20.500.12556/DKUM-97866 Obravnava pacienta s tahikardijo v urgentnem okolju: terapevtske intervencije diplomirane medicinske sestre Management of a Patient with Tachycardia in the Emergency Department: Therapeutic Interventions by a Registered Nurse Uvod: Obravnava pacienta s tahikardijo v urgentnem okolju predstavlja eno najzahtevnejših kliničnih situacij, saj zahteva hitro prepoznavo aritmije, točno določene terapevtske intervencije in učinkovito ukrepanje za zagotovitev stabilnega stanja pacienta. Namen diplomskega dela je bil analizirati terapevtske intervencije diplomirane medicinske sestre pri obravnavi pacientov s tahikardijo v urgentnem okolju ter poudariti pomen strokovnega pristopa za pravočasno in učinkovito obravnavo teh pacientov. Metode: Uporabili smo narativni pregled literature. Znanstveno literaturo smo s pomočjo iskalnega niza iskali v mednarodnih podatkovnih bazah CINAHL Ultimate, ScienceDirect in SAGE Journals. Izbrane članke smo prikazali s pomočjo PRISMA diagrama in jih prikazali v evalvacijski tabeli ter naredili narativni opis. Rezultati: Pregled šestih raziskav je pokazal, da imajo diplomirane medicinske sestre ključno vlogo pri obravnavi tahikardije v urgentnem okolju, saj s pravočasnim prepoznavanjem srčnega ritma na podlagi EKG, izvajanjem učinkovitih terapevtskih intervencij in kontinuiranim spremljanjem pacienta pomembno prispevajo k varni obravnavi. Modificiran Valsalvin manever se je izkazal kot učinkovita prva intervencija pri stabilni supraventrikularni tahikardiji, medtem ko so standardizirani protokoli izboljšali obravnavo atrijske fibrilacije z uporabo zdravil za nadzor srčne frekvence. Razprava in zaključek: Pregled je pokazal, da je bila učinkovita obravnava tahikardije v urgentnem okolju močno povezana z delom medicinskih sester. Krepitev strokovnih kompetenc medicinskih sester in uporaba standardiziranih protokolov prispeva k večji varnosti pacientov in višji kakovosti zdravstvene oskrbe. Introduction: Managing a patient with tachycardia in an emergency setting is one of the most challenging clinical situations, as it requires rapid identification of the arrhythmia, precise therapeutic interventions, and effective action to ensure the patient's stable condition. The purpose of this thesis was to analyze the therapeutic interventions of a registered nurse in the treatment of patients with tachycardia in an emergency environment and to emphasize the importance of a professional approach for timely and effective treatment of these patients. Methods: We used a narrative literature review. We searched the scientific literature using the search string in the international databases CINAHL Ultimate, ScienceDirect and SAGE Journals. We presented the selected articles using the PRISMA diagram and displayed them in the evaluation table and made a narrative description. Results: The review, of 6 studies, found that registered nurses play a key role in the emergency management of tachycardia through early ECG rhythm recognition, implementation of effective therapeutic interventions and continuous patient monitoring. The modified Valsalva maneuver was identified as an effective first intervention for stable supraventricular tachycardia, while standardized protocols improved the management of atrial fibrillation with the use of medicine for rate control. Discussion and conclusion: The literature review showed that effective management of tachycardia in emergency settings is closely linked to the role of the nurse. Strengthening nursing competencies and the use of standardized protocols contributes to improved patient safety and quality of care. srčna aritmija urgentna obravnava zdravstvena nega cardiac arrhythmia emergency care nursing care true false false [M. Vogrinčič] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-04-21 12:04:07 2026-08-07 10:51:17 2026-08-08 03:08:37 0000-00-00 00:00:00 2026 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.12-008.311+616-083.98:614.253.5(043.2) 284921859 VS_Vogrincic_Mia_2026.pdf VS_Vogrincic_Mia_2026.pdf 1 C43BD3D3E091DFED376D1A765E3990B5 65a611ab08ef50eb386f0a8b7ccc20e8e0b94fc4d4acde9a36e385663b6ce3fe e6514cb8-4ae6-11f1-a4b2-00155d0001a1 https://dk.um.si/Dokument.php?lang=slv&id=205949 Fakulteta za zdravstvene vede 0 0 0