University:
West Coast University
Course:
NURS 122 | Introduction to Medical Surgical Nursing
Academic year:

2021
Views:

472

Pages:

1
Author:

Carissa Thomas

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ Myocardial Infarction DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Steady substernal pain, radiates: neck, back, jaw Pathophysiology Related to Client Problem Process where areas of the heart that lack oxygen die. Onset: Sudden or gradual Health Promotion and Disease Prevention life changes including diet and exercise. Medication. ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Men > 50 and women > 55 Tobacco, HTN, high cholesterol, obesity, diabetes, metabolic syndrome, family history. Laboratory Tests Diaphoresis, Hyper/hypotension, brady/tachycardia, palpitations, severe anxiety, dyspnea, disorientation, confusion Diagnostic Procedures CRP and lipoprotein, PTT, WBC, radionuclide, PET, Creactive protein, Creatine kinase ECG changes, gather information about nature and intensity, onset and duration, location and radiation of pain. PATIENT-CENTERED CARE Nursing Care Explain equipment, procedures, and need for frequent assessment to patient and family. Therapeutic Procedures Surgical revascularization, percutaneous coronary interventions. ACTIVE LEARNING TEMPLATES Explain visitng hours and the need to limit the number of visitors at one time. Observe for adverse effects of sedation like lethargy, confusion, increased agitation. Assist patient to rise slowly from a supine position. Complications Medications Aspirin, clopidogrel, heparin, Þbrinolytics, beta blockers, ACE inhibitors, nitroglycerin, morphine Client Education Explain what has happened to the patientÕs heart. Interprofessional Care Cardiology consult, physical therapy consult, nutrition consult, Dysrhythmias, sudden cardiac death, infarct expansion, heart failure, cardiogenic shock, reinfarction, ischemic cardiomyopathy, cardiac rupture, papillary muscle rupture, ventricular mural thrombus THERAPEUTIC PROCEDURE A11