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  • Case Study 5 Atrial Fibrillation and Oral Anticoagulation - Winninghams Critical Thinking Cases in Nursing

Case Study 5 Atrial Fibrillation and Oral Anticoagulation - Winninghams Critical Thinking Cases in Nursing

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Case Study 5 Atrial Fibrillation and Oral Anticoagulation - Winninghams Critical Thinking Cases in Nursing You are the nurse working in an anticoagulation clinic. One of your patients is K.N., who has a long-standing history of an irregularly irregular heartbeat (atrial fibrillation, or A-fib) for which he takes the oral anticoagulant warfarin (Coumadin). Recently, K.N. had his mitral heart valve replaced with a mechanical valve. 1. How does atrial fibrillation differ from a normal heart rhythm? When the heart is beating with a normal rhythm, the atria contract together, pumping blood into the ventricles, then the ventricles contract, pumping blood into the pulmonary arteries and aorta. With atrial fibrillation, the atria beat in a disorganized manner, with a rate of 350 to 600 times per minute—as if they are “quivering.” The result is no atrial contractions with an irregular ventricular response; in fact, the ventricles often beat with a rapid rate in response to the increased number of atrial impulses. The rapid yet irregular ventricular rate decreases ventricular filling and reduces cardiac output.

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  • Uploaded

    19 November 2025

  • Updated

    30 January 2026

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    Nursing

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    case study

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    case study atrial fibrillation and oral anticoagulation winninghams critical thinking cases in nursing

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