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September 7, 2010

Dear Colleague,

Your patient develops a sudden rapid heart rate with a narrow QRS complex. Could it be atrial fibrillation? How would you know? Remember these characteristic ECG changes:

  • Absence of P waves
  • Presence of fibrillatory waves
  • Irregularly irregular R-R intervals
  • Rapid ventricular rate (usually 100 to 150 beats per minutes, but can be faster or slower)

Also, be on the lookout for clinical signs and symptoms, including hypotension, heart failure, angina, shortness of breath, confusion, and syncope.  Learn more about this arrhythmia by exploring the articles in More Resources.

HEART BEATS: Responding to Atrial Fibrillation

Mission Control: Managing Atrial Fibrillation

Heart Matters: Post-op A-fib prophylaxis: Where are we headed?

Comparison of Noninvasive Blood Pressure Measurements in Patients With Atrial Fibrillation CE

WOUND & SKIN CARE: Basic ostomy management, part 2

Psychological Distress in Patients Diagnosed With Atrial Fibrillation: The State of the Science

Look for articles related to chronic disease management in our next issue, plus new articles and CEs!


Lisa Bonsall, MSN, RN, CRNP
Clinical Edito

What advice do you have for those beginning nursing school this fall? How about for returning students and those who will graduate this year? Please share your words of wisdom - it helps to hear from others who've been through it! Join the conversation in our Facebook discussion: Advice for nursing students.

See what our nurses are talking about on NursingCenter's In the Round:

Take some time to peruse a new collection of articles from the Journal of Christian Nursing. From the Heart  contains 20 shorts stories / vignettes that touch your heart about nursing.

Migraine is one of the top 20 causes of disability worldwide and many are unaware that effective treatments exist. Update your knowledge of the Pharmacological Management of Migraine Headaches.
The Nurse Practitioner: The American Journal of Primary Health Care
(2.4 contact hours/2.4 advanced pharmacology hours)

Tune into the differences between older and younger adults and the physiologic responses of older adults to trauma. Take some time to read Handle Older Trauma Patients with Care.

(2 contact hours)

Autism spectrum disorders affect socialization, verbal and nonverbal communication, and behavior. Read this overview and get involved in Tackling the Challenges of Autism.
Nursing Made Incredibly Easy!
(2.5 contact hours)

Review our Recommended CE list on Propofol and auxiliary medications used for sedation, unraveling Guillain-Barré syndrome, caring for a patient with cervical spine injury...


Brush up on the appropriate steps for evaluating chest pain, including red flags that require immediate attention. Don't miss Take Chest Pain to Heart.
The Nurse Practitioner: The American Journal of Primary Health Care

A subtle difference in the circumference of one of the patient's lower legs…what could this mean? Find out by reading Do Not Underestimate the "Otherwise Healthy" Patient.
Advanced Emergency Nursing Journal

Discover how a Magnet hospital used a nurse-managed, multifaceted approach to decrease CAUTI in Cultivating Quality: Reducing Rates of Catheter-Associated Urinary Tract Infection.
AJN, American Journal of Nursing

Browse our Recommended Readings on aromatherapy in women's health, registered nurses and moral distress, venous ulcer checklist, and more.


Read the articles in the latest Featured Journal online only on NursingCenter. The Featured Journal gives you the opportunity to get acquainted with the kind of coverage and clinical information it has to offer. Get to know our journals. The current Featured Journal is...


The FDA has approved the brand name Veletri. This drug has been commercially available since April 2010 as epoprostenol for injection to treat moderate to severe pulmonary arterial hypertension (PAH) and PAH associated with the scleroderma spectrum of disease.

See more drug news.


Clinician Satisfaction with 3M™ Tegaderm™ High Performance Foam Adhesive Dressing: An International Assessment

Does your clinical practice use an adhesive dressing that treats wounds of varying severity in both short and long-term care situations? Learn about a new foam adhesive dressing that's receiving high marks in clinical evaluations for absorbability, conformability, durability, and comfort.

Download the White Paper now
Sponsored by 3M


Keep your drug knowledge current – and your patients safe – with the NEW Nusing2011 Drug Handbook!

Order today to save 20% plus free shipping!


Online RN to BSN Degrees (12-18 months)
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