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What's the nursing care plan for pt with MI

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Question ajoutée par Utilisateur supprimé
Date de publication: 2013/04/25
ANASTASIA ARGYROPOULOU
par ANASTASIA ARGYROPOULOU , WARD MANAGER , HELLENIC NAVY

Remove tight clothing Painkillers, morphine and others,τhe administrationΟ2 by nasal cannula, close monitoring of vital signs and ECG .
treatment with thrombolytic drugs according directives physician.

pamella Sphenge Sithole
par pamella Sphenge Sithole , Senior Professional nurse Cath lab , Wits Donald Gordon Mediclinic

Give nasal prong exygenation for essential tissue perfusipn

Do an ecg

Give nitro lingual tablet for vasodilation.

Give morphine for pain control 

Notify cardiologist about patient

marwan abdalaziz
par marwan abdalaziz , Clinic Assistant Manager , International Medical Corps ( IMC )

Nursing Intervention for myocardial infarction (MI): Monitor ECG result to detect ischemia, injury new or extended infarction, arrhythmia, and conduction defects Monitor, record vital signs and hemodynamic variables to monitor response to the therapy and detects complication Administer oxygen as prescribe to improve oxygen supply to the heart Obtain an ECG reading during acute pain to detect myocardial ischemia, injury or infarction Maintain the patient's prescribed diet to reduce fluid retention and cholesterol levels Provided postoperative care if necessary to avoid postoperative complications and help the patient achieve a full recovery Allay the patient's anxiety because the anxiety increase oxygen demands.

Marites De la Cruz
par Marites De la Cruz , Certified Nurse Aide (CNA) , Armed Forces Hospital Southern Region

ASSESSMENT:Assess signs and symptoms such as increase heart rate and respiratory rate due to decrease consumption of oxygen.
Another is assess chest pain radiating to back of the shoulder and is manifested due to straining or due to activities done.
NURSING DIAGNOSIS: Severe Pain due to increase HR and RR triggered by decrease consumption of oxygen to the body as manifested by severe chest pain radiating to back of the shoulder...
PLANNING: The patient must be free of chest pain after treatments and managements..
IMPLEMENTATION: Position patient on a comfortable position and Manage the increase HR and RR by giving high level of oxygen 5-6lpm via nasal cannula and manage pain by administering morphine sulfate as per doctors order.
EVALUATION: After treatments and management done the patient is already free of pain

Utilisateur supprimé
par Utilisateur supprimé

CHECKING VITAL SINGS ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION

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