Atrioventricular block (AV block) is a type of heart block where the conduction between the atria and ventricles of the heart is impaired and this is their story.
Wife = P Wave Husband = QRS Complex Pacer = Counselling
Normal Sinus Rhythm
The wife (P wave) waits at home for the husband (QRS). The husband (QRS) comes home on time every night.
[PR Interval is less than 0.2 seconds (One large block on the EKG paper), there is one P wave per QRS complex, and the rhythm is regular.]
1st Degree AV Block
The wife (P wave) is waiting at home. The Husband (QRS) comes home late every night, but he always comes home, and it is the same time every night.
[Impulse is held at AV node, and PR Interval is greater than 0.2 seconds, or one large box on the EKG paper.]
2nd Degree Block, Type 1 (“Wenckebach”)
The wife (P wave) is waiting at home. The husband (QRS) comes home later and later every night until one night he doesn’t come home at all.
Note: Husband (QRS) must come home at least 2 nights in a row to see this pattern.
[PR interval will become greater and greater until there will be a dropped QRS complex and there are two consecutive P waves, after which the pattern will restart.]
2nd Degree Block, Type 2
The wife (P wave) is waiting at home. Sometimes the husband (QRS) comes home, sometimes he doesn’t. When he does come home, it’s always at the same time.
Note: This is usually more serious than Type I, and will sometimes require counselling (pacing).
[PR and R to R intervals will remain consistent, but there will be “missing” QRS complexes.]
3rd Degree AV Block
Wife (P wave) is no longer waiting at home. She and her husband (QRS) are now on separate schedules, have no relationship to one another, and are no longer talking. Each spouse has a regular, individual schedule.
Note: This frequently requires Counselling in the form of a temporary or permanent pacer.
[Atrial depolarisation will continue with P waves in a “ventricular standstill” while the ventricles (QRS) are depolarising in an idioventricular rhythm – both will be regular, but will be uncoordinated.]
Lucozade is no longer as effective at treating hypoglycemia
Due to changes in its recipe and a significant reduction in glucose, Lucozade will not be as effective as a treatment for hypoglycemic patients.
Recipe changes to Lucozade Original Energy product line mean it will no longer be as effective at treating hypoglycemic patients – this is due to a 50% reduction in glucose based carbohydrates. Healthcare Professionals should seek guidance from their local specialist team on alternative treatment protocols.
This change applies to all Lucozade Energy Flavours. New products started appearing on shelves in April 2017. However, for a short time, both the new and old recipe will be available.
Previously, 100ml of Lucozade Original contained 17g of carbohydrate; this was reduced to 8.9g in April 2017.
According to Diabietes.co.uk, patients who experience a hypoglycemic episode are advised to consume 15-20g of sugar when treating low blood sugar, but this will no longer be equivalent to 100ml of Lucozade.
Lucozade Ribena Suntory, which also makes Ribena and Orangina, among other drinks, is lowering its sugar content by replacing these sugars with low-calorie sweeteners, such as aspartame.
You can also visit www.lrsuntory.com/health for more information on Lucozade’s changing nutritional values or speak to your local diabetes specialist team.
Shift Planner for Nurses, Students & Support Staff
Shift planning is essential for safe care, some people using a piece of paper others have their thoughts well arranged in their head, either way everybody does it.
This shift planner has been designed with newly qualified nurses and student nurses in mind but would be suitable for anybody to use.
You can download our Shift Planner for FREE. You are free to download, print and distribute our shift planner as you wish. You will need a PDF reader on your PC to download.
The planner has been created with two primary columns, one for your main nursing priorities and one to remind you to hand over jobs to the next shift. It also features a small key and area for general notes. Due to limited space we have only included enough room to plan up to eight patients, if you need more we encourage you print doublesided.
We encourage you to make comments or suggestions in the comments section below. The most popular will be implemented in a version 2.
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