Managing Arrhythmias in Patients with Coronary Heart Disease

Patients suffering from coronary heart disease (CHD) often experience arrhythmias, which require careful and comprehensive nursing care. Proper management can significantly improve patient outcomes and quality of life.

Optimal Patient Positioning

One of the first steps in caring for a patient with CHD and arrhythmia is to ensure they are in the correct position. A sitting upright or semi-reclining posture is typically recommended. This positioning helps ease breathing and reduces strain on the cardiovascular system, promoting better oxygenation and circulation.

Oxygen Therapy and Monitoring

Continuous low-flow oxygen therapy should be administered to maintain adequate oxygen levels. Oxygen delivery should be adjusted based on the patient's arterial oxygen saturation (SpO2) and blood gas analysis results. Regular monitoring of these parameters ensures that the patient receives the appropriate level of respiratory support.

Comprehensive Vital Sign Monitoring

It is essential to continuously monitor key vital signs such as heart rate, blood pressure, pulse, and oxygen saturation. Accurate and timely documentation of these readings is crucial for detecting any changes in the patient's condition. In addition, urine output and body temperature should also be closely observed. Psychological support is equally important—nurses should engage with patients to reduce anxiety and stress, which can exacerbate arrhythmias.

Nutritional Management and Daily Care

Diet plays a vital role in managing coronary heart disease and arrhythmias. Patients should follow a diet low in salt, fat, and sugar, with an emphasis on high-fiber foods to prevent constipation. Caregivers should assist with regular repositioning and gentle back tapping to help clear respiratory secretions. These small but significant interventions contribute to overall patient comfort and recovery.