We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Nobody downloaded yet

Left Bundle Dranch Blockade and Atrial Fibrillation - Essay Example

Comments (0) Cite this document
Summary
Older adults are more vulnerable to experience postoperative complications like cardiovascular, pulmonary, and neurologic aberrations due to the effects of aging on the physiological capabilities of their body systems. For instance, they tend to have lower levels of plasma proteins and decreased plasma osmotic pressure…
Download full paper
GRAB THE BEST PAPER
Left Bundle Dranch Blockade and Atrial Fibrillation
Read TextPreview

Extract of sample
Left Bundle Dranch Blockade and Atrial Fibrillation

Download file to see previous pages... In this paper, a case study of an older patient diagnosed with Left Bundle Branch Block (LBBB) and fast Atrial Fibrillation (AF) after a Total Knee Replacement (TKR) will be discussed, including the assessment, pathophysiology, treatment and management.
Atrial fibrillation (AF) may result after a Total Knee Replacement (TKR) especially in older adults as a consequence of hypercoagulability and proinflammatory states associated with anaesthesia and surgical trauma, hyperadrenergic state related to perioperative stress, hypoxia, and hypovolemia leading to increased myocardial oxygen demand. Specifically, tachycardia as the heart’s compensatory mechanism to supply the systemic circulation leads to subsequent arrhythmias.
In addition to AF, Left Bundle Branch Block (LBBB) also occurs as an associated condition in older adults above 75 years old due to vascular incompetency and stasis. Usually, people with AF experience palpitations, dyspnea, syncope, fatigue and other cardiovascular and pulmonary manifestations. However, the most important danger posed by LBBB and AF is the hemodynamic stagnation which promotes the thrombus formation and decreased cardiac output.

The patient is an 83-year-old gentleman who had undergone a total knee replacement on August 16, 2011. His past medical history was significant for hypertension and arthritis. He reported to have past medical history of atrial fibrillation. ...
He reported to have past medical history of atrial fibrillation. On the other hand, he stated independence on performing most of his activities of daily living including household chores without difficulties. He claimed not having episodes of orthopnea or paroxysmal nocturnal dyspnea. He was able to walk half a mile before becoming short of breath. Impaired with worsening arthritis, the involved knee caused immobility problems and extremely debilitating pain that occurred usually after an exertion. In a short walk, the patient’s knee was traumatically injured that prompted surgical intervention. The patient qualified for the operation after the panel of pre operative assessment was carried out. However, the patient manifested shortness of breath and chest pain two days after the operation. He was then transferred to an orthopaedic centre to manage the acuteness of the symptoms. Also, the patient was connected to a cardiac monitor and an electrocardiographic reading was taken. He was initially given Bisoprolol 2.5 mg but the condition showed no improvement. At that same night, the patient was transferred to Critical Care Unit of Royal Sussex County Hospital where blood studies were run through. His final diagnosis is Left Bundle Branch Block (LBBB) and fast Atrial Fibrillation (AF). Assessment Cardiac complications resulting from surgery are the result of an intricate and dynamic relationship among patient- related risk factors including the patient’s functional capacity, procedure-related risk factors, and the circumstances surrounding the operation. Preoperative patient evaluation begins with obtaining a detailed history and physical examination (Fleisher et al. 165). After the total knee ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Left Bundle Dranch Blockade and Atrial Fibrillation Essay”, n.d.)
Retrieved de https://studentshare.org/nursing/1391031-case-study
(Left Bundle Dranch Blockade and Atrial Fibrillation Essay)
https://studentshare.org/nursing/1391031-case-study.
“Left Bundle Dranch Blockade and Atrial Fibrillation Essay”, n.d. https://studentshare.org/nursing/1391031-case-study.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document
CHECK THESE SAMPLES - THEY ALSO FIT YOUR TOPIC
The Effects Of Atrial Fibrillation On A Sports Performer
The aim of this research is to study the circumstances and courses under which atrial fibrillation affects sports performers. Sports performers may either be male or female and they are generally referred to as sportsmen and sportswomen.
15 Pages(3750 words)Essay
Right and left handed
The use of both right and left hand is paramount for individuals in their functionality in life. Therefore, it is crucial to understand the essence of handedness for the usage of right and left hands. According to studies, there is always unequal usage in terms of the distribution of the motor skills.
3 Pages(750 words)Essay
Atrial Fibrillation
Atrial Fibrillation is one of the most commonly sustained cardiac rhythm disorders. Stroke, thromboembolism, heart failure and degraded quality of life results in substantially high morbidity and mortality rates. The disease is rapidly spreading among the population especially among the elderly and hence requires immediate attention for proper understanding, management and treatment.
3 Pages(750 words)Essay
Upper and lower epidermis. Palisade mesophyll, and Vascular bundle
The upper epidermis can be differentiated from the lower epidermis by the number of stomata which are more in the latter. The epidermis protects the leaf against excessive water loss and mechanical injury.
2 Pages(500 words)Essay
Left Realism Theory
Left Realism theory emerged with the work of Lea and Young in 1984. Elements of Left Realism include the square of crime, relative deprivation and principle of specificity. These elements are also major strengths of this theory. Left Realism's weakness is that it fails to explain why some relatively deprived people turn to crime, whereas others don't.
2 Pages(500 words)Essay
No Child Left Behind
In an initial analysis, with its stress on early literacy and early involvement, No Child Left Behind appears unrelated to adolescents and
5 Pages(1250 words)Essay
Atrial Fibrillation
This rhythmic beat of the heart occurs owing to the passage of electrical currents through the heart causing the heart muscles to contract. When these electrical currents passing through the heart become disorganized
2 Pages(500 words)Essay
Molecular Mechanisms of Atrial Fibrillation
Studies have been made using animals as models, analysis of the patient’s family has been done to understand the genetic link and acquired form of this disease has also been studied in details. A proper and successful treatment for
2 Pages(500 words)Essay
Atrial fibrillation
In response to increase in matrix metaloproteinases and disintegrin, angiotensin II could cause atrial fibrosis and remodeling either in sinoatrial (SA) node or atrioventricular (AV) node combined with decrease in
1 Pages(250 words)Essay
No child left behind
The recent past has seen a good number of schools failing to meet the set out standards. Despite this, it is evident that there is no reliable proof regarding the fact that we have stopped leaving children behind. Key to this
2 Pages(500 words)Essay
Let us find you another Essay on topic Left Bundle Dranch Blockade and Atrial Fibrillation for FREE!
Contact us:
+16312120006
Contact Us Now
FREE Mobile Apps:
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us