Question

Read:   The clinical situation
Read:   The DB comment options - select one (1) option to guide how you will consider the clinical situation

Click:    The Week 1 Module 2 DB link above

Type:    Your selected DB comment option # in the Subject Box.  For example: "DB Comment Option #4."

Type:    Post your comment in the Message Box and Submit 

Clinical Situation

A 50-year old man presented to the emergency department (ED) after experiencing crushing pain in his chest, profuse sweating, and nausea. He was diagnosed with a myocardial infarction and given intravenous medication to dissolve a clot that was obstructing a major coronary artery. While in the ED, he overheard the nurse practitioner say, "some of his heart muscle had died."

Choose one (1) of the following DB Comment Options - Use APA Format for All Citations.

1. Discuss the altered physiology presented in the clinical situation.
2. Draw from your personal nursing practice - link the clinical situation to your personal nursing practice.
3. Discuss clinical assessments, decisions, and interventions for the situation presented.
4. Discuss anticipatory, safe, and deliberate nursing care for the situation presented.  
5. Discuss how the altered physiology, noted in the clinical situation, affects aspects of wellness. Address at least three (3) of       the following aspects of wellness: Physical, intellectual, emotional, social, cultural, or economic.

Response Posts - Use APA Format for All Citations

Answer 1

Q. No. 1. Answer :

Patient is having Myocardial infarction :

Physiology is :

* Due to artheroslcerosis that means fat accumulation in the blood vessels,

* there is narrowing of the blood vessels.

* so decreased blood circulation to the muscles and layers of heart.

* so that ischemia.

* it leads to decreased oxygen supply.

* Necrosis of heart tissues and muscles of myocardium.

* leads to myocardial infarction.

Q. No. 2. Answer :

From personal nursing practice, there are some sings and we can find in myocardial infarction patients those are

* chest pain, not releaving by rest,

* Heart burn,

* Nausea, and vomiting,

* short ness of breath,

* Pale appearance ,

* Fatigue,

* palpations and abnormal blood pressure ect.

These are the clinical symptoms we may observes in myocardial infarction patients.

If we observe these symptoms we can immediately refer the clients to doctors.

Q. No. 3 and 4. Answer :

Clinical assessment, decisions and interventions for this patient :

* History collection should be taken like whether is there any family history,

Life style like sedentary life style,

History of eating and personal habits like smoking and alcoholism.

* physical examination like heights, weight to calculate body mass index.

If it is more than 25 to 30 leads to risk for getting heart diseases.

Decisions :

* Take the vital signs.

* measure the oxygen saturation levels.

* x ray should be taken,

* Electrocardiogram should be taken,

* 2D Echo should be done to find out any some other abnormalities in the heart.

Interventions or deliberate nursing interventions :

* provide comfortable position that is cardiac position or Fowlers position.

* Administrator oxygen through nasal cannula 2 lit per minute, if sufficiently otherwise put oxygen face mask.

* Provide Rest.

* Monitor vital signs regularly.

* Maintain intake and out put chart to reduce over load.

* Administer diuretics to excretes over fluid from the body.

* Administer Analgesics and Antiemitics.

* If blood pressures high administer Antihypertensive drugs.

* provide psychological support and emotional support.