Pregled motenj srčnega ritma pri bolnikih na kardiološkem oddelku

• Main Author: Podergajs, Mateja
• Other Authors: Pehnec, Zlatko
• Format: Bachelor Thesis
• Language: Slovenian
• Published: M. Podergajs 2011
• Subjects: motnje srčnega ritma; medicinska sestra; življenjsko ogrožajoče motnje srčnega ritma; ukrepanje; dokumentiranje; heart rhythm abnormalities; a nurse; life-threatening heart rhythm abnormalities; action; documentation .; info:eu-repo/classification/udc/616.1:616-083.98; sami
• Online Access: https://dk.um.si/IzpisGradiva.php?id=21088; https://dk.um.si/Dokument.php?id=26529&dn=; https://plus.si.cobiss.net/opac7/bib/1746852?lang=sl

V diplomskem delu smo predstavili motnje srčnega ritma. V teoretičnem delu smo predstavili delovanje in zgradbo obtočil, vzroke, klinične znake in simptome in hemodinamske posledice motenj srčnega ritma. Predstavili smo najpogostejše nadprekatne, prekatne in motnje srčnega ritme, katere so povzročene zaradi bolezni sinusnega vozla ali prevodnega sistema, ob vsaki motnji pa je prikazan tudi EKG posnetek. Opisali smo najpogostejše preiskave za ugotavljanje motenj srčnega ritma. Opredelili smo vlogo medicinske sestre pri motnjah srčnega ritma, njeno vlogo pri snemanju EKG-ja ter pri monitoringu. Predstavili smo srčne ritme, katere mora medicinska sestra prepoznati, in kako pri teh pravilno ukrepati. V okviru raziskovalnega dela smo raziskali, katere motenje srčnega ritma so, na kardiološkem oddelku SB Celje, najpogostejše v prvih 24 urah hospitalizacije pri monitoriranih bolnikih ter simptome, ki so jih pri motnjah ritma navajali bolniki ali smo jih z meritvami ugotovili sami. Ugotavljali smo delež življenjsko ogrožajočih motenj srčnega ritma, natančnost ugotavljanja in dokumentiranja aritmij s strani medicinskih sester in njihovo ukrepanje pri življenjsko ogrožajočih motnjah srčnega ritma pred prihodom zdravnika. The thesis presents an overview of heart rhythm abnormalities. In the theoretical introduction, function and anatomy of the circulatory system are summarized, and causes, clinical signs and symptoms, and haemodynamical consequences of heart arrhythmias are outlined. The commonest supraventricular and ventricular heart arrhythmias caused by abnormalities of the sinus node or conduction system are described, including an ECG recording for each of the arrhythmias. The usual diagnostic methods used in heart arrhythmias are presented. The role of a nurse in the management of heart arrhythmias is defined, including her role in ECG recording and monitoring. Heart arrhythmias which should be recognized by a nurse are presented, including the proper measures to be taken by her. The research part of our work focused on identification of the commonest heart arrhythmias in the monitored patients at the Department of Cardiology, Celje General Hospital, during the first 24 hours of hospitalizations, including the symptoms reported by the patients, and clinical signs found by our measurements. We determined the proportion of life-threatening heart rhythm abnormalities, accuracy assessment and documentation of arrhythmias by the nurses and their actions in life-threatening heart rhythm disturbances before the arrival of a doctor.