Title Aktivnosti medicinske sestre pri zbrinjavanju bolesnika s ventrikularnim aritmijama
Title (english) Nurse's activities in treating patients with ventricular arrhythmia
Author Anamarija Boban
Mentor Anita Martinović Vranješ (mentor)
Committee member Anita Martinović Vranješ (predsjednik povjerenstva)
Committee member Mario Marendić (član povjerenstva)
Committee member Diana Aranza (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2023-10-03, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Ventrikularne aritmije su poremećaji ritma srca koji nastaju zbog poremećenog rada srčanog
provodnog sustava. U ventrikularne aritmije ubrajaju se ventrikularne ekstrasistole, ventrikularna
tahikardija i ventrikularna fibrilacija. Ventrikularne ekstrasistole (VES) najčešći su oblik aritmija, te se
mogu pojaviti i kod zdravih osoba. Ventrikularna tahikardija (VT) i ventrikularna fibrilacija (VF) mogu biti
uzrok iznenadne srčane smrti. Simptomi koji se pojavljuju kod oboljelih od ventrikularnih aritmija najčešće
su: palpitacije, slabost, nedostatak zraka, vrtoglavica, gubitak svijesti i stenokardija. U postavljanju
dijagnoze najvažniji je elektrokardiogram. Novija dostignuća tehnologije omogućila su prevenciju i
liječenje ventrikularnih aritmija odnosno prevenciju iznenadne smrti. U liječenju osim korištenja
antiaritmika i elektrokardioverzije pozitivan učinak ima i ugradnja implantabilnog kardioverter
defibrilatora te radiofrekventna ablacija. Medicinska sestra ima značajnu ulogu u sudjelovanju pri
dijagnostičkim i terapijskim postupcima. U Jedinici intenzivne koronarne skrbi odgovorna je za praćenje
bolesnikova stanja, rano uočavanje znakova i simptoma životno ugrožavajućih aritmija te poduzimanje
prvih hitnih intervencija koje spašavaju bolesnikov život. Također, njena zadaća je sudjelovanje u
reanimacijskim postupcima, defibrilaciji bolesnika, elektrokardioverziji te zbrinjavanju bolesnika prije i
nakon provedenih terapijskih postupaka kao što su ugradnja implantabilnog kardioverter defibrilatora i
radiofrekventne ablacije. U djelokrug rada medicinske sestre kod bolesnika s ventrikularnim aritmijama
spada i provođenje zdravstvene njege, provođenje sestrinskih intervencija u svrhu rješavanja bolesnikovih
problema i zdravstveni odgoj. Zdravstveni odgoj se kod bolesnika s ventrikularnim aritmijama svodi na
osposobljavanje bolesnika da prepozna aritmiju, uzima propisanu terapiju i stekne znanje i vještine za život
nakon ugradnje implatibilnog kardioverter defibrilatora.
Abstract (english) Ventricular arrhythmias are abnormal heart rhythms that occur due to a disturbance in the
cardiac conduction system. Ventricular arrhythmias include ventricular extrasystoles, ventricular
tachycardia and ventricular fibrillation. Ventricular extrasystoles (VES) are the most common form of
arrhythmias, and can even occur in healthy people. Ventricular tachycardia (VT) and ventricular fibrilation
(VF) can cause sudden cardiac death. Symptoms that are the most common in patients with ventricular
arrhytmias are palpitations, weakness, shortness of breath, dizziness, loss of consciousness and angina
pectoris. The electrocardiogram is the most important test method in establishing the diagnosis. New
technology developments have enabled the prevention and treatment of ventricular arrhythmias, that is, the
prevention of sudden death. In addition to treatment by antiarrhythmics and electrical cardioversion, a
positive impact in treatment is also seen with the implantation of cardioverter defibrillator and
radiofrequency ablation. The nursing role is significant in participating in diagnosis and therapeutic
procedures. In Cardiac Intensive Care Unit, she is responsible for continuous monitoring of the patients,
early detection of signs and symptoms of life-threatening arrhythmias, and undertaking emergency care
procedures that save the patient's life. Furhermore, the nurse is tasked to assist in resuscitation procedures,
patient defibrillation, electrical cardiovesion, and patient care before and after therapeutic procedures such
as the installation of a cardioverter defibrillator and radiofrequency ablation. The scope of a nurse's work
for patients with ventricular arrhythmias includes the enforcment of health care, conducting nursing
interventions to solve the patient's problems and health education. Health education for patients with
ventricular arrhythmias is based on training the patient to recognize the arrhythmia, take prescribed therapy,
and acquire knowledge and skills for life after the cardioverter defibrillator installation.
Keywords
defibrilacija
kardioverter defibrilator
ventrikularne aritimije
Keywords (english)
defibrillation
cardioverter defibrillator
ventricular arrhythmias
Language croatian
URN:NBN urn:nbn:hr:176:420079
Study programme Title: Nursing (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2023-10-03 12:26:03