high degree AV block

hey awesome nurses! okay, long story short, i'm writing up one of my pts from clinical. for part of our exercise we are supposed to write up nursing and collaborative interventions for primary and secondary admitting dx. primary is easy for this pt- L hip fx. but secondary is pre-existing high grade AV block...all i've really been able to find is to monitor vitals and keep an eye on telemetry. this pt also has CHF and cardiomyopathy... am i missing some obvious intervention? sorry i'm still pretty new at this stuff. none of my text books go very far into detail about AV blocks... please help if you can? thanks a ton!
These are two good sites to start. They both have general info as well as pathophysiology of blocks, symptoms, treatment, etc. http://www.nhlbi.nih.gov/health/heal...ics/topics/hb/http://emedicine.medscape.com/article/151597-overview

If they don't have a pace maker theres something you may.want to keep at bedside should they go into the block again. Other wise I think u got it covered.

http://www.google.com/search?sourcei...egree+av+blockhttp://emedicine.medscape.com/article/151597-overviewhttp://tinyurl.com/3bvuaz8http://tinyurl.com/3drfsyoSeveral resources....I hope it helps.

thanks so much you guys! it's hard for newbies to know what resources are trust worthy on the 'net...ps cardiology rules.

If they are going to have a pacemaker put in, prepping for the procedure wouldn't be bad - NPO after midnight, possible antibacterial wash depending on where you work/study, etc.

With "this pt also has CHF and cardiomyopathy" you may consider 'monitor I/O', and provide a low salt diet.

Quote from StcroixWith "this pt also has CHF and cardiomyopathy" you may consider 'monitor I/O', and provide a low salt diet.

I would suggest checking breath sounds frequently and o2 saturation for the CHF. Strict I/O would also be a must.