baby aspirin is all i take. Not an exerciser due to RA. Will not give me meds for fast heart rates because of sinus bradycardia. But still have symptoms and all this crap is real scary. Sorry to any others that suffer from these types of conditions. Thank you for this amazing video!

@ariellara2498 2 жыл бұрын

I wish I saw this video before my shift. I had a patient afib rvr. Long story short she was on a cardizem drip and was then given metoprolol 5mg. HR came down to 80s. Thank you for your amazing content

@deborahr113 Жыл бұрын

Glad the treatment worked

@gregrios6044 Жыл бұрын

I'm 30. Just recently had my first ER visit. Left with metropolol 25 MG but I didn't take it without my pcp first checking. She advised not to take it for my blood pressure is already on the lower side

@mesenteria 2 ай бұрын

Flecainide, but also propafenone, even amiodarone in an emergency. For rate control, bisoprolol, metoprolol, diltiazem.

@makilance27 2 жыл бұрын

I love your content! I am learning a lot! Thanks bro!

@whitefreeman5798 2 жыл бұрын

thank you for sharing information.. from a patients perspective the doctors at the er for tennova in north knoxville tn could benefit greatly by taking a few classes from you.. my heart rate was staying above 180 and blood pressure was up and down as well i was out of rythem for quite some time for the 12 hours i spent there and i was never given iv fluids and could only get some ice chips.. i only urinated once while there and it was very dark especially for me.. and i informed them.. i also told them that i had been having the same symptoms for more than 48 hours prior to coming in and that i had afib and had surgery for it a few years ago.. the first injection they gave me was to treat svt.. it did not work .. i could go on but basically thank you for at least giving the information out and hopefully someone there sees the video to help future patients

@drewbuckner8331 2 жыл бұрын

Good stuff. Thanks man! 👊

@onny1974 Жыл бұрын

Awesome content and in depth clear explanation. Thank you!

@elanicole998 2 жыл бұрын

Very very helpful for a new ER nurse like me, thank you very much!

@enterthematrix 2 жыл бұрын

Doing the lord's work- THANK YOU

@erikaandakarishow901 2 жыл бұрын

Thank you so much !!!!

@zahraassad1348 Жыл бұрын

Best thanks

@dja4701 Жыл бұрын

Thank you, new grad on my break watching this right now. Lol

@deedisano6919 8 ай бұрын

Great video!! I'm in ER now with Afib RVR. I had a PFO Closure 11 days ago & I was advised this could happen.. They are trying to fix me with meds.

@Shaxuul 9 ай бұрын

I'm on *Atenolol* to help control/prevent episodes. I get AFIB w/RVR, occasionally. And return to normal sinus rhythm after many, many hours (sometimes couple of days). And although AFIB is generally uncomfortable, and an inconvenience even, my heart rate stays consistently *low* from the beta-blocker, and keeps it from feeling too chaotic. I sleep better, as well.

@rayg9168 9 ай бұрын

I got diagnosed with this 3 days ago , it’s very scary not even meditating could slow the heart down

@momself7988 11 ай бұрын

Chest tubes set up equipment and troubleshooting what to do expect with flutter valve vs water seal atriums

@user-ex3fs5cr2m Жыл бұрын

Just an idea,could u do the PowerPoint in primary colours I was having problem with the pink to see.

@adamzuniga34 8 ай бұрын

“Nobody puts Baby in the corner” 😅

@JamesIronSights Жыл бұрын

I went Afib-RVR out if nowhere, no drug use or ETOH abuse. Healthy, other than hypertension controlled by a low dose meds, no cardio issues and some stress and PTSD. They hit me with adenosine twice, cardizem twice and then a cardizem drip overnight and I “self converted” while out. They also hit me with dilauded and Xanax twice that night. Not even 40yo. Any thoughts?

@melsue1026 Жыл бұрын

Not a smoker, diabetic or overweight? Any family history? I’m about to graduate nursing school so I’m just curious. That’s interesting, not unheard of, just not common. AFIB is the most common cardiac issue tho!!

@Ryan-sn6gn Жыл бұрын

What was your heart rate? I just had the same thing happen to me 3 days ago. 180 BPM. Waiting to see a cardiologist. Terrified I almost died or might die any moment.

@JamesIronSights Жыл бұрын

HR was 197. Technically overweight but more a muscle mass issue. Non diabetic and no family history. Final diagnosis was “one time freak event” with the comment about COVID and a vaccine being a possible factor but the cardiologist could say that “officially”

@OlYables Жыл бұрын

@@JamesIronSights I had a similar experience - however my afib has recurred so it was not a one time thing for me unfortunately