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Summary WK8Assign.extension.docx NURS 5051/NURS 6051 Annotated Bibliography Master of Science in Nursing Walden University NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology Telemetry Monitoring for COVID-19 Patients and Impro $7.49   Add to cart

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Summary WK8Assign.extension.docx NURS 5051/NURS 6051 Annotated Bibliography Master of Science in Nursing Walden University NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology Telemetry Monitoring for COVID-19 Patients and Impro

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WK8A NURS 5051/NURS 6051 Annotated Bibliography Master of Science in Nursing Walden University NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology Telemetry Monitoring for COVID-19 Patients and Improved Outcomes The purpose of this paper is to review and reflect...

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  • May 7, 2021
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NURS 5051/NURS 6051
Annotated Bibliography


Master of Science in Nursing

Walden University


NURS 5051/NURS 6051: Transforming Nursing and Healthcare

Through Technology



Telemetry Monitoring for COVID-19 Patients and Improved Outcomes


The purpose of this paper is to review and reflect on the impacts of clinical systems on

outcomes and efficiencies of nursing care practice and healthcare delivery. Technology is

evolving more and more every day. Not only is it evolving in everyday life, but it is also

evolving in healthcare. There are currently systems within healthcare facilities that are designed

to collect information such as telemetry. There are specific systems used for critical care

environments such intensive care units and emergency rooms. According to Kristy Boldt (2019),

The American College of Emergency Physician’s (ACEP) Policy on Health Information

Technology states that an Emergency Department Information System is an extended EHR

system designed specifically to manage data and simplify processes in support of Emergency

Department patient care and operations. With the current pandemic, we are seeing an abundance

of critical patients with COVID, that needs continuous monitoring in the emergency room.

Annotated Bibliography



Bernardini, A., Ciconte, G., Negro, G., Rondine, R., Mecarocci, V., Viva, T., Santini, F., De

Innocentiis, C., Giannelli, L., Witkowska, E., Locati, E. T., Castelvecchio, S.,

Marrocco- Trischitta, M. M., Vicedomini, G., Menicanti, L., & Pappone, C. (2021).

Assessing QT interval in COVID-19 patients: safety of hydroxychloroquine-

, azithromycin combination regimen. International Journal of Cardiology, 324, 242-

248. https://doi.org/10.1016/j.ijcard.2020.09.0383

Bernardini et al provided a study on patient’s who was positive for Covid-19 and

presented with prolonged QT intervals after being treated with hydroxychloroquine-

azithromycin combination. Covid-19 presents as a respiratory illness such as pneumonia

or bronchitis. As we all know any respiratory illness can lead to respiratory distress. In

this study they have found that Covid can also affect the cardiovascular system. They

also have found that a couple medications that are presented as treatment for Covid also

can lead to cardiovascular issues Bernardini et al., 2021.

Azithromycin and Hydroxychloroquine are the two medications that were

concerned to treat Covid. The issue with these two medications that lead to the need for

patients to be on telemetry while being treated, is that these medications are known to

cause prolonged QT intervals. If these two are known for this issue and we are treating a

patient with Covid causes an increase risk for arrhythmic sudden death or torsade de

pointes Bernardini et al., 2021. Which in turn increases the need for telemetry for these

patients.

This study collected data on patients who were hospitalized for Covid and

received the two medications for there treatment. There was a total of 112 patients in the

study. All though all deaths in this study occurred due to respiratory failure or other

respiratory issues, there was a great percentage of patients who had non-fatal arrythmias

Bernardini et al., 2021).

Chukwunyere, U., Sehirli, A. O., & Abacioglu, N. (2021). COVID-19-related arrhythmias and

the possible effects of ranolazine. Medical Hypotheses, 149, 110- 545.

https://doi.org/10.1016/j.mehy.2021.110545

As the Covid pandemic continues, they are more and more data collected and in

turn we find out that more signs and symptoms occur with Covid. In this article

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